Simultaneous multi-site lymphaticovenular anastomoses for primary lower extremity and genital lymphoedema complicated with severe lymphorrhea

Takumi Yamamoto; Isao Koshima; Hidehiko Yoshimatsu; Mitsunaga Narushima; Makoto Miahara; Takuya Iida

doi:10.1016/j.bjps.2010.10.011

Simultaneous multi-site lymphaticovenular anastomoses for primary lower extremity and genital lymphoedema complicated with severe lymphorrhea

J Plast Reconstr Aesthet Surg. 2011 Jun;64(6):812-5. doi: 10.1016/j.bjps.2010.10.011. Epub 2010 Nov 18.

Authors

Takumi Yamamoto¹, Isao Koshima, Hidehiko Yoshimatsu, Mitsunaga Narushima, Makoto Miahara, Takuya Iida

Affiliation

¹ Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655 Japan. [email protected]

PMID: 21093398
DOI: 10.1016/j.bjps.2010.10.011

Abstract

Primary lower extremity and genital lymphoedema (GL) is difficult to manage, especially when complicated with severe lymphorrhea. With abundant experience of treatment for lower-extremity lymphoedema (LEL), we performed simultaneous multi-site lymphaticovenular anastomoses (LVAs) for GL with severe lymphorrhea. In two cases of primary LEL and GL, LVAs were performed via 2-cm-long skin incisions using two to three operating microscopes under local anaesthesia. Symptoms of oedema and lymphorrhea improved clinically. LVA is a minimally invasive surgery, which is effective for the treatment of LEL and GL even in primary cases with severe lymphorrhea. Simultaneous multi-site LVAs can serve as the most effective therapy for lymphoedema.

Publication types

Case Reports

MeSH terms

Adolescent
Adult
Anastomosis, Surgical / methods
Genital Diseases, Male / diagnosis
Genital Diseases, Male / surgery*
Humans
Lower Extremity / surgery*
Lymphatic Vessels / surgery*
Lymphedema / diagnosis
Lymphedema / surgery*
Male
Microsurgery / methods*