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Related Experiment Videos

Vein graft interposition in treating peripheral lymphoedemas.

C Campisi1, F Boccardo

  • 1Department of Specialistic Surgical Sciences, Anaesthesiology and Organ Transplants, Emergency Surgical Clinic Section, Lymphology and Microsurgery Centre, S. Martino Hospital, University of Genoa, Italy. campisi@unige.it

Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|September 12, 2003
PubMed
Summary

Lymphatic-Venous-Lymphatic Anastomosis (LVLA) reconstructs blocked lymphatic pathways using vein grafts. This microsurgical technique shows positive long-term results for treating peripheral lymphedema, even with impaired venous circulation.

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Area of Science:

  • Vascular Surgery
  • Microsurgery
  • Lymphedema Treatment

Background:

  • Peripheral lymphedema results from lymphatic circulation blockage.
  • Congenital or acquired conditions can cause lymphatic obstruction.
  • Traditional lympho-venous shunts are unsuitable when venous circulation is compromised.

Purpose of the Study:

  • To evaluate the long-term efficacy of Lymphatic-Venous-Lymphatic Anastomosis (LVLA).
  • To assess LVLA as a treatment for peripheral lymphedemas.
  • To determine the viability of LVLA in cases with impaired venous circulation.

Main Methods:

  • Microsurgical reconstruction using autologous vein grafts.
  • Lymphatic pathways are bridged between afferent and efferent lymphatic collectors.

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  • Follow-up assessments included water volumetry and isotopic lymphography.

    • Main Results:

    • The LVLA technique demonstrated positive outcomes.
    • Efficacy was sustained over the long term following microsurgery.
    • The method is effective even when venous circulation is impaired.

    Conclusions:

    • LVLA is a successful microsurgical treatment for peripheral lymphedemas.
    • The technique provides a viable alternative when lympho-venous shunts cannot be used.
    • Positive long-term results support LVLA for lymphatic reconstruction.