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Lymphatic dysfunction after ligation surgery for varicose vein
Hisako Hara1, Makoto Mihara1, Kyoko Hasegawa2
1Department of Lymphatic and Reconstructive Surgery, Saiseikai Kawaguchi General Hospital, Saitama, Japan.
SAGE Open Medical Case Reports
|October 21, 2016
Summary
Ligation surgery for varicose veins can lead to lymphocele, a fluid collection. Indocyanine green (ICG) lymphography revealed subclinical lymphatic dysfunction in a patient with this complication.
Area of Science:
- Vascular Surgery
- Lymphatic Imaging
Background:
- Lymphocele is a known complication after varicose vein surgery.
- Lymphatic function in patients with post-surgical lymphocele remains underexplored.
Observation:
- A 76-year-old female developed a lymphocele after ligation surgery for varicose veins.
- Indocyanine green (ICG) lymphography demonstrated dermal backflow, indicating lymphatic dysfunction.
- Drainage of the lymphocele confirmed its lymphatic origin through ICG contrast.
Findings:
- Post-surgical lymphocele can be associated with subclinical lymphatic dysfunction.
- ICG lymphography is effective in visualizing lymphatic abnormalities in such cases.
Implications:
- This case highlights the importance of evaluating lymphatic function after varicose vein surgery.
- Early detection of lymphatic dysfunction may guide patient management and improve outcomes.
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