[Technic and results of lymphovenous trunk anastomosis]

In 21 cases of patients with lymphoedema and median fibrosis the author performed termino-lateral lympho-venous troncular anastomosis in the Scarpa triangle, in the internal iliac region, and in the leg. In 18 of the cases there was significant decrease of the oedema. This effect is of particular importance in the reclining position; when sitting upright the oedema recurred, but it is of the soft type, easily depressed, considerably reduced when the patient reclines. Compressive bandages are an efficient supplement to the intervention. One should also mention the necessity of maintaining along the lymph vessel trajectory of integral lymph-node "stations", where the lymph undergoes important and necessary processing.