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[Lymphatic complications from variceal surgery]

P A Ouvry1, H Guenneguez, P A Ouvry

  • 1Clinique Saint-Pierre, Dieppe, France.

Phlebologie
|October 1, 1993
PubMed
Summary
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Lymphatic injuries during varicose vein surgery are common but rarely cause complications due to vessel regeneration. Lymphoedema is the only long-term complication, with sclerotherapy potentially being more effective for lymphatic insufficiency.

Area of Science:

  • Vascular Surgery
  • Lymphatic System Anatomy and Physiology

Background:

  • Lymphatic injuries are an accepted consequence of varicose vein surgery.
  • Despite frequent lymphatic vessel damage, severe complications are rare, a phenomenon requiring explanation.

Purpose of the Study:

  • To investigate the low incidence of lymphatic complications following varicose vein surgery.
  • To understand the discrepancy between expected and observed complication rates.

Main Methods:

  • A questionnaire was distributed to approximately thirty specialist surgeons regarding their experiences with lymphatic complications.
  • Data was collected from 23 surgeons, encompassing over 184,000 surgical procedures.

Main Results:

  • The overall lymphatic complication rate was approximately 8.7%, including lymphorrhea (5.4%), lymphocele (2.6%), lymphangitis (1.09%), and lymphoedema (0.5%).

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  • Lymphoedema was identified as the sole long-term lymphatic complication post-varicose vein surgery.

    • Conclusions:

    • Sclerotherapy may offer superior efficacy compared to surgical interventions for managing lymphatic insufficiency, even in its milder forms.