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Related Experiment Videos

Microlymphaticovenous anastomoses for obstructive lymphedema

B M O'Brien, P Sykes, G N Threlfall

    Plastic and Reconstructive Surgery
    |August 1, 1977
    PubMed
    Summary

    Microlymphatic surgery shows promise for treating secondary obstructive lymphedema. Lymphaticovenous anastomoses, particularly above the elbow, offer advantages over ablative procedures, including reduced cellulitis incidence.

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    Area of Science:

    • Vascular Surgery
    • Lymphedema Management

    Background:

    • Secondary obstructive lymphedema presents a significant clinical challenge.
    • Current treatment options for lymphedema have limitations.

    Purpose of the Study:

    • To evaluate the clinical application and outcomes of microlymphatic surgery for secondary obstructive lymphedema.
    • To compare microlymphatic techniques with traditional ablative procedures.

    Main Methods:

    • Microlymphatic surgery, specifically performing 3 or more lymphaticovenous anastomoses at or above the elbow.
    • Consideration of ablative procedures when anastomoses are not feasible.

    Main Results:

    • Lymphaticovenous anastomoses demonstrated a significantly lower incidence of postoperative cellulitis compared to ablative procedures.

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  • Microlymphatic techniques are applicable to both upper and lower limbs.
  • Potential for application in trauma- and congenital-related lymphedema.

    • Conclusions:

    • Microlymphatic surgery, particularly lymphaticovenous anastomoses, is a valuable option for secondary obstructive lymphedema.
    • This technique offers advantages in reducing complications and can be adapted to various limb locations.
    • Further long-term evaluation is necessary, but initial results are encouraging for lymphedema treatment.