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Indocyanine green lymphography and lymphaticovenous anastomosis for generalized lymphatic dysplasia with pleural effusion and ascites in neonates.
- Source :
-
Annals of vascular surgery [Ann Vasc Surg] 2015 Aug; Vol. 29 (6), pp. 1111-22. Date of Electronic Publication: 2015 May 27. - Publication Year :
- 2015
-
Abstract
- Background: The fatality rate of generalized lymphatic dysplasia (GLD) with chylous pleural effusion and ascites is particularly high when it persists over a prolonged period. The purpose of this report was to determine the utility of indocyanine green (ICG) lymphography and lymphaticovenous anastomosis (LVA) in GLD with chylous pleural effusion and ascites in neonates.<br />Methods: We tested the lymphatic function in the 4 extremities for 8 GLD neonate patients using ICG lymphography, and on the basis of the results, we performed LVA for 5 of them. LVA was performed at the extremities under general anesthesia using incisions <1 cm in length. The outcome of LVA was evaluated with the amount of ascites discharged from thoracostomy tube or abdominal tube, except for 1 patient who had no drainage tube.<br />Results: In all cases, ICG lymphography showed varying degrees of dermal backflow in the limbs with lymphostasis. After LVA surgery, effusion stopped in 2 cases and decreased in 1 case. In the cases where effusion stopped, backflow as observed with ICG lymphography was minimal, and in the case where effusion decreased but did not stop, backflow was moderate.<br />Conclusions: The application of ICG and LVA could possibly be used to diagnose and treat lymphatic pleural effusion or ascites.<br /> (Copyright © 2015 Elsevier Inc. All rights reserved.)
- Subjects :
- Anastomosis, Surgical
Drainage
Female
Humans
Infant
Infant, Newborn
Male
Predictive Value of Tests
Retrospective Studies
Treatment Outcome
Ascites diagnosis
Ascites etiology
Ascites surgery
Craniofacial Abnormalities complications
Craniofacial Abnormalities diagnosis
Craniofacial Abnormalities surgery
Fluorescent Dyes
Indocyanine Green
Lymphangiectasis, Intestinal complications
Lymphangiectasis, Intestinal diagnosis
Lymphangiectasis, Intestinal surgery
Lymphatic Vessels surgery
Lymphedema complications
Lymphedema diagnosis
Lymphedema surgery
Lymphography methods
Pleural Effusion diagnosis
Pleural Effusion etiology
Pleural Effusion surgery
Skin blood supply
Veins surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1615-5947
- Volume :
- 29
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Annals of vascular surgery
- Publication Type :
- Academic Journal
- Accession number :
- 26025477
- Full Text :
- https://doi.org/10.1016/j.avsg.2015.02.013