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Multi-site lymphatic venous anastomosis using echography to detect suitable subcutaneous vein in severe lymphedema patients
- Source :
- Journal of plastic, reconstructiveaesthetic surgery : JPRAS. 71(2)
- Publication Year :
- 2017
-
Abstract
- Summary Background The method of lymphatic venous anastomosis (LVA), including its indications or preoperative examinations, has not been established. The purpose of this study is to reveal the possible application of preoperative echography in surgical LVA outcome. Methods We performed a retrospective case-control study on patients with lower limb lymphedema who underwent LVA between August 15, 2013 and August 15, 2014. As a preoperative examination, we used venous echography to identify subcutaneous veins in the echo group, while we only used Accuvein visualizing system in the control group. The operation time, number of anastomoses, and limb circumference were compared between the two groups. Results Seventeen patients (34 limbs) were included in the echo group, and 21 patients (42 limbs) were included in the control group. The average follow-up period was 11.9 (6–16) and 12.4 (6–27) months, respectively. The average operation time in the echo group was 258.6 min, and that in the control group was 216.5 min. The average number of anastomoses was 9.8 and 7.0 in the echo and control group, respectively. The average time per anastomosis was 27.4 and 32.6 min, respectively. The diameter of the vein had a tendency to be larger in the echo group than in the control group. In 5.8% of the echo group, we observed a circumference increase, compared with 23.8% in the control group. Conclusions Preoperative venous echography allowed surgeons to increase the number of anastomoses performed within the operating time, resulting in improvement of surgical outcomes.
- Subjects :
- Adult
Male
medicine.medical_specialty
Operative Time
030230 surgery
Anastomosis
Veins
03 medical and health sciences
0302 clinical medicine
Subcutaneous Tissue
Medicine
Humans
Lymphedema
Vein
Aged
Lymphatic Vessels
Retrospective Studies
Ultrasonography
Aged, 80 and over
Leg
business.industry
Echo (computing)
Ultrasound
Anastomosis, Surgical
Multi site
Middle Aged
medicine.disease
Surgery
medicine.anatomical_structure
Lymphatic system
030220 oncology & carcinogenesis
Venous anastomosis
Female
business
Subjects
Details
- ISSN :
- 18780539
- Volume :
- 71
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Journal of plastic, reconstructiveaesthetic surgery : JPRAS
- Accession number :
- edsair.doi.dedup.....b6cde6705fdc3d83e8f53a50cecba83c