
Abstract
The authors report their experience with the autogenous microsurgical lymphvessel transplantation for the treatment of upper (n = 60, 55 females and 5 males) and lower (n = 35, 10 females and 25 males, primary lyphredemas = 11, secondary lymphredemas = 24) limb edemas. Regarding the volume measurements before and after lymphvessel - transplantation in 58 patients there was a reduction of volume differences between healthy and affected arms of more than the half in 76 % of the patients after a mean follow-up period of 2 1/2 years. In 28 patients with unilateral redemas of the lower extremities the volume reduction after a mean follow-up period of I 1/2 year compared to the healthy legs was more than 50 % in 20 patients. As complications in the early period 2 postoperative erysipelas were seen. One patient developed a Iymph cyst in the groin and one patient had a postthrombotic lower leg rederna. The authors conclude that lymphvessel transplantations therefore seem to be a method to enhance significantly the lymphatic transport if by conservation me ans alone no long term success is seen.
Item Type: | Journal article |
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Form of publication: | Publisher's Version |
Keywords: | upper-limb-edemas, lower limb edemas, lymphatic microsurgery, lymphvessel - transplantation |
Faculties: | Medicine |
Subjects: | 600 Technology > 610 Medicine and health |
URN: | urn:nbn:de:bvb:19-epub-7379-4 |
ISSN: | 0778-5569 |
Signature: | print- |
Language: | English |
Item ID: | 7379 |
Date Deposited: | 12. Nov 2008, 09:08 |
Last Modified: | 04. Nov 2020, 12:50 |