Supermicrosurgical lymphovenous anastomosis for the treatment of recurrent cellulitis-associated lymphedema in the lower limb
Recurrent leg cellulitis can damage the lymphatic system and result in chronic lymphedema. Antibiotic therapy is administered to prevent cellulitis; however, antibiotic-resistant bacteria frequently occur. Supermicrosurgical lymphovenous anastomosis (LVA) can play a role in stopping the vicious circ...
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Format: | Article |
Language: | English |
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Elsevier
2021-12-01
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Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428721001854 |
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author | Chih Hsun Lin, MD, PhD |
author_facet | Chih Hsun Lin, MD, PhD |
author_sort | Chih Hsun Lin, MD, PhD |
collection | DOAJ |
description | Recurrent leg cellulitis can damage the lymphatic system and result in chronic lymphedema. Antibiotic therapy is administered to prevent cellulitis; however, antibiotic-resistant bacteria frequently occur. Supermicrosurgical lymphovenous anastomosis (LVA) can play a role in stopping the vicious circle by improving lymph circulation. In the present report, we have described the case of a 40-year-old male patient with frequent cellulitis and subsequent left leg edema. Based on the lymphoscintigraphy findings, LVA was performed on the left leg (six anastomoses). One year later, the lymphedema had subsided without further cellulitis. Lymphoscintigraphy revealed no dermal backflow. Thus, LVA is a treatment option for recurrent cellulitis-associated lymphedema. |
first_indexed | 2024-12-13T23:29:35Z |
format | Article |
id | doaj.art-388451ae696b4be3ad667850032a5abf |
institution | Directory Open Access Journal |
issn | 2468-4287 |
language | English |
last_indexed | 2024-12-13T23:29:35Z |
publishDate | 2021-12-01 |
publisher | Elsevier |
record_format | Article |
series | Journal of Vascular Surgery Cases and Innovative Techniques |
spelling | doaj.art-388451ae696b4be3ad667850032a5abf2022-12-21T23:27:27ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872021-12-0174790793Supermicrosurgical lymphovenous anastomosis for the treatment of recurrent cellulitis-associated lymphedema in the lower limbChih Hsun Lin, MD, PhD0Correspondence: Chih Hsun Lin, MD, PhD, Division of Plastic and Reconstructive Surgery, Department of Surgery, Taipei Veterans General Hospital, 19F, No. 201, Sector 2, Shi-Pei St, Beitou District, Taipei 112, Taiwan; Division of Plastic and Reconstructive Surgery, Department of Surgery, Taipei Veterans General Hospital; and the School of Medicine, National Yang Ming Chiao Tung University, Taipei, TaiwanRecurrent leg cellulitis can damage the lymphatic system and result in chronic lymphedema. Antibiotic therapy is administered to prevent cellulitis; however, antibiotic-resistant bacteria frequently occur. Supermicrosurgical lymphovenous anastomosis (LVA) can play a role in stopping the vicious circle by improving lymph circulation. In the present report, we have described the case of a 40-year-old male patient with frequent cellulitis and subsequent left leg edema. Based on the lymphoscintigraphy findings, LVA was performed on the left leg (six anastomoses). One year later, the lymphedema had subsided without further cellulitis. Lymphoscintigraphy revealed no dermal backflow. Thus, LVA is a treatment option for recurrent cellulitis-associated lymphedema.http://www.sciencedirect.com/science/article/pii/S2468428721001854CellulitisLymphatic systemLymphedemaLymphoscintigraphyLymphovenous anastomosis |
spellingShingle | Chih Hsun Lin, MD, PhD Supermicrosurgical lymphovenous anastomosis for the treatment of recurrent cellulitis-associated lymphedema in the lower limb Journal of Vascular Surgery Cases and Innovative Techniques Cellulitis Lymphatic system Lymphedema Lymphoscintigraphy Lymphovenous anastomosis |
title | Supermicrosurgical lymphovenous anastomosis for the treatment of recurrent cellulitis-associated lymphedema in the lower limb |
title_full | Supermicrosurgical lymphovenous anastomosis for the treatment of recurrent cellulitis-associated lymphedema in the lower limb |
title_fullStr | Supermicrosurgical lymphovenous anastomosis for the treatment of recurrent cellulitis-associated lymphedema in the lower limb |
title_full_unstemmed | Supermicrosurgical lymphovenous anastomosis for the treatment of recurrent cellulitis-associated lymphedema in the lower limb |
title_short | Supermicrosurgical lymphovenous anastomosis for the treatment of recurrent cellulitis-associated lymphedema in the lower limb |
title_sort | supermicrosurgical lymphovenous anastomosis for the treatment of recurrent cellulitis associated lymphedema in the lower limb |
topic | Cellulitis Lymphatic system Lymphedema Lymphoscintigraphy Lymphovenous anastomosis |
url | http://www.sciencedirect.com/science/article/pii/S2468428721001854 |
work_keys_str_mv | AT chihhsunlinmdphd supermicrosurgicallymphovenousanastomosisforthetreatmentofrecurrentcellulitisassociatedlymphedemainthelowerlimb |