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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Main Author: Chih Hsun Lin, MD, PhD
Format: Article
Language:English
Published: Elsevier 2021-12-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:
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.
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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
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