Venous anastomosis procedure for treatment of lymphatic malformation in Klippel-Trenaunay syndrome
Klippel-Trenaunay syndrome (KTS) is a congenital vascular anomaly in children, which requires treatment but challenging. The characteristics of KTS include disproportionality of the affected limbs, usually with enlargement due to lymphatic malformation (LM) [1]. Sometimes the condition is accompanie...
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| Format: | Article |
| Language: | English |
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Elsevier
2017-05-01
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| Series: | Journal of Pediatric Surgery Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576616302846 |
| _version_ | 1818556721326456832 |
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| author | Motoi Kato, M.D. Shoji Watanabe, M.D. PhD Takuya Iida, M.D. PhD Azusa Watanabe, M.D. PhD |
| author_facet | Motoi Kato, M.D. Shoji Watanabe, M.D. PhD Takuya Iida, M.D. PhD Azusa Watanabe, M.D. PhD |
| author_sort | Motoi Kato, M.D. |
| collection | DOAJ |
| description | Klippel-Trenaunay syndrome (KTS) is a congenital vascular anomaly in children, which requires treatment but challenging. The characteristics of KTS include disproportionality of the affected limbs, usually with enlargement due to lymphatic malformation (LM) [1]. Sometimes the condition is accompanied by pain that is difficult to treat. Compression therapy is one option for reducing the swelling; however, this has limitations [2].
We previously reported that lymphatic venous anastomosis (LVA) may be a safe and effective procedure for reducing the size of micro cystic type LM by decreasing the intra cystic lymph [3]. We treated a case of KTS in a 9-year-old boy who had improvement of lower abdominal swelling and penile pain after a single LVA. The method involved is to make a bypass, from the afferent lymph-collecting vessel to subcutaneous veins. However, to apply LVA to LM, it is sometimes problematic to detect the afferent flow in combined vascular malformations, such as KTS. Therefore, we performed VA making a bypass directly from LM, instead. We classify two types of LVA methods for LM: afferent lymph vessel LMVA (A-LMVA), and sidewall LMVA (S-LMVA). S-LMVA has more merits than the previously reported A-LMVA. |
| first_indexed | 2024-12-13T23:50:53Z |
| format | Article |
| id | doaj.art-5f5571a383244551a9625d5902b02859 |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-12-13T23:50:53Z |
| publishDate | 2017-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-5f5571a383244551a9625d5902b028592022-12-21T23:26:47ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662017-05-0120C1310.1016/j.epsc.2017.01.015Venous anastomosis procedure for treatment of lymphatic malformation in Klippel-Trenaunay syndromeMotoi Kato, M.D.0Shoji Watanabe, M.D. PhD1Takuya Iida, M.D. PhD2Azusa Watanabe, M.D. PhD3Saitama Children's Medical Center, Department of Plastic and Reconstructive Surgery/Lymph Clinic, 1-2 Shintoshin, Chuo-ku, Saitama City, Saitama, 330-8777, JapanSaitama Children's Medical Center, Department of Plastic and Reconstructive Surgery, 1-2 Shintoshin, Chuo-ku, Saitama City, Saitama, 330-8777, JapanThe University of Tokyo, Department of Plastic, Reconstructive and Aesthetic Surgery, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, JapanSaitama Children's Medical Center, Department of Plastic and Reconstructive Surgery, 1-2 Shintoshin, Chuo-ku, Saitama City, Saitama, 330-8777, JapanKlippel-Trenaunay syndrome (KTS) is a congenital vascular anomaly in children, which requires treatment but challenging. The characteristics of KTS include disproportionality of the affected limbs, usually with enlargement due to lymphatic malformation (LM) [1]. Sometimes the condition is accompanied by pain that is difficult to treat. Compression therapy is one option for reducing the swelling; however, this has limitations [2]. We previously reported that lymphatic venous anastomosis (LVA) may be a safe and effective procedure for reducing the size of micro cystic type LM by decreasing the intra cystic lymph [3]. We treated a case of KTS in a 9-year-old boy who had improvement of lower abdominal swelling and penile pain after a single LVA. The method involved is to make a bypass, from the afferent lymph-collecting vessel to subcutaneous veins. However, to apply LVA to LM, it is sometimes problematic to detect the afferent flow in combined vascular malformations, such as KTS. Therefore, we performed VA making a bypass directly from LM, instead. We classify two types of LVA methods for LM: afferent lymph vessel LMVA (A-LMVA), and sidewall LMVA (S-LMVA). S-LMVA has more merits than the previously reported A-LMVA.http://www.sciencedirect.com/science/article/pii/S2213576616302846Lymphatic malformationLymphatic venous anastomosisKlippel-Trenaunay syndromeLMVALVA |
| spellingShingle | Motoi Kato, M.D. Shoji Watanabe, M.D. PhD Takuya Iida, M.D. PhD Azusa Watanabe, M.D. PhD Venous anastomosis procedure for treatment of lymphatic malformation in Klippel-Trenaunay syndrome Journal of Pediatric Surgery Case Reports Lymphatic malformation Lymphatic venous anastomosis Klippel-Trenaunay syndrome LMVA LVA |
| title | Venous anastomosis procedure for treatment of lymphatic malformation in Klippel-Trenaunay syndrome |
| title_full | Venous anastomosis procedure for treatment of lymphatic malformation in Klippel-Trenaunay syndrome |
| title_fullStr | Venous anastomosis procedure for treatment of lymphatic malformation in Klippel-Trenaunay syndrome |
| title_full_unstemmed | Venous anastomosis procedure for treatment of lymphatic malformation in Klippel-Trenaunay syndrome |
| title_short | Venous anastomosis procedure for treatment of lymphatic malformation in Klippel-Trenaunay syndrome |
| title_sort | venous anastomosis procedure for treatment of lymphatic malformation in klippel trenaunay syndrome |
| topic | Lymphatic malformation Lymphatic venous anastomosis Klippel-Trenaunay syndrome LMVA LVA |
| url | http://www.sciencedirect.com/science/article/pii/S2213576616302846 |
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