Supermicrosurgical lymphatic venous anastomosis for intractable lymphocele after great saphenous vein harvesting graft

Lymphoceles result from either trauma to the lymphatic vessels or after vein graft harvest, which occurs in 10% to 16% of patients. When a lymphocele persists despite conservative treatment, patients can experience undue distress. We have reported the case of successful treatment using lymphatic ven...

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Main Authors: Hirofumi Imai, MD, Shuhei Yoshida, MD, PhD, Toshiro Mese, MD, Solji Roh, MD, Isao Koshima, MD, PhD
Format: Article
Language:English
Published: Elsevier 2022-03-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428721001921
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author Hirofumi Imai, MD
Shuhei Yoshida, MD, PhD
Toshiro Mese, MD
Solji Roh, MD
Isao Koshima, MD, PhD
author_facet Hirofumi Imai, MD
Shuhei Yoshida, MD, PhD
Toshiro Mese, MD
Solji Roh, MD
Isao Koshima, MD, PhD
author_sort Hirofumi Imai, MD
collection DOAJ
description Lymphoceles result from either trauma to the lymphatic vessels or after vein graft harvest, which occurs in 10% to 16% of patients. When a lymphocele persists despite conservative treatment, patients can experience undue distress. We have reported the case of successful treatment using lymphatic venous anastomosis (LVA) of an intractable lymphocele that had been refractory to conservative treatment, including stretch bandaging, drainage, and local injection for 2 years after great saphenous vein harvest. The lymphocele resolved shortly after the LVA without any adverse effects. LVA can be a useful and minimally invasive alternative treatment of lymphocele after harvesting the great saphenous vein.
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spelling doaj.art-bd60a0a28de640e4aee248d95bcfcd752022-12-21T18:52:54ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872022-03-01814547Supermicrosurgical lymphatic venous anastomosis for intractable lymphocele after great saphenous vein harvesting graftHirofumi Imai, MD0Shuhei Yoshida, MD, PhD1Toshiro Mese, MD2Solji Roh, MD3Isao Koshima, MD, PhD4Correspondence: Hirofumi Imai, MD, International Center for Lymphedema, Hiroshima University Hospital, 1-2-3, Kasumi, Minami-ku, Hiroshima 734-8551, Japan; International Center for Lymphedema, Hiroshima University Hospital, Hiroshima, JapanInternational Center for Lymphedema, Hiroshima University Hospital, Hiroshima, JapanInternational Center for Lymphedema, Hiroshima University Hospital, Hiroshima, JapanInternational Center for Lymphedema, Hiroshima University Hospital, Hiroshima, JapanInternational Center for Lymphedema, Hiroshima University Hospital, Hiroshima, JapanLymphoceles result from either trauma to the lymphatic vessels or after vein graft harvest, which occurs in 10% to 16% of patients. When a lymphocele persists despite conservative treatment, patients can experience undue distress. We have reported the case of successful treatment using lymphatic venous anastomosis (LVA) of an intractable lymphocele that had been refractory to conservative treatment, including stretch bandaging, drainage, and local injection for 2 years after great saphenous vein harvest. The lymphocele resolved shortly after the LVA without any adverse effects. LVA can be a useful and minimally invasive alternative treatment of lymphocele after harvesting the great saphenous vein.http://www.sciencedirect.com/science/article/pii/S2468428721001921Great saphenous vein harvestingLymphatic venous anastomosisLymphorrhea
spellingShingle Hirofumi Imai, MD
Shuhei Yoshida, MD, PhD
Toshiro Mese, MD
Solji Roh, MD
Isao Koshima, MD, PhD
Supermicrosurgical lymphatic venous anastomosis for intractable lymphocele after great saphenous vein harvesting graft
Journal of Vascular Surgery Cases and Innovative Techniques
Great saphenous vein harvesting
Lymphatic venous anastomosis
Lymphorrhea
title Supermicrosurgical lymphatic venous anastomosis for intractable lymphocele after great saphenous vein harvesting graft
title_full Supermicrosurgical lymphatic venous anastomosis for intractable lymphocele after great saphenous vein harvesting graft
title_fullStr Supermicrosurgical lymphatic venous anastomosis for intractable lymphocele after great saphenous vein harvesting graft
title_full_unstemmed Supermicrosurgical lymphatic venous anastomosis for intractable lymphocele after great saphenous vein harvesting graft
title_short Supermicrosurgical lymphatic venous anastomosis for intractable lymphocele after great saphenous vein harvesting graft
title_sort supermicrosurgical lymphatic venous anastomosis for intractable lymphocele after great saphenous vein harvesting graft
topic Great saphenous vein harvesting
Lymphatic venous anastomosis
Lymphorrhea
url http://www.sciencedirect.com/science/article/pii/S2468428721001921
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