After some considerations about lymphedema and the progresses in its study, the surgical procedures to its treatment are exposed, considering this treatment technically and also orientate to lymphedema etiology. Afterwards, a clinical case, its treatment, and its discussion are exposed.
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Microsurgical lymphonodovenous implantation for chronic lymphedema.
J Med Assoc Thai
August 2004
Surgical Division, Rajprachasamasai Institute, Disease Control Department, Ministry of Public Health, Samutprakarn, Thailand.
This is a prospective study of 10 cases, 14 lower extremities lymphedema were treated by microsurgical lymphonodovenous implantation from October 2001 to July 2003. All of the presented patients suffered from filariasis with obstructive lymphedema of the lower limbs. The surgical technique is described.
View Article and Find Full Text PDF[Microsurgical lympho-venous anastomosis in the treatment of secondary lymphoedema of the upper extremity].
Handchir Mikrochir Plast Chir
July 2003
Klinik für Plastische und Handchirurgie, HELIOS-Klinikum Wuppertal, Germany.
At the end of the 1960's, lymphonodo-venous anastomosis has been performed by Olszewski and Nielubowicz experimentally as well as in clinical cases. Later on, various authors performed in clinical cases microsurgical anastomoses between lymphcollectors and veins. The rationality of this procedure is based on the knowledge that lymph always find the way back to the venous system, that the pressure of the lymph vessels is higher than in venous system of the extremities and that competent valves guarantee a centripetal flow.
View Article and Find Full Text PDFFactors influencing response to lymphonodovenous shunt in filarial lymphoedema.
Natl Med J India
August 1999
Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
Background: Although several studies have been published on lymphonodovenous shunt, there are no objective data either on the outcome of lymphoedema or on various parameters likely to influence the results.
Methods: A trial of lymphonodovenous shunt was carried out in 75 patients with unilateral filarial lymphoedema. The primary aim of the trial was to identify a cohort of responders as against non-responders and to correlate the outcome with various factors such as age, gender, duration and preoperative grade of lymphoedema, number of preoperative attacks of adenolymphangitis, operative impression of the lymph node, effect of venous reflex and type of nodovenous anastomoses.
Omentoplasty in the management of filarial lymphoedema.
Trans R Soc Trop Med Hyg
December 1998
Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
A trial of omentoplasty was carried out on 20 patients with unilateral filarial lymphoedema to assess its role in the reduction of oedema volume after failed lymphonodo-venous shunt (LNVS) or as a primary procedure. Omentoplasty was done through a midline laparotomy. The omentum was mobilized from the colon, preserving both gastroepiploic vessels, and transferred to the thigh either through the lower end of the laparotomy incision or through a separate stab and placed subcutaneously in the upper third of the thigh.
View Article and Find Full Text PDFEvaluation of different surgical procedures in filarial lymphoedema of lower extremity.
J Indian Med Assoc
May 1991
Department of Surgery, MKCG Medical College, Berhampur.
Ninety-six cases of different stages of lymphoedema of inferior extremity were taken for study. Twenty-four patients with early lymphoedema (stage II) were subjected to lymphonodovenous shunt (LNVS) operation; 54 patients of late lymphoedema with skin changes (Stage IV) were subjected to Charles' operation and 18 patients with late lymphoedema without skin changes (stage III) were subjected either to Sistrunk's or Thompson's operation. All the results were studied, evaluated and compared.
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