Display options
Share it on

Open Med (Wars). 2016 Jun 23;11(1):121-124. doi: 10.1515/med-2016-0023. eCollection 2016.

Surgical treatment of recidivist lymphedema.

Open medicine (Warsaw, Poland)

Costantino Eretta, Alessia Ferrarese, Elisabetta Moggia, Elisa Francone, Carlo Sagnelli, Maria Di Martino, Stefano de Franciscis, Bruno Amato, Raffaele Grande, Lucia Butrico, Maurizio Amato, Raffaele Serra, Valter Martino, Stefano Berti

Affiliations

  1. Department of Surgery, S. Andrea Hospital, La Spezia, Italy.
  2. Department of Oncology, University of Turin, Section of General Surgery, San Luigi Gonzaga Teaching Hospital, Regione Gonzole 10, 10043 Orbassano - Turin ( Italy ), Tel. +39 0119026224, Fax +39 0119026523.
  3. Interuniversity Center of Phlebolymphology (CIFL). International Research and Educational Program in Clinical and Experimental Biotechnology. Headquarters: University Magna Græcia of Catanzaro, Viale Europa 88100 Catanzaro, Italy.
  4. Department of Medical and Surgical Sciences, University of Catanzaro, 88100, Italy.
  5. Department of General, Geriatric, Oncologic Surgery and Advanced Technologies, University of Naples "Federico II". 80100 Naples, Italy.

PMID: 28352779 PMCID: PMC5329810 DOI: 10.1515/med-2016-0023

Abstract

Lymphedema is a chronic disease with a progressively ingravescent evolvement and an appearance of recurrent complications of acute lymphangitic type; in nature it is mostly erysipeloid and responsible for a further rapid increase in the volume and consistency of edema. The purpose of this work is to present our experience in the minimally invasive treatment for recurrence of lymphedema; adapting techniques performed in the past which included large fasciotomy with devastating results cosmetically; but these techniques have been proposed again by the use of endoscopic equipment borrowed from the advanced laparoscopy surgery, which allows a monoskin access of about one cm.

Keywords: Lymphedema; lymphatic venous anastomosis; lymphoscintigraphy; microsurgery; supermicrosurgery; transposition of the lymph nodes

References

  1. Ann Vasc Surg. 2013 Nov;27(8):1188.e9-11 - PubMed
  2. J Plast Reconstr Aesthet Surg. 2012 Nov;65(11):1551-8 - PubMed
  3. Ann Vasc Surg. 2012 Feb;26(2):278.e1-6 - PubMed
  4. Ann Surg. 2006 Mar;243(3):313-5 - PubMed
  5. Hautarzt. 2012 Aug;63(8):627-33 - PubMed
  6. Microsurgery. 2010 May;30(4):256-60 - PubMed
  7. Clin Plast Surg. 2012 Oct;39(4):377-84 - PubMed
  8. Int J Surg. 2014;12 Suppl 2:S40-3 - PubMed
  9. Ann Plast Surg. 2013 Aug;71(2):191-5 - PubMed
  10. Microsurgery. 2007;27(4):333-8 - PubMed
  11. Surg Clin North Am. 1967 Apr;47(2):445-503 - PubMed

Publication Types