Case Report: A New Hybrid Surgical Approach for Treating Mosaic Pattern Secondary Lymphedema in the Lower Extremities

Lymphaticovenous Anastomosis for Lower Extremity Lymphedema: A Systematic Review

“…The manuscripts included were published from November 1985 to July 2019 and reported data for a total of 1,363 patients with LEL who had undergone LVA ►Supplementary Table S1, (available online only). The number of patients in each study ranged from 1 [23][24][25][26][27] to 216, 28 with a female predominance in all. The mean age at presentation ranged from 6 29 to 94 years, 30 and the mean duration of LEL ranged from 22 days 31 to 585 months.…”

When should axillary drains be removed? A meta-analysis of time-limited versus volume controlled strategies for timing of drain removal following axillary lymphadenectomy

“…Five studies combined techniques. The first of these used SAPL followed by VNLT 37 ; the second a hybrid technique incorporating the Charles procedure and VLNT 38 ; the third a hybrid technique combing VLNT and LVA 39 ; and the fourth primarily used LVA, with some patients also undergoing segmental reduction secondarily 9 . The fifth study 32 used a musculocutaneous flap in four patients; one of these also underwent LVA in the same procedure.…”

Do surgical interventions for limb lymphoedema reduce cellulitis attack frequency?

“…Surgical treatments for lymphoedema can be broadly divided into two categories: reductive approaches which focus primarily on excision of lymphoedematous tissue (Charles,; Homans, ), and physiological approaches, which attempt to reconstruct lymphatic drainage using microsurgical techniques. Supermicrosurgical techniques such as LVA have more recently been developed (Campisi et al, ; Matsubara, Sakuda, Nakaema, & Kuniyoshi, ; Mihara, Zhou, Hara, Tange, & Haragi, ; Mihara, Hara, Iida, et al, 2012; Mihara et al, ) (Figure ). They provide, on average, less volume reduction than reductive surgery (Cormier, Rourke, Crosby, Chang, & Armer, ), but are less invasive, have a better aesthetic outcome, and have fewer requirements for compression postoperatively, as they aim to restore lymphatic function (Campisi et al, ).…”