Experience of a new surgical procedure for the treatment of unilateral obstructive lymphedema of the lower extremity: Adipo-lymphatico venous transfer

Tanaka, Yoshio; Tajima, Sadao; Imai, Keisuke; Tsujiguchi, Khonosuke; Ueda, Kenichi; Yabu, Khonosuke

doi:10.1002/(sici)1098-2752(1996)17:4<209::aid-micr7>3.0.co;2-f

Cited by 10 publications

(2 citation statements)

References 8 publications

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“…Surgical treatment, when tissue is removed, becomes indicated in patients, who fail to respond to conservative treatment because of hypertrophy of the subcutaneous adipose tissue, and later Various surgical procedures have therefore been proposed to reduce lymphedema, including interventions to the subcutis and deep fascia (13)(14)(15)(16)(17)(18)(19), and skin grafting (20,21). None of these methods gave satisfactory or long-lasting results.…”

Section: Surgical Treatmentmentioning

confidence: 99%

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Liposuction in Arm Lymphedema Treatment

Brorson

2003

Scand J Surg

127

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Breast cancer is the most common disease in women, and up to 38% develop lymphedema of the arm following mastectomy, standard axillary node dissection and postoperative irradiation. Limb reductions have been reported utilizing various conservative therapies such as manual lymph and pressure therapy. Some patients with long-standing pronounced lymphedema do not respond to these conservative treatments because slow or absent lymph flow causes the formation of excess subcutaneous adipose tissue. Previous surgical regimes utilizing bridging procedures, total excision with skin grafting or reduction plasty seldom achieved acceptable cosmetic and functional results. Microsurgical reconstruction involving lympho-venous shunts or transplantation of lymph vessels has also been investigated. Although attractive in concept, the common failure of microsurgery to provide complete reduction is due to the persistence of newly formed subcutaneous adipose tissue, which is not removed in patients with chronic non-pitting lymphedema. Liposuction removes the hypertrophied adipose tissue and is a prerequisite to achieve complete reduction. The new equilibrium is maintained through constant (24-hour) use of compression garments postoperatively. Long-term follow up (7 years) does not show any recurrence of the edema.

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Section: Surgical Treatmentmentioning

confidence: 99%

“…Various surgical procedures have therefore been proposed to reduce lymphedema, including interventions to the subcutis and deep fascia (13)(14)(15)(16)(17)(18)(19), and skin grafting (20,21). None of these methods gave satisfactory or long-lasting results.…”

Section: Surgical Treatmentmentioning

confidence: 99%

Liposuction in Arm Lymphedema Treatment

Brorson

2003

Scand J Surg

127

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Differential Diagnosis, Investigation, and Current Treatment of Lower Limb Lymphedema

Tiwari¹

2003

Arch Surg

206

153

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The causes and management of lower limb lymphedema in the Western population are different from those in the developing world. Objective: To look at the differential diagnosis, methods of investigation, and available treatments for lower limb lymphedema in the West. Data Source: A PubMed search was conducted for the years 1980-2002 with the keyword "lymphedema." English language and human subject abstracts only were analyzed, and only those articles dealing with lower limb lymphedema were further reviewed. Other articles were extracted from cross-referencing. Results: Four hundred twenty-five review articles pertaining to lymphedema were initially examined. This review summarizes the findings of relevant articles along with our own practice regarding the management of lymphedema. Conclusions: The common differential diagnosis in Western patients with lower limb swelling is secondary lymphedema, venous disease, lipedema, and adverse reaction to ipsilateral limb surgery. Lymphedema can be confirmed by a lymphoscintigram, computed tomography, magnetic resonance imaging, or ultrasound. The lymphatic anatomy is demonstrated with lymphoscintigraphy, which is particularly indicated if surgical intervention is being considered. The treatment of choice for lymphedema is multidisciplinary. In the first instance, combined physical therapy should be commenced (complete decongestive therapy), with surgery reserved for a small number of cases.

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Management of Upper Extremity Lymphoedema with Liposuction

Brorson

2006

Vascular Surgery

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Experience of a new surgical procedure for the treatment of unilateral obstructive lymphedema of the lower extremity: Adipo-lymphatico venous transfer

Cited by 10 publications

References 8 publications

Liposuction in Arm Lymphedema Treatment

Liposuction in Arm Lymphedema Treatment

Differential Diagnosis, Investigation, and Current Treatment of Lower Limb Lymphedema

Management of Upper Extremity Lymphoedema with Liposuction

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