Intraoperative lymph mapping with preoperative vein mapping to prevent postoperative lymphorrhea following paramalleolar bypass surgery in patients with critical limb ischemia

Unno, Naoki; Yamamoto, Naoto; Suzuki, Minoru; Tanaka, Hiroki; Mano, Yoko; Sano, Masaki; Saito, Takaaki; Sugisawa, Ryota; Konno, Hiroyuki

doi:10.1007/s00595-013-0548-y

Cited by 8 publications

(9 citation statements)

References 31 publications

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“…During operation, the trauma of lymphatic system results in the postoperative leakage of lymphatic fluid. Many kinds of postoperative lymphatic leakage have been reported, which includes lymphatic ascites (lymph ascites) [ 13 – 15 ], lymphocele [ 16 , 17 ], lymphorrhea [ 7 , 18 ], lymphatic fistula [ 19 – 22 ], and some special forms of lymphatic leakage: chylous ascites (chyloperitoneum) [ 23 – 26 ], chylorrhea [ 27 – 29 ], chyloretroperitoneum [ 30 , 31 ], chylothorax [ 32 , 33 ]. In order to describe them readily, we categorize them into five types owing to different consequences and characteristics (Figure 2 and Figure 3 ).…”

Section: Resultsmentioning

confidence: 99%

“…Lymphatic ascites is the accumulation of straw-colored or clear lymph fluid in the peritoneal cavity with a similar composition of creatinine and blood urea nitrogen (BUN) to their serum [ 13 ]. Biochemical tests show a low level of triglyceride even after a high fat diet [ 14 , 15 ].…”

Section: Resultsmentioning

confidence: 99%

“…Lymphorrhea may occur after the vascular reconstructive surgeries, such as a reconstructive procedure of the superficial femoral artery [ 48 ]. And 10% – 16% of cases after vein graft harvesting for infrainguinal arterial bypass suffer from lymphorrhea [ 13 ].…”

Section: Resultsmentioning

confidence: 99%

“…Besides the types of postoperative lymphatic leakage mentioned above, there are some special forms of lymphatic leakage such as chylous ascites (chyloperitoneum), chyloretroperitoneum, chylothorax and chylorrhea. This classification depends on the following reasons: ① Lymph fluid is clear or straw-colored ascites similar to the serum of patients [ 13 ]. Chyle, the mixture of lymph fluid and chylomicrons [ 8 ], is milky white tint [ 9 ], odorless [ 10 ] and rich in triglycerides.…”

Section: Resultsmentioning

confidence: 99%

“…Injection of ethiodized oil [ 59 , 92 , 93 ], patent blue V dye [ 94 ], isosulfan blue [ 95 ], indocyanine green (ICG) [ 13 , 50 ] into lymphatic vessels on the dorsum of the foot can make a real-time visualization of the lymph flow and identify the broken lymphatic vessels under direct vision. Bipedal lymphangiography can both be used in diagnosis and therapy to close the leakage [ 14 , 96 ].…”

Section: Resultsmentioning

confidence: 99%

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A review of the postoperative lymphatic leakage

et al. 2017

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Lymphatic complications are rare, but well-known phenomena, and have been described by many researchers. However, many diagnoses of lymphatic complications are found confusing due to different definition. A literature search in Pubmed was performed for studies postoperative lympatic complications. These complications divided into two parts: lymphatic leakage and lymphatic stasis. This review is about lymphatic leakage, especially, postoperative lymphatic leakage due to the injury of lymphatic channels in surgical procedures. According to polytrophic consequences, many types of postoperative lymphatic leakage have been presented, including lymph ascites, lymphocele, lymphorrhea, lymphatic fistula, chylous ascites, chylothorax, chyloretroperitoneum and chylorrhea. In this review, we focus on the definition, incidence and treatment about most of these forms of lymphatic complications to depict a comprehensive view of postoperative lymphatic leakage. We hold the idea that the method of treatment should be individual and personal according to manifestation and tolerance of patient. Meanwhile, conservative treatment is suitable and should be considered first.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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A review of the postoperative lymphatic leakage

et al. 2017

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Disorders of the Lymphatic Vessels

Mortimer

Gordon

2016

Rook's Textbook of Dermatology, Ninth Edition

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Lymphatic dysfunction interferes with fluid homeostasis, tissue immunity and peripheral fat mobilization. Any chronic oedema represents lymphatic failure. If impaired lymph drainage is solely responsible, then lymphoedema results. This produces characteristic skin changes known as elephantiasis as well as increased fat deposition in the subcutaneous tissues. Impaired immune cell trafficking results in an increased risk of infection, particularly cellulitis/erysipelas, which often becomes recurrent. This chapter describes the clinical consequences of lymphatic dysfunction and in particular the impact on the skin and subcutaneous tissues. The sections are divided according to common clinical presentations.

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

Imai¹,

Yoshida²,

Mese³

et al. 2022

Journal of Vascular Surgery Cases, Innovations and Techniques

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Intraoperative lymph mapping with preoperative vein mapping to prevent postoperative lymphorrhea following paramalleolar bypass surgery in patients with critical limb ischemia

Abstract: Intraoperative lymph mapping and preoperative vein mapping are technically feasible and can positively contribute to the prevention of postoperative lymphorrhea after GSV harvesting.

Cited by 8 publications

References 31 publications

A review of the postoperative lymphatic leakage

A review of the postoperative lymphatic leakage

Disorders of the Lymphatic Vessels

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

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