Microsurgery for lymphedema: Clinical research and long‐term results

Campisi, Corradino; Bellini, Carlo; Corrado, Campisi; Accogli, P T Susanna; Bonioli, E; Boccardo, Francesco

doi:10.1002/micr.20737

Cited by 192 publications

(153 citation statements)

References 6 publications

Supporting

Mentioning

144

Contrasting

Unclassified

Order By: Relevance

“…4,11,16,17 O'Brien was the first to describe and popularize this technique. 18 Later on, Koshima modified key points of O'Brien's procedure by suggesting the use of small venules rather than veins, because their caliber is more similar to the subdermal lymphatic channels.…”

Section: Discussionmentioning

confidence: 98%

Lymphaticovenular anastomoses for lymphedema treatment: 18 months postoperative outcomes

et al. 2012

View full text Add to dashboard Cite

The purpose of this work was to report our initial experience with lymphaticovenular anastomoses (LVA), a controversial technique for lymphedema treatment. Although LVA technique was described many years ago, the procedure is not as widespread as it was supposed to be, taking into account the high impact that lymphedema has in the quality of life of patients. Thus, 12 patients, 5 with lower limb and 7 with upper limb lymphedema, underwent LVA surgery under local anesthesia. Two patients were excluded from the study due to the lack of follow-up. At 18 months, 8 out 10 patients showed a variable objective reduction of the perimeter of the limbs and 9 patients presented a subjective clinical improvement. These results joined to the outcomes of the most experienced surgeons in this field are encouraging, although there are still many issues that need to be addressed with research to optimize the efficacy of this technique.

show abstract

Section: Discussionmentioning

confidence: 98%

Lymphaticovenular anastomoses for lymphedema treatment: 18 months postoperative outcomes

et al. 2012

View full text Add to dashboard Cite

show abstract

“…Although the LVA has been performed and studied for more than three decades, this method still has not had a breakthrough and will never become a treatment of choice in daily practice. In a large overview article by Campisi et al [32], a positive effect was described in early stages of lymphedema. However, for later, more irreversible stages, this therapeutic option was not suitable.…”

Section: Excess Subcutaneous Adiposity and Chronic Lymphedemamentioning

confidence: 99%

“…For many patients with lymphedema conservative treatment does not work well or come up to their expectations, and no matter what therapy they receive, neither conservative treatment nor microsurgical procedures can remove excess adipose tissue [31][32][33][42][43][44][45]. Subcutaneous tissue debulking seems the only option to reduce the limb volume and lead to an improvement in the patient's quality of life [10].…”

Section: Why Does Liposuction Help?mentioning

confidence: 99%

Liposuction Normalizes – in Contrast to Other Therapies – Lymphedema-Induced Adipose Tissue Hypertrophy

Brorson

2013

Handchir Mikrochir plast Chir

View full text Add to dashboard Cite

The various types of treatment of lymphedema are under discussion and there has been some controversy regarding liposuction for lymphedema. Although it is clear that conservative therapies such as complex decongestive therapy (CDT) and controlled compression therapy (CCT) should be tried in the first instance, options for the treatment of late-stage lymphedema that is not responding to such treatment is not so clear. Improvements in technique, patient preparation, and patient follow-up have led to a greater and a wider acceptance of liposuction as a treatment for lymphedema. This paper outlines the benefits of using liposuction and presents the evidence to support its use.

show abstract

“…Regarding the other known surgical procedure for lymphoedema treatment, microsurgical LVA, Campisi et al [22] conclude that have a place in the treatment of peripheral lymphoedema, and should be the therapy of choice in patients who are not sufficiently responsive to nonsurgical treatment. Microsurgical derivative and reconstructive operations can restore lymphatic drainage, both in the short and long term, and the best results are obtained when these surgical procedures are combined with physical rehabilitative methods, and lymphoscintigraphy is useful in verifying the patency of microanastomoses long term after operation by direct and indirect findings: reduction of dermal backflow together with the appearance of preferential lymphatic pathways not visible before microsurgery; disappearance of the tracer at the site of LVA due to direct tracer passage into the blood stream.…”

Section: Main Applications Of Lymphoscintigraphy In Lymphoedemamentioning

confidence: 99%

Lymphoscintigraphy and clinic

Mango¹,

Ventroni²,

Michelini³

2017

Res Rev Insights

View full text Add to dashboard Cite

Lymphoedema is a clinically unusual picture characterized by slowing down or block of the lymphatic circulation of limb or limbs affected, with progressively worsening evolution and appearance of recurrent acute lymphangitis complications, responsible for a further increase in volume and consistency of edema. The diagnosis or early identification of lymphoedema as well as its predisposition, can be revealed by lymphoscintigraphy. The sentinel lymph node individuation and surgical removal can be considered to be pro-procedure standard for many type of cancers, and preoperative lymphoscintigraphy has been recommended to confirm the successful uptake and direction of migration of radiotracer into sentinel nodes during lymphatic mapping.

show abstract

Microsurgery for lymphedema: Clinical research and long‐term results

Abstract: Microsurgical LVA have a place in the treatment of peripheral lymphedema, and should be the therapy of choice in patients who are not sufficiently responsive to nonsurgical treatment.

Cited by 192 publications

References 6 publications

Lymphaticovenular anastomoses for lymphedema treatment: 18 months postoperative outcomes

Lymphaticovenular anastomoses for lymphedema treatment: 18 months postoperative outcomes

Liposuction Normalizes – in Contrast to Other Therapies – Lymphedema-Induced Adipose Tissue Hypertrophy

Lymphoscintigraphy and clinic

Contact Info

Product

Resources

About