Minimally invasive multiple lymphaticovenular anastomosis at the ankle for the prevention of lower leg lymphedema

Onoda, Shigeki; Todokoro, Takeshi; Hara, Hisako; Azuma, Shinya; Goto, Aya

doi:10.1002/micr.22204

Cited by 36 publications

(25 citation statements)

References 33 publications

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“…23 Preventive lymphaticovenular anastomosis (LVA) was proposed as a preventive procedure in the contralateral limb of patients with secondary unilateral lower limb lymphedema due to the possibility of future lymphedema in the contralateral leg. 24 The concept of LYMPHA arises from broad clinical experience with performance of MLVA for the treatment of chronic peripheral lymphedema. 25,26 Compared with pedicled omentoplasty, LYMPHA is an easier technique to perform and does not require laparotomy or laparoscopy.…”

Section: Discussionmentioning

confidence: 99%

LYMPHA Technique to Prevent Secondary Lower Limb Lymphedema

et al. 2016

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Section: Discussionmentioning

confidence: 99%

LYMPHA Technique to Prevent Secondary Lower Limb Lymphedema

et al. 2016

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“…Most studies reporting the use of this technique for LE prevention have been performed in heterotopic locations, requiring longer operative times. 29,42,43 The additional operative time for studies performing prophylactic telescopic LVAs ranged from 15 to 45 minutes while for heterotopic supermicrosurgical LVAs varied between 26 to 120 minutes. 15 Surgical prevention of LE demands a combination of minimizing nodal excision, accurate identification and preservation of specific lymphatic pathways, and reconstruction of disrupted lymphatics that are critical.…”

Section: Technical Considerations Of Prophylactic Lymphovenous Anastomentioning

confidence: 99%

“…The array of surgical interventions for prophylaxis of LEL is more diverse compared with UEL and varies also on the lymphadenectomy site since prevention of LEL may be considered after paraaortic, ilio-inguinal, or ILND; ►Table 2). 29,39,40,42,43,52,53…”

Section: Efficacy Of Lymphovenous Anastomosis For Prevention Of Lowermentioning

confidence: 99%

Microsurgical Strategies for Prophylaxis of Cancer-Related Extremity Lymphedema: A Comprehensive Review of the Literature

Rodríguez

Fuse

Yamamoto

2020

J Reconstr Microsurg

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Background Cancer-related lymphedema represents the first cause of noninfectious secondary extremity lymphedema. This entity is a progressive and debilitating disease with no curative treatment available. With the advent of lymphedema microsurgery, focus has turned into risk reduction and prevention of the disease progression. Methods Literature review was conducted to clarify current microsurgical approach to prophylaxis of cancer treatment-related extremity lymphedema. Results Prophylactic approach could be classified into primary and secondary prevention; microsurgical procedures were performed simultaneously with cancer ablation in primary prevention, and secondary prevention was performed secondarily after cancer treatment for selected high-risk subclinical cases. Indocyanine green lymphography was the most useful method for lymphedema screening after cancer treatment and to diagnose subclinical lymphedema. Several lymphovenous shunt operations were performed as prophylactic procedures, and classified into microsurgical lymphovenous implantation and supermicrosurgical lymphovenous intima-to-intima coaptation. Both showed clinically significant prophylactic effects. Conclusion This review provides a comprehensive overview of the literature regarding microsurgical interventions for the prevention of cancer-related extremity lymphedema. There are several methods for lymphedema prophylaxis and further studies are required to clarify indication of each method.

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“…En el caso de linfedema de extremidad inferior secundario a la linfadenectomía pelviana por tratamiento oncológico, la prevención del linfedema de la extremidad contralateral se puede lograr realizando múltiples anastomosis linfático-venosas (LVA) 15 o anastomosis linfático-venosas de los vasos eferentes de linfonodos inguinales 16 antes que aparezcan los síntomas. Esto se indica cuando existe disfunción linfática diagnosticada con linfografía ICG en la extremidad sana (linfedema subclínico).…”

Section: Tratamiento Preventivounclassified

Linfedema: actualización en el diagnóstico y tratamiento quirúrgico

Pereira

Koshima

2018

Rev Chil Cir

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Lymphedema: update in diagnosis and surgical treatment Lymphedema is the accumulation of protein-rich fluid in the interstitium, secondary to abnormalities in the lymphatic transport system. In developed countries it is more often related to surgical treatment of cancer. The clinical diagnosis and through imaging techniques is fundamental to evaluate the functional status of the lymphatic system. The main objectives in managing lymphedema are to limit patient morbidity, improve functionality and quality of life. Surgical treatment is an option when conservative measures are no longer sufficient. There are procedures that seek to prevent the development of lymphedema, and techniques that include physiological (reconstructive) and resective procedures that are used when lymphedema is already established. Success depends on a good selection of patients and the completion of an individualized treatment. The following is a review article of the latest diagnostic strategies and update in surgical techniques with emphasis on microsurgical treatment.

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Minimally invasive multiple lymphaticovenular anastomosis at the ankle for the prevention of lower leg lymphedema

Abstract: This minimally invasive preventive LVA procedure might prevent lymphedema and improve the physical appearance of the limb with minimal scarring. Long-term follow-up will be necessary to monitor the future progression of edema in these patients.

Cited by 36 publications

References 33 publications

LYMPHA Technique to Prevent Secondary Lower Limb Lymphedema

LYMPHA Technique to Prevent Secondary Lower Limb Lymphedema

Microsurgical Strategies for Prophylaxis of Cancer-Related Extremity Lymphedema: A Comprehensive Review of the Literature

Linfedema: actualización en el diagnóstico y tratamiento quirúrgico

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