2021
DOI: 10.5999/aps.2019.01004
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Postoperative care after lymphaticovenous anastomosis

Abstract: In this report, we discuss the postoperative protocol for patients undergoing lymphaticovenous anastomosis (LVA) in our unit. Immediately after LVA, the incision site is closed over a small Penrose drain and a simple gauze dressing is applied without compression. In the first 5 days, ambulation is allowed, but limb elevation is actively encouraged to promote lymphatic flow across the newly formed anastomosis. Prophylactic antibiotics are routinely given to prevent infection because this patient group is suscep… Show more

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Cited by 2 publications
(2 citation statements)
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“…Chan proposed a multimodal postoperative nursing monitoring method and finally proved the important value of multimodal monitoring in neurocritical care patients. It helped to provide optimal treatment for patients based on individual pathophysiological changes [ 11 ]. Tzer discussed the importance of diet in postoperative care of patients after pancreatic surgery.…”
Section: Introductionmentioning
confidence: 99%
“…Chan proposed a multimodal postoperative nursing monitoring method and finally proved the important value of multimodal monitoring in neurocritical care patients. It helped to provide optimal treatment for patients based on individual pathophysiological changes [ 11 ]. Tzer discussed the importance of diet in postoperative care of patients after pancreatic surgery.…”
Section: Introductionmentioning
confidence: 99%
“… 39 After LVA, patients should be encouraged to ambulate, actively elevate the extremities to promote lymphatic drainage, and take antibiotics due to potential susceptibility for infection. 40 However, some studies have posited that patients may develop worsening of lymphedema if functional lymphatics are inadvertently Compromised to perform LVA and/or the LVA becomes thrombosed/occluded. 41 Despite these concerns, the published literature represents that LVA significantly improves quality of life in patients with upper and lower extremity lymphedema with decreased episodes of cellulitis and need for manual lymphatic drainage.…”
Section: Discussionmentioning
confidence: 99%