Arch Hand Microsurg 2018; 23(2): 116-120  
Lymphaticovenous Anastomosis in Lower Extremity Lymphedema: A Case Report
Sang Hyun Lee
Department of Orthopaedic Surgery, Pusan National University School of Medicine, Busan, Korea
Correspondence to: Sang Hyun Lee
Department of Orthopaedic Surgery, Pusan National University Hospital, 179 Gudeok-ro, Seo-gu, Busan 49241, Korea
TEL: +82-51-240-7248, FAX: +82-51-247-8395, E-mail: handsurgeon@naver.com
Received: April 23, 2018; Revised: May 7, 2018; Accepted: May 9, 2018; Published online: June 1, 2018.
© Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Treatment of secondary lymphedema at the lower extremities is largely divided into two methods: removal of lymphatic tissue and bypass of lymphatic perfusion. We report a case of lymphaticovenous anastomosis in a patient with secondary lower extremity lymphedema. A 59-year-old woman underwent lymphaticovenous anastomosis in inguinal, knee, and ankle due to obstructive lymphedema in the left lower extremity after performed radical cuff resection, Bilateral Pelvic Lymphadenectomy, Periarterial Lymphadenectomy, and total omentectomy for ovarian cancer and metastatic carcinoma. At 1 year follow-up, there was a decrease of 32.8% in volume differential compared to the preoperative level. Understanding of the features of lymphaticovenous anastomosis, we can expect good results in secondary obstructive lymphedema patients.
Keywords: Lymphaticovenous anastomosis, Lymphedema, Lower extremity


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