Lymphaticovenous Anastomosis in Lower Extremity Lymphedema: A Case Report

Lee,  Sang Hyun

doi:2018.23.2.116

Arch Hand Microsurg > Volume 23(2); 2018 > Article

Case Report

Archives of Hand and Microsurgery 2018;23(2):116-120.
Published online June 1, 2018.
DOI: https://doi.org/10.12790/ahm.2018.23.2.116

Lymphaticovenous Anastomosis in Lower Extremity Lymphedema: A Case Report

Sang Hyun Lee

Department of Orthopaedic Surgery, Pusan National University School of Medicine, Busan, Korea. handsurgeon@naver.com

Received: 23 April 2018 • Revised: 7 May 2018 • Accepted: 9 May 2018

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.

Key Words: Lymphaticovenous anastomosis, Lymphedema, Lower extremity