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Background:Currently, standard treatments for lymphedema patients are conservative lymph drainage such as compression therapy using elastic bandages, and decongestive exercises.Recently, good results
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Background:Currently, standard treatments for lymphedema patients are conservative lymph drainage such as compression therapy using elastic bandages, and decongestive exercises.Recently, good results have been obtained by lymphaticovenous anastomosis (LVA).LVA is a microsurgical procedure in which an anastomosis of lymphatic vessels and veins is done and has been effective in improving symptoms.We report 10 cases of LVA performed in our department.Patient & Method:From 2005 to 2012, we performed LVA on 10 lymphedema patients (1 Male, 9 Females).We used either Indocyanine green (ICG) or Patentblue to identify lymphovessels and all patients were operated on by the same surgeon.We evaluated the improvement of subjective and objective symptoms before and after surgery.Result:In all cases the anastomosis of veins and lymphatic vessels was possible.In half of the cases, postoperative objective symptoms were improved; in the other cases, they were either not improved or exacerbated.But subjective symptoms were improved in all patients.Conclusion:Our results showed that LVA was effective in all cases and objective symptoms were improved in all cases.Since LVA requires a small incision and is less invasive surgery, we consider LVA is desirable for patients presented with some kind of lymphedema symptoms.
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