The"Overlapping"Lymphaticovenous Anastomosis: an overlapped end-to-end anastomosis supermicrosurgical technique.
Anastomosis technique
Lymphaticovenular anastomosis
Lymphedema
Journal
BMC surgery
ISSN: 1471-2482
Titre abrégé: BMC Surg
Pays: England
ID NLM: 100968567
Informations de publication
Date de publication:
01 Oct 2024
01 Oct 2024
Historique:
received:
12
06
2024
accepted:
11
09
2024
medline:
2
10
2024
pubmed:
2
10
2024
entrez:
1
10
2024
Statut:
epublish
Résumé
Lymphaticovenular anastomosis (LVA) is increasingly utilized in the treatment of lymphedema. This study aims to assess the efficacy and safety of the "Overlapping" LVA technique, which addresses the size mismatch between lymphatic and venous vessels in lymphedema treatment. Between August 2022 and April 2023, seventeen patients diagnosed with lymphedema were enrolled in this study. The severity of lymphedema in these patients was classified according to the International Society of Lymphology (ISL) staging system.All patient underwent LVA procedures, anastomosis techniques including the Overlapping, end-to-end and octopus anastomosis. The techniques of anastomosis, anastomosis time, patency rate, and volume of limb lymphedema were evaluated. Our study enrolled 17 lymphedema patients who underwent the LVA procedure. All patients showed significant postoperative improvement in limb edema. The mean drainage volume was 472.29 ml. The Overlapping technique demonstrated a 100% success rate as assessed by clinical observation and intraoperative Indocyanine Green (ICG) lymphography. The average anastomosis time was 5.3 min, reducing operative time compared to traditional methods. These findings suggest that the Overlapping technique could serve as a valuable addition to the current LVA technique. This Overlapping anastomosis technique provides a wide range of applications for lymphatic anastomosis treatment and prevention of lymphedema.
Identifiants
pubmed: 39354471
doi: 10.1186/s12893-024-02568-z
pii: 10.1186/s12893-024-02568-z
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
277Informations de copyright
© 2024. The Author(s).
Références
Forte AJ, Khan N, Huayllani MT, et al. Lymphaticovenous Anastomosis for Lower Extremity Lymphedema: a systematic review. Indian J Plast Surg. 2020;53(1):17–24.
doi: 10.1055/s-0040-1709372
pubmed: 32367914
pmcid: 7192660
Nurlaila I, Roh K, Yeom CH, Kang H, Lee S. Acquired lymphedema: molecular contributors and future directions for developing intervention strategies. Front Pharmacol. 2022;13:873650.
doi: 10.3389/fphar.2022.873650
pubmed: 36386144
pmcid: 9640931
Brooks BP, Dagenais SL, Nelson CC, et al. Mutation of the FOXC2 gene in familial distichiasis. J AAPOS. 2003;7(5):354–7.
doi: 10.1016/S1091-8531(03)00144-7
pubmed: 14566319
Clinckaert A, Callens K, Cooreman A et al. The Prevalence of Lower Limb and Genital Lymphedema after Prostate Cancer Treatment: A Systematic Review. Cancers (Basel). 2022. 14(22).
Scaglioni MF, Fontein D, Arvanitakis M, Giovanoli P. Systematic review of lymphovenous anastomosis (LVA) for the treatment of lymphedema. Microsurgery. 2017;37(8):947–53.
doi: 10.1002/micr.30246
pubmed: 28972280
Yang JC, Wu SC, Hayashi A, et al. Selection of optimal functional lymphatic vessel cutoff size in Supermicrosurgical Lymphaticovenous Anastomosis in Lower Extremity Lymphedema. Plast Reconstr Surg. 2022;149(1):237–46.
doi: 10.1097/PRS.0000000000008674
pubmed: 34813508
Yamamoto T, Yoshimatsu H, Narushima M, et al. A modified side-to-end lymphaticovenular anastomosis. Microsurgery. 2013;33(2):130–3.
doi: 10.1002/micr.22040
pubmed: 22976483
Yoshimatsu H, Yamamoto T, Narushima M, et al. The guide wire method: a new technique for easier side-to-end lymphaticovenular anastomosis[J]. Ann Plast Surg. 2014;73(2):231–3.
doi: 10.1097/SAP.0b013e318276d99a
pubmed: 24625510
Yamamoto T, Yoshimatsu H, Narushima M, et al. Split intravascular stents for side-to-end lymphaticovenular anastomosis[J]. Ann Plast Surg. 2013;71(5):538–40.
doi: 10.1097/SAP.0b013e318250f0a0
pubmed: 24126341
Zheng Y, Zhang S, Li J, et al. Overlapping lockup lymphaticovenous anastomosis: a useful addition to supermicrosurgery[J]. J Vasc Surg Venous Lymphat Disord. 2024;12(1):101684.
doi: 10.1016/j.jvsv.2023.08.023
pubmed: 37708937
Ehrl D, Heidekrueger PI, Giunta RE, Wachtel N. Giant Penoscrotal Lymphedema-What to do? Presentation of a curative treatment algorithm. J Clin Med. 2023;12(24).
Kaciulyte J, Garutti L, Spadoni D, Velazquez-Mujica J, Losco L, Ciudad P et al. Genital Lymphedema and how to deal with it: pearls and pitfalls from over 38 years of experience with unusual lymphatic system impairment. Med (Kaunas). 2021;57(11).
Yamakami I, Yamaura A, Nakamura T, Isobe K. Non-invasive follow-up studies of stroke patients with STA-MCA anastomosis; computerized topography of EEG and 133-xenon inhalation rCBF measurement. Prog Brain Res. 1984;62:107–19.
doi: 10.1016/S0079-6123(08)62172-X
pubmed: 6533660
Stieve M, Issing PR, Mack KF, Lenarz T, Prenzler N. [Indications of intraoperative ultrasound in head and neck surgery]. Laryngorhinootologie. 2012;91(7):422–6.
pubmed: 22311201
Kengelbach-Weigand A, Lotz L, Schmid R, et al. Intra- and postoperative blood Flow Monitoring in a Sheep Model of Uterus Transplantation. Vivo. 2019;33(2):325–36.
doi: 10.21873/invivo.11478
Schmidt DM, McClinton MA. Microvascular anastomoses in replanted fingers: do they stay open. Microsurgery. 1990;11(3):251–4.
doi: 10.1002/micr.1920110313
pubmed: 2215197
Karakawa R, Yoshimatsu H, Kamiya K, Fuse Y, Yano T. Supermicrosurgical suture-stent technique for a lymphaticovenular bypass. J Clin Med. 2021. 10(12).
Tikiz H, Balbay Y, Atak R, Terzi T, Genç Y, Kütük E. The effect of thrombolytic therapy on left ventricular aneurysm formation in acute myocardial infarction: relationship to successful reperfusion and vessel patency. Clin Cardiol. 2001;24(10):656–62.
doi: 10.1002/clc.4960241005
pubmed: 11594411
Yamamoto T, Yamamoto N, Yamashita M, Furuya M, Hayashi A, Koshima I. Establishment of supermicrosurgical lymphaticovenular anastomosis model in rat. Microsurgery. 2017;37(1):57–60.
doi: 10.1002/micr.22335
pubmed: 25278417
Weber E, Aglianò M, Bertelli E, Gabriele G, Gennaro P, Barone V. Lymphatic collecting vessels in Health and Disease: a review of histopathological modifications in Lymphedema. Lymphat Res Biol. 2022;20(5):468–77.
pubmed: 35041535
pmcid: 9603277
Hayashi A, Yoshimatsu H, Visconti G, et al. Intraoperative real-time visualization of the lymphatic vessels using microscope-integrated laser tomography. J Reconstr Microsurg. 2021;37(5):427–35.
doi: 10.1055/s-0040-1718549
pubmed: 33058095
Seki Y, Kajikawa A, Yamamoto T, Takeuchi T, Terashima T, Kurogi N. Real-time Indocyanine Green Videolymphography Navigation for Lymphaticovenular Anastomosis. Plast Reconstr Surg Glob Open. 2019;7(5):e2253.
doi: 10.1097/GOX.0000000000002253
pubmed: 31333973
pmcid: 6571345
Guiotto M, Bramhall RJ, Campisi C, Raffoul W, di Summa PG. A systematic review of outcomes after genital lymphedema surgery: Microsurgical Reconstruction Versus Excisional procedures. Ann Plast Surg. 2019;83(6):e85–91.
doi: 10.1097/SAP.0000000000001875
pubmed: 31135508
Wolfs J, de Joode L, van der Hulst R, Qiu SS. Correlation between patency and clinical improvement after lymphaticovenous anastomosis (LVA) in breast cancer-related lymphedema: 12-month follow-up. Breast Cancer Res Treat. 2020;179(1):131–8.
doi: 10.1007/s10549-019-05450-2
pubmed: 31542874
Winters H, Tielemans H, Verhulst AC, Paulus V, Slater NJ, Ulrich D. The long-term patency of lymphaticovenular anastomosis in breast Cancer-related Lymphedema. Ann Plast Surg. 2019;82(2):196–200.
doi: 10.1097/SAP.0000000000001674
pubmed: 30628927
Scaglioni MF, Meroni M, Fritsche E. Lymphovenous anastomosis (LVA) for treatment of secondary breast lymphedema: a case report and literature review. Microsurgery. 2021;41(2):165–9.
doi: 10.1002/micr.30629
pubmed: 32678929
Scaglioni MF, Meroni M, Fritsche E. Lymphovenous anastomosis (LVA) for treatment of iatrogenic lymphocele in the thigh. Microsurgery. 2021;41(1):19–25.
doi: 10.1002/micr.30594
pubmed: 32343453
Boccardo F, Santori G, Villa G, Accogli S, Dessalvi S. Long-term patency of multiple lymphatic-venous anastomoses in cancer-related lymphedema: a single center observational study. Microsurgery. 2022;42(7):668–76.
doi: 10.1002/micr.30944
pubmed: 35916247
Depypere B, Vyncke T, Dhooghe N, et al. A novel technique for preventive lymphovenous anastomosis: anastomosing a ligated lymphatic Vessel[J]. Plast Reconstr Surg Glob Open. 2021;9(3):e3509.
doi: 10.1097/GOX.0000000000003509
pubmed: 33968557
pmcid: 8099411