title: [The application of lymphovenous anastomoses in the treatment of primary lymphedema of the lower extremities at the edema stage].
abstract: The experience with clinical observation and surgical treatment of 217 patients with primary lymphedema of the lower extremities at stage II, IIIA (stage of "dropsy") is summarized. The working classification and developed complex of the diagnostic methods used are presented. The indications for the operations of creation of the lymphoangiovenous, lymphonodulovenous anastomoses, and as well the use of combined operations are considered; their effectiveness in different types of lesions of the lymphatic vessels is assessed. The methods for prevention of the erysipelatous inflammation recurrence with the use of endolymphatic intranodular administration of antibiotics are suggested. A complex of the developed measures permitted to obtain a satisfactory result at the nearest postoperative period in 74% of the patients, at the period of from 4 to 7 years--in 57%.
authors.forename: N F
authors.initials: NF
authors.lastname: Driuk
authors.forename: L M
authors.initials: LM
authors.lastname: Chernukha
mesh_terms: D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D002648:Child; D005260:Female; D006801:Humans; D008198:Lymph Nodes / Q000601:surgery; D008208:Lymphatic System / Q000601:surgery*; D008209:Lymphedema / Q000601:surgery*; D008297:Male; D008866:Microsurgery / Q000379:methods; D011182:Postoperative Care; D011300:Preoperative Care; D014680:Veins / Q000601:surgery*
vernacular_title: Nalozhenie limfovenoznykh anastomozov v lechenii pervichnoĭ limfedemy nizhnikh konechnosteĭ v stadii oteka.