[Pathogenesis and treatment strategies for lymphorrhea and lymphocele after vascular surgeries on the lower extremities].
From 1995 to 2003 lymphatic complications (lymphorrhea and lymphocele) after different vascular surgeries on the lower extremities were seen in 57 (4.6%) patients. All the methods of therapeutic and surgical treatment of lymphorrhea and lymphocele are presented. Problems of surgical policy and some aspects of pathogenesis of these complications are regarded. Ethiopathogenetic classification of lymphatic complications is proposed. Creation of lymphovenous anastomosis is regarded as the most promising method. This surgery was performed in 31 patients, efficacy was 96.8%. The method permits one to stop inflow of lymph into lymphatic cavity and to avoid lymphedema after surgery. Other methods of treatment have various efficacy.
Abalmasov
K G
KG
Nauchnyĭ tsentr serdechno-sosudistoĭ khirurgii im. A. N. Bakuleva RAMN, Moskva.
Malinin
A A
AA
D000328:Adult; D004322:Drainage; D005260:Female; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply* / Q000601:surgery*; D008206:Lymphatic Diseases / Q000145:classification / Q000209:etiology / Q000601:surgery; D008210:Lymphocele / Q000209:etiology / Q000473:pathology / Q000601:surgery; D008297:Male; D011183:Postoperative Complications; D014652:Vascular Diseases / Q000601:surgery*