title: Simultaneous multi-site lymphaticovenular anastomoses for primary lower extremity and genital lymphoedema complicated with severe lymphorrhea.
abstract: Primary lower extremity and genital lymphoedema (GL) is difficult to manage, especially when complicated with severe lymphorrhea. With abundant experience of treatment for lower-extremity lymphoedema (LEL), we performed simultaneous multi-site lymphaticovenular anastomoses (LVAs) for GL with severe lymphorrhea. In two cases of primary LEL and GL, LVAs were performed via 2-cm-long skin incisions using two to three operating microscopes under local anaesthesia. Symptoms of oedema and lymphorrhea improved clinically. LVA is a minimally invasive surgery, which is effective for the treatment of LEL and GL even in primary cases with severe lymphorrhea. Simultaneous multi-site LVAs can serve as the most effective therapy for lymphoedema.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655 Japan. tyamamoto-tky@umin.ac.jp
authors.forename: Takumi
authors.initials: T
authors.lastname: Yamamoto
authors.forename: Isao
authors.initials: I
authors.lastname: Koshima
authors.forename: Hidehiko
authors.initials: H
authors.lastname: Yoshimatsu
authors.forename: Mitsunaga
authors.initials: M
authors.lastname: Narushima
authors.forename: Makoto
authors.initials: M
authors.lastname: Miahara
authors.forename: Takuya
authors.initials: T
authors.lastname: Iida
mesh_terms: D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D005832:Genital Diseases, Male / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D035002:Lower Extremity / Q000601:surgery*; D042601:Lymphatic Vessels / Q000601:surgery*; D008209:Lymphedema / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D008866:Microsurgery / Q000379:methods*