title: Surgical treatment of recidivist lymphedema.
abstract: Lymphedema is a chronic disease with a progressively ingravescent evolvement and an appearance of recurrent complications of acute lymphangitic type; in nature it is mostly erysipeloid and responsible for a further rapid increase in the volume and consistency of edema. The purpose of this work is to present our experience in the minimally invasive treatment for recurrence of lymphedema; adapting techniques performed in the past which included large fasciotomy with devastating results cosmetically; but these techniques have been proposed again by the use of endoscopic equipment borrowed from the advanced laparoscopy surgery, which allows a monoskin access of about one cm.
authors.affiliation: Department of Surgery, S. Andrea Hospital, La Spezia, Italy.
authors.forename: Costantino
authors.initials: C
authors.lastname: Eretta
authors.affiliation: Department of Oncology, University of Turin, Section of General Surgery, San Luigi Gonzaga Teaching Hospital, Regione Gonzole 10, 10043 Orbassano - Turin ( Italy ), Tel. +39 0119026224, Fax +39 0119026523.
authors.forename: Alessia
authors.initials: A
authors.lastname: Ferrarese
authors.affiliation: Department of Surgery, S. Andrea Hospital, La Spezia, Italy.
authors.forename: Elisabetta
authors.initials: E
authors.lastname: Moggia
authors.affiliation: Department of Surgery, S. Andrea Hospital, La Spezia, Italy.
authors.forename: Elisa
authors.initials: E
authors.lastname: Francone
authors.affiliation: Department of Surgery, S. Andrea Hospital, La Spezia, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Sagnelli
authors.affiliation: Department of Surgery, S. Andrea Hospital, La Spezia, Italy.
authors.forename: Maria Di
authors.initials: MD
authors.lastname: Martino
authors.affiliation: Interuniversity Center of Phlebolymphology (CIFL). International Research and Educational Program in Clinical and Experimental Biotechnology. Headquarters: University Magna Græcia of Catanzaro, Viale Europa 88100 Catanzaro, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: de Franciscis
authors.affiliation: Interuniversity Center of Phlebolymphology (CIFL). International Research and Educational Program in Clinical and Experimental Biotechnology. Headquarters: University Magna Græcia of Catanzaro, Viale Europa 88100 Catanzaro, Italy.
authors.forename: Bruno
authors.initials: B
authors.lastname: Amato
authors.affiliation: Department of Medical and Surgical Sciences, University of Catanzaro, 88100, Italy.
authors.forename: Raffaele
authors.initials: R
authors.lastname: Grande
authors.affiliation: Department of Medical and Surgical Sciences, University of Catanzaro, 88100, Italy.
authors.forename: Lucia
authors.initials: L
authors.lastname: Butrico
authors.affiliation: Department of General, Geriatric, Oncologic Surgery and Advanced Technologies, University of Naples "Federico II". 80100 Naples, Italy.
authors.forename: Maurizio
authors.initials: M
authors.lastname: Amato
authors.affiliation: Department of Medical and Surgical Sciences, University of Catanzaro, 88100, Italy.
authors.forename: Raffaele
authors.initials: R
authors.lastname: Serra
authors.affiliation: Department of Oncology, University of Turin, Section of General Surgery, San Luigi Gonzaga Teaching Hospital, Regione Gonzole 10, 10043 Orbassano - Turin ( Italy ), Tel. +39 0119026224, Fax +39 0119026523.
authors.forename: Valter
authors.initials: V
authors.lastname: Martino
authors.affiliation: Department of Surgery, S. Andrea Hospital, La Spezia, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Berti
keywords: Lymphedema; lymphatic venous anastomosis; lymphoscintigraphy; microsurgery; supermicrosurgery; transposition of the lymph nodes