Minimal invasive lymphaticovenular anastomosis under local anesthesia for leg lymphedema: Is it effective for stage III and IV?

Isao Koshima, Yuzaburo Namba, Tetsuya Tsutsui, Yoshio Takahashi, Seiko Itoh, Misako Fujitsu

Research output: Contribution to journalArticle

110 Citations (Scopus)

Abstract

This is the first report on the effectiveness of minimal invasive lymphaticovenular anastomosis under local anesthesia for leg lymphedema. Fifty-two patients (age: 15 to 78 years old; 8 males, 44 females) were treated with lymphaticovenular anastomoses under local anesthesia and by postoperative compression using elastic stockings. The average duration of edema of these patients before treatment was 5.3 ± 5.0 years. The average number of anastomosis in each patient was 2.1 ± 1.2 (1-5). The patients were followed for an average of 14.5 ± 10.2 months, and the result were considered effective (82.5%) even for the patients with stage III (progressive edema with acute lymphangitis) and IV (fibrolymphedema), but others showed no improvement. Among these cases, 17 patients showed reduction of over 4 cm in the circumference of the lower leg. The average decrease in the circumference excluding edema in bilateral legs was 41.8 ± 31.2% of the preoperative excess length. These results indicate that minimal invasive lymphaticovenular anastomosis under a local anesthesia is valuable instead of general anesthesia.

Original languageEnglish
Pages (from-to)261-266
Number of pages6
JournalAnnals of Plastic Surgery
Volume53
Issue number3
DOIs
Publication statusPublished - Sep 2004

Fingerprint

Lymphedema
Local Anesthesia
Leg
Edema
Lymphangitis
Compression Stockings
General Anesthesia

Keywords

  • Lower leg lymphedema
  • Lymphaticovenular anastomosis
  • Lymphedema
  • Microsurgery
  • Supermicrosurgery

ASJC Scopus subject areas

  • Surgery

Cite this

Minimal invasive lymphaticovenular anastomosis under local anesthesia for leg lymphedema : Is it effective for stage III and IV? / Koshima, Isao; Namba, Yuzaburo; Tsutsui, Tetsuya; Takahashi, Yoshio; Itoh, Seiko; Fujitsu, Misako.

In: Annals of Plastic Surgery, Vol. 53, No. 3, 09.2004, p. 261-266.

Research output: Contribution to journalArticle

Koshima, Isao ; Namba, Yuzaburo ; Tsutsui, Tetsuya ; Takahashi, Yoshio ; Itoh, Seiko ; Fujitsu, Misako. / Minimal invasive lymphaticovenular anastomosis under local anesthesia for leg lymphedema : Is it effective for stage III and IV?. In: Annals of Plastic Surgery. 2004 ; Vol. 53, No. 3. pp. 261-266.
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