Summary: The authors reported 30 years of clinical experience in the treatment of chronic peripheral lymph edema by microsurgical techniques, including lymphatic venous lymphaticplasty. Objective assessment was undertaken by water flowmetry and lymphoscintography.
The results indicated that volume changes showed significant improvement in 83% of patients at 10 year follow-up. In addition, the results indicated an 87% reduction in the instance of cellulitis following this surgical procedure. The authors concluded that microsurgical lymphatic venous anastomoses have a place in the treatment of peripheral lymphedema and should be a treatment therapy of choice in patients who are not responsive to non-operative treatment.
Lymph, Edema, Lymphedema, Microsurgery