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KMID : 1144920180140020137
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Journal of Wound Management and Research
2018 Volume.14 No. 2 p.137 ~ p.140
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Supermicrosurgical Lymphaticovenous Anastomosis for Subacute Lymphorrhea after Inguinal Lymph Node Biopsy: A Case Report
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Suh Young-Chul
Lee Ji-Sung
Kim Seong-Yeon
Kim Young-Jin
Lee Jung-Ho
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Abstract
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Lymphorrhea usually arises from surgical intervention to the lymphatic system. Most lymphorrhea cases can be treated with conservative treatments, but some require further surgical intervention. The most commonly performed surgical procedure is macroscopic ablation of the subcutaneous fat tissue that seems to contain ruptured lymphatic vessels. However, ablation is not always successful because it is difficult to identify the ruptured lymphatic vessels. Furthermore, the disruption of lymph drainage results in lymphedema. Lymphaticovenous anastomosis (LVA) has multiple advantages over the other methods currently used to treat lymphorrhea. First, LVA is minimally invasive technique because it can be performed under local anesthesia and requires same small skin incisions that were made previous operation. Second, LVA is effective for all sizes of surgical fields, ranging from simple lymph node biopsy to pelvic lymphadenectomy. Most studies, however, discuss LVA as a procedure after formation of lymphocele rather than for subacute lymphorrhea. We introduce LVA as a treatment option for the subacute stage of lymphorrhea that does not respond to conservative care.
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KEYWORD
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Microsurgery, Lymph node excision, Postoperative complication, Wound healing
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