Management of lymphedema is difficult due to lack of understanding of its physiology
and evaluation. Conservative treatments including compression therapy have been the
mainstay of its management, but a surgical approach has been postulated to have the
potential to become the treatment of choice, especially in cases refractory to conservative
treatments.
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In lymphaticovenular anastomosis (LVA), a lymphatic vessel is anastomosed to a venule
to bypass an obstructed region of the lymphatic flow.To read this article in full you will need to make a payment
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References
- Studies on lymphatico-venous anastomoses in lymphedema.Nagoya J Med. 1969; 32: 1-21
- Supermicrosurgical lymphaticovenular anastomosis for the treatment of lymphedema in the upper extremities.J Reconstr Microsurg. 2000; 16: 432-437
- Long-term follow-up after lymphaticovenular anastomosis for lymphedema in the leg.J Reconstr Microsurg. 2003; 19: 209-215
- Treatment of lymphedema with lymphaticovenular anastomoses.Int J Clin Oncol. 2005; 10: 304-310
- Lymphaticovenular bypass for lymphedema management in breast cancer patients: a prospective study.Plast Reconstr Surg. 2010; 126: 752-758
Article info
Publication history
Published online: May 23, 2012
Identification
Copyright
© 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.