Supermicrosurgical lymphatic venous anastomosis for intractable lymphocele after great saphenous vein harvesting graft

Lymphoceles result from either trauma to the lymphatic vessels or after vein graft harvest, which occurs in 10% to 16% of patients. When a lymphocele persists despite conservative treatment, patients can experience undue distress. We have reported the case of successful treatment using lymphatic ven...

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Bibliographic Details
Published inJournal of vascular surgery cases and innovative techniques Vol. 8; no. 1; pp. 45 - 47
Main Authors Imai, Hirofumi, Yoshida, Shuhei, Mese, Toshiro, Roh, Solji, Koshima, Isao
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.03.2022
Elsevier
Subjects
Case report
Great saphenous vein harvesting
Lymphatic venous anastomosis
Lymphorrhea
Lymphatic venous anastomosis
Lymphorrhea
Great saphenous vein harvesting
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Summary:Lymphoceles result from either trauma to the lymphatic vessels or after vein graft harvest, which occurs in 10% to 16% of patients. When a lymphocele persists despite conservative treatment, patients can experience undue distress. We have reported the case of successful treatment using lymphatic venous anastomosis (LVA) of an intractable lymphocele that had been refractory to conservative treatment, including stretch bandaging, drainage, and local injection for 2 years after great saphenous vein harvest. The lymphocele resolved shortly after the LVA without any adverse effects. LVA can be a useful and minimally invasive alternative treatment of lymphocele after harvesting the great saphenous vein.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2021.11.003