Role of contrast enhanced MRI lymphangiography in evaluation of lower extremity lymphatic vessels for patients with primary lymphedema
ConclusionsMRI lymphangiography with the intracutaneous injection of gadolinium had the potentiality for being the main diagnostic modality in primary lymphedema patients especially those who are candidates for microsurgical reconstruction through providing better visualization of the precise lymphatic anatomy by a feasible, minimally invasive and safe technique.
Authors: Hessam S, Bechara FG Abstract Hidradenitis suppurativa/acne inversa (HS/AI) is a chronic inflammatory skin disease. Several studies showed that perianal, perineal and gluteal involvement is more common in men. Axillary, submammary and inguinal localizations seem to be more prevalent in women. Involvement of the genitoanal region is associated with a higher reduced quality of live and sexual health compared to other locations. Moreover HS/AI in the genitoanal region can lead to serious complications. The knowledge of perianal fistula formation, pubogenital lymphedema and squamous cell carcinoma, w...
Lower extremity lymphedema can be severely disabling and affect the patients ’ daily life with difficulties in range of motion, fitting into normal clothing, subjective discomfort, risk of soft tissue infection and can also cause psychological distress . Complete decongestive physiotherapy has been the most common non-surgical management in reducing edema volumes, altho ugh it is not a curative treatment method . Surgical treatment of lymphedema is an alternative and, except from debulking surgery, there are currently four main surgical methods described; vascularized lymph node transfer, lymphaticovenular anas...
This article highlights how complex and crucial is the identification of functional lymphatic vessels in lymphatic surgery and particularly in supermicrosurgical lymphaticovenular anastomosis. Two major surgical procedures are performed to treat primary and secondary lymphedema: supermicrosurgical lymphaticovenular anastomosis (LVA) and vascularized lymph nodes transfer (VLNT).
Condition: Head and Neck Cancer Intervention: Device: Flexitouch Plus system Sponsors: Mihir Bhayani; Tactile Medical Enrolling by invitation
Lymphatic Research and Biology, Ahead of Print.
The first pilot study of robot-assisted high-precision supermicrosurgery in humans shows it is safe for treating breast cancer-related lymphedema.Medscape Medical News
In this study, we reviewed the efficacy of lymphaticovenous anastomoses as a treatment for lymphorrhea of any etiology.
At our hospital, we consider multiple factors in determining the indication for surgical treatment for lymphedema, including age, the underlying causes of lymphedema, stage of edema, general health status, frequency of cellulitis, and the patient's treatment choices. While lymphedema in young individuals is generally treated using surgical lymphaticovenular anastomosis, conservative treatment is usually recommended for older individuals due to the overall poor health status. However, there is no evidence that treatment outcomes of lymphaticovenular anastomosis would be poorer in older than in younger individuals.
Condition: Breast Cancer Lymphedema Intervention: Drug: Ketoprofen Sponsors: Ege University; Turkish Oncology Group; Turkish Lymphedema Society Not yet recruiting