Peter Gloviczki, M. D. , Jack Fisher, M. D. , Larry H. Hollier, M. D

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Presentation transcript:

Microsurgical lymphovenous anastomosis for treatment of lymphedema: A critical review Peter Gloviczki, M.D., Jack Fisher, M.D., Larry H. Hollier, M.D., Peter C. Pairolero, M.D., Alexander Schirger, M.D., Heinz W. Wahner, M.D. Journal of Vascular Surgery Volume 7, Issue 5, Pages 647-652 (May 1988) DOI: 10.1016/0741-5214(88)90008-0 Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Incision sites used on the upper (A) and lower (B) extremity to anastomose lymph vessels to superficial veins. Journal of Vascular Surgery 1988 7, 647-652DOI: (10.1016/0741-5214(88)90008-0) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Changes in upper limb circumference in a 51-year-old man with secondary lymphedema. Six lymphovenous anastomoses were performed. Excellent early and moderate late results 4 years later. Journal of Vascular Surgery 1988 7, 647-652DOI: (10.1016/0741-5214(88)90008-0) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 A, A 55-year-old man with lymphedema of the right lower extremity caused by filariasis. Four lymphovenous anastomoses were performed at the medial aspect of the upper thigh. B, Excellent results 3 months after operation. Journal of Vascular Surgery 1988 7, 647-652DOI: (10.1016/0741-5214(88)90008-0) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions