| Autor: |
Woo Chul Son, Jin Geun Kwon, Joon Pio Hong, Chang Sik Park, Sang Ah Kim, Jung Hwa Do, Hwayeong Cheon, Ma Nessa Gelvosa, Hyun Suk Suh, Jae Yong Jeon |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Journal of reconstructive microsurgery. |
| ISSN: |
1098-8947 |
| Popis: |
Background In lymphedema, lymphatic fluid accumulates in the interstitial space, and localized swelling appears. Lymphovenous anastomosis (LVA) is the most widely used surgery to rebuild a damaged lymphatic system; however, assessing outcome of LVA involves performing volume measurements, which provides limited information on body composition changes. Therefore, we analyzed the bioelectrical impedance analysis (BIA) parameters that can reflect the status of lymphedema patients who underwent LVA. Methods We retrospectively reviewed records of 42 patients with unilateral lower extremity lymphedema who had LVA. We measured the perioperative BIA parameters such as extracellular water (ECW) ratio and volume as defined by the percentage of excess volume (PEV). We evaluated the relationship between the amount of change in PEV and in BIA parameters before and after surgery. We confirmed the correlation between ΔPEV and BIA parameters using Spearman's correlation. Results Most patients included had secondary lymphedema due to cancer. Average age was 51.76 years and average body mass index was 23.27. PEV and all BIA parameters after surgery showed a significant difference (p Conclusion Our findings suggest that BIA parameters, especially ECW ratio aff/unaff could reflect the status of patients with lower limb lymphedema after LVA. Appropriate use of BIA parameters may be useful in the postoperative surveillance of patients. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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