Edema after femoropopliteal bypass surgery: Lymphatic and venous theories of causation
| Autor: | Frank C. Lucente, Bradley A. Woodruff, Ali F. AbuRahma |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Venography medicine.disease Surgery Venous thrombosis Dissection Lymphatic system medicine.anatomical_structure Edema medicine Radiology Derivation medicine.symptom Complication business Cardiology and Cardiovascular Medicine Artery |
| Zdroj: | Journal of Vascular Surgery. 11:461-467 |
| ISSN: | 0741-5214 |
| DOI: | 10.1067/mva.1990.17291 |
| Popis: | Edema of a lower extremity after femoropopliteal bypass surgery is a common problem. To study the causes of this phenomenon we evaluated 72 patients before and after surgery with noninvasive venous testing and venography. We also obtained postoperative lymphangiograms of a sample of 16 patients, eight with and eight without postoperative edema. Patients were sequentially assigned to one of four treatment groups: group A, a lymphatic-preserving inguinal dissection with conventional popliteal dissection; group B, a lymphatic-preserving popliteal dissection with conventional inguinal dissection; group C, lymphatic-preserving inguinal and popliteal dissections; group D, conventional inguinal and popliteal dissections. Twenty-nine (40%) of the 72 patients had postoperative edema. A similar proportion of patients with edema had deep venous thrombosis as patients without edema (3/29 [10%] vs 3/43 [7%], respectively). Patients in group D showed the highest incidence of edema, 17/20 or 85%, a rate significantly higher than the rates in the other three groups ( p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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