LVAs in a Pedicled SIEA Flap for the Treatment of Recurrent Lymphocele of the Groin Using Superficial Veins of the Flap for Lymphovenous Anastomosis: A Case Report and Literature Review

Autor: Federico Facchin, Elmar Fritsche, Alberto Franchi
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Archives of Plastic Surgery, Vol 51, Iss 04, Pp 417-422 (2024)
Druh dokumentu: article
ISSN: 2234-6163
2234-6171
DOI: 10.1055/s-0044-1782142
Popis: Persistent lymphocele of the groin is a complication of groin surgery that can severely impact the quality of life. The restoration of the interrupted lymphatic pathway is considered by many authors the ideal treatment to prevent a recurrence. However, multiple aspiration procedures and surgical revisions can compromise the availability of local veins needed for a lymphovenular bypass surgery. In addition, surgical debridement of a long-standing lymphocele can generate extensive dead space and contour deformity. A flap delivering additional venules for trans-flap lymphovenular anastomoses (LVAs) can overcome both problems by providing soft tissue and competent veins harvested outside the zone of injury.
Databáze: Directory of Open Access Journals
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