9 Autologous Lymph Vessel Transfer
Buch
Herausgeber: Harder, Yves; Hirche, Christoph; Seidenstücker, Katrin; Hamdi, Moustapha
Titel: Modern Surgical Management of Chronic Lymphedema
Print ISBN: 9783132414280; Online ISBN: 9783132436855; Buch-DOI: 10.1055/b000000221
1. Edition © 2024. Thieme. All rights reserved.
Georg Thieme Verlag KG, Stuttgart
Fachgebiete: Plastische, Rekonstruktive & Kosmetische Chirurgie
Thieme Clinical Collections (English Language)
Summary
Autologous lymph vessel transfer is indicated for patients with lymphedema caused by a localized interruption of the lymphatic system. The anatomical regions at risk are the lymph node basins in the axilla, the groin, and the pelvic region. This is the case in most patients suffering from secondary lymphedema in Europe, usually cancer related, with a potential indication for autologous lymph vessel transfer. Compared to other reconstructive techniques, autologous lymph vessel transfer is performed within the lymphatic system itself. Lymph vessels are harvested as grafts. Thus, the medial side of the thigh is a common donor site area. Preoperative scintigraphy is indicated to document lymph flow at the graft harvesting site.
Schlüsselwörter
autologous lymph vessel transfer (ALVT) - bypass - interposition - lymphatic graft - lymphatic vessel (LV) - lymphedema- 1 McHale NG, Roddie IC. The effect of transmural pressure on pumping activity in isolated bovine lymphatic vessels.. J Physiol 1976; 261 (2) 255-269 PubMed (PMID: 988184)
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