Lymphedema
Conditions
Brief summary
LVA orientations such as lymphaticovenous end-to-end (LVEEA), end-to-side (LVESA), and side-to-end (LVSEA) are commonly performed. Each orientation has its own advantages and disadvantages. The key factors affecting the type of anastomotic orientation are the sizes of the LVs and the RVs, and the relative distance between them. Most published literatures have focused on LVSEA2-9, which is considered to be the most efficient. With one anastomosis in LVSEA, the RV is able to drain both the antegrade and retrograde lymphatic flow. Nevertheless, how to determine the anastomotic orientation has remained ambiguous. In this study, we aimed to establish the basis of selecting the proper anastomotic orientation, based on the size and comparative size discrepancy between LV and RV. To the best of our knowledge, this is the first report to focus on this subject.
Interventions
OTHERLVEEA
lymphaticovenous end-to-end
OTHERLVESA
lymphaticovenous end-to-side
OTHERLVSEA
lymphaticovenous side-to-end
Sponsors
Chang Gung Memorial Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
20 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* lymphedematous lower limbs (International Society of Lymphology stage I-III) between March 2016 to October 2018 were included
Exclusion criteria
* Patients whose data were missing will be excluded.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| survival or failure | up to 3 months | The primary free flap outcome was determined as its survival or failure. |
Countries
Taiwan
Outcome results
None listed