Precautions and Complications of Surgery

Precautions for Lymphangiovenous Anastomosis

As described on this page, the effectiveness of the surgery will be lower in cases where the majority of lymph vessels are stenotic or obstructed due to advanced degeneration, while the effectiveness of the surgery will be higher if many lymph vessels remain with less than moderate degeneration and a low degree of stenosis. For this reason, early diagnosis and treatment of lymphedema are important.

Notes on Lymph Node Grafting

As with lymphangiovenous anastomosis, lymph node grafting can be expected to reduce circumference, reduce cellulitis, and improve subjective symptoms (heaviness, numbness, pain, etc.) after the surgery, but it should be noted that it is a slightly more invasive surgery compared to the former, taking longer to show results (six months to a year or more).

Another important point is that it is difficult to reduce fat that has already grown due to the deterioration of lymphedema using this procedure, and that liposuction would be required to remove this grown fat.

Postoperative Complications

The following are the possible complications:

  • Wound dehiscence (opening of the surgical wound)
  • Wound infection (bacterial infection)
  • Lymphatic leak (leakage of lymphatic fluid)
  • Bleeding, pain, etc.

林明辰 Akitatsu Hayashi
亀田総合病院/亀田京橋クリニック
リンパ浮腫センター センター長

超音波や光干渉断層撮影(OCT)を用いた、最先端のリンパ管のイメージング技術を世界で初めて発表。その技術を併用した、より効率的・効果的なリンパ浮腫手術の普及に力を入れている。プロフィール詳細


関連記事
むくみとリンパ浮腫
原因・発症・進行と症状
診断
治療法
術後
予防と運動療法

PAGE TOP