Microsurgery for treatment of peripheral lymphedema: Long-term outcome and future perspectives
Article first published online: 3 MAY 2007
Copyright © 2007 Wiley-Liss, Inc.
Special Issue: International Society for Experimental Microsurgery
Volume 27, Issue 4, pages 333–338, 2007
How to Cite
Campisi, C., Eretta, C., Pertile, D., Da Rin, E., Campisi, C., Macciò, A., Campisi, M., Accogli, S., Bellini, C., Bonioli, E. and Boccardo, F. (2007), Microsurgery for treatment of peripheral lymphedema: Long-term outcome and future perspectives. Microsurgery, 27: 333–338. doi: 10.1002/micr.20346
- Issue published online: 16 MAY 2007
- Article first published online: 3 MAY 2007
- Manuscript Accepted: 14 MAR 2007
- Manuscript Received: 11 MAR 2007
Authors report over 30 years of their own clinical experience in the treatment of chronic peripheral lymphedemas by microsurgical techniques performed at the Center of Lymphatic Surgery of the University of Genoa, Italy. Over 1,500 lymphedema patients were treated with microsurgical techniques. Derivative lymphatic-venous techniques were most often used. For those cases where a venous disease was associated to lymphedema, reconstructive lymphatic microsurgery techniques were performed (lymphatic-venous–lymphatic-plasty). Objective assessment was undertaken by water volumetry and lymphoscintigraphy. Volume changes showed a significant improvement in over 83%, with an average follow-up of more than 10 years. There was an 87% reduction in the incidence of cellulitic attacks after microsurgery. Microsurgical lymphatic-venous anastomoses have a place in the treatment of peripheral lymphedema and should be the therapy of choice in patients who are not sufficiently responsive to nonoperative treatment. Improved results can be expected with operations performed at earlier lymphedema stages. © 2007 Wiley-Liss, Inc. Microsurgery 2007.