Microsurgery for treatment of peripheral lymphedema: Long-term outcome and future perspectives

Corradino Campisi, Costantino Eretta, Davide Pertile, Elisa Da Rin, Corrado Campisi, Alberto Macciò, Mirko Campisi, Susanna Accogli, Carlo Bellini, Eugenio Bonioli, Francesco Boccardo

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)333-338
Number of pages6
JournalMicrosurgery
Volume27
Issue number4
DOIs
Publication statusPublished - 2007

ASJC Scopus subject areas

  • Surgery

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