Treatment and prevention of lymphatic injuries in surgery and trauma

Campisi Corradino, Campisi Corrado, Accogli Susanna, Campisi Caterina, Boccardo Francesco

Research output: Contribution to journalArticle

Abstract

Authors describe their clinical experience in the treatment of patients referred to the Unit of Lymphatic Surgery and affected from injuries to the lymphatic system due to surgery or trauma. Epidemiological data point out the significant prevalence of lymphatic injuries correlated mainly to oncological operations in the ambit of general, gynaecological and urological surgery. Moreover, also venous and arterial surgery may be responsible of the appearance of early and late lymphatic complications. Diagnosis includes ultrasonography, CT, MRI, lymphoscintigraphy and oil contrast lymphography. Prevention is based on different technical details, for example a proper skin incision, lymphnodal dissection, adeguate use of drain tubes, right compressive medications on wounds, etc.. It is very important to follow-up the patient not only clinically but also by lymphoscintigraphy. For the treatment, different procedures are used including microsurgical methods, CO2 LASER, laparoscopic approach, etc. It was identified a protocol of prevention of secondary limb lymphedema that included above all, from the diagnostic point of view, lymphoscintigraphy and, as concerns therapy, it recognized also a role to early microsurgery. Authors conclude that it is necessary to accurately follow-up the patient who has undergone an operation at risk for the appearance of lymphatic complications and, even better, to assess clinically and by lymphoscintigraphy the patient before the surgical operation.

Original languageEnglish
Pages (from-to)7-10
Number of pages4
JournalEuropean Journal of Lymphology and Related Problems
Volume22
Issue number64
Publication statusPublished - 2011

Fingerprint

Lymphoscintigraphy
Wounds and Injuries
Lymphography
Lymphatic System
Gynecologic Surgical Procedures
Lymphedema
Microsurgery
Therapeutics
Secondary Prevention
Dissection
Ultrasonography
Oils
Extremities
Skin

Keywords

  • Lymphatic injuries
  • Microsurgical treatment
  • Prevention
  • Surgery
  • Trauma

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Corradino, C., Corrado, C., Susanna, A., Caterina, C., & Francesco, B. (2011). Treatment and prevention of lymphatic injuries in surgery and trauma. European Journal of Lymphology and Related Problems, 22(64), 7-10.

Treatment and prevention of lymphatic injuries in surgery and trauma. / Corradino, Campisi; Corrado, Campisi; Susanna, Accogli; Caterina, Campisi; Francesco, Boccardo.

In: European Journal of Lymphology and Related Problems, Vol. 22, No. 64, 2011, p. 7-10.

Research output: Contribution to journalArticle

Corradino, C, Corrado, C, Susanna, A, Caterina, C & Francesco, B 2011, 'Treatment and prevention of lymphatic injuries in surgery and trauma', European Journal of Lymphology and Related Problems, vol. 22, no. 64, pp. 7-10.
Corradino C, Corrado C, Susanna A, Caterina C, Francesco B. Treatment and prevention of lymphatic injuries in surgery and trauma. European Journal of Lymphology and Related Problems. 2011;22(64):7-10.
Corradino, Campisi ; Corrado, Campisi ; Susanna, Accogli ; Caterina, Campisi ; Francesco, Boccardo. / Treatment and prevention of lymphatic injuries in surgery and trauma. In: European Journal of Lymphology and Related Problems. 2011 ; Vol. 22, No. 64. pp. 7-10.
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