Efficacy of Lymphaticovenular Anastomosis of the Leg Combined with Postoperative Treatment in Reducing Lymphedema during the First Year Following Surgery
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- YASUNAGA Yoshichika
- Division of Plastic and Aesthetic Surgery, Ina Central Hospital Department of Plastic and Reconstructive Surgery, Shinshu University School of Medicine Division of Plastic and Reconstructive Surgery, Shizuoka Cancer Center
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- KINJO Yuto
- Division of Plastic and Aesthetic Surgery, Ina Central Hospital
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- YANAGISAWA Daisuke
- Department of Plastic and Reconstructive Surgery, Shinshu University School of Medicine
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- NAKAJIMA Mayumi
- Rehabilitation Division, Ina Central Hospital
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- TEZUKA Mitsuyo
- Rehabilitation Division, Ina Central Hospital
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- KONDOH Saeko
- Nursing Division, Ina Central Hospital
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- YUZURIHA Shunsuke
- Department of Plastic and Reconstructive Surgery, Shinshu University School of Medicine
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- KONDOH Shoji
- Division of Plastic and Aesthetic Surgery, Ina Central Hospital
Bibliographic Information
- Other Title
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- 下肢リンパ管細静脈吻合術後に集中排液を行った症例の術後1年間の患肢体液量の変化と著効例の背景因子
Abstract
<p> [Background]We examined the efficacy of lower limb lymphaticovenular anastomosis (LVA) combined with postoperative reduction treatment (PORT) in reducing lymphedema during the first postoperative year. <BR> [Methods]Female patients with unilateral leg lymphedema who had undergone leg LVA with 7 days of PORT were included. Patients were selected for whom body water volume data were available at six points in time: preoperatively; at discharge; and 1, 3, 6, and 12 months postoperatively. Patients were divided into two groups according to the change in postoperative water volume reduction in the affected leg: those with maintenance of body water volume below the preoperative level, termed as “maximum efficacy”, and those without. <BR> [Results]Of the 28 eligible cases, 14 demonstrated maximum efficacy with LVA. The first peak of water volume reduction in cases with maximum efficacy was at the time of discharge, with a transient regression observed following discharge. Thereafter, the water volume decreased, reapproaching the discharge value. Greater preoperative leg water volume was a common factor for cases with maximum efficacy (odds ratio: 3.351, 95% confidence interval: 1.215-9.240, p = 0.019) . <BR> [Conclusion]The leg water volume of LVA cases with maximum efficacy increased after discharge but returned to discharge values over the first postoperative year.</p>
Journal
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- Journal of Japanese Society of Reconstructive Microsurgery
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Journal of Japanese Society of Reconstructive Microsurgery 35 (3), 82-91, 2022
Japanese Society of Reconstructive Microsurgery
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Keywords
Details 詳細情報について
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- CRID
- 1390012081165809024
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- ISSN
- 21859949
- 09164936
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- Text Lang
- ja
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- Data Source
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- JaLC
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- Abstract License Flag
- Disallowed