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Br J Surg. 2014 Oct;101(11):1391-6. doi: 10.1002/bjs.9588. Epub 2014 Aug 13.

Lymphaticovenular anastomosis to prevent cellulitis associated with lymphoedema.

Author information

1
Department of Vascular Surgery, Saiseikai Kawaguchi General Hospital, Saitama, Japan.

Abstract

BACKGROUND:

One of the complications of lymphoedema is recurrent cellulitis. The aim was to determine whether lymphaticovenous anastomosis (LVA) was effective at reducing cellulitis in patients with lymphoedema.

METHODS:

This was a retrospective review of patients with arm/leg lymphoedema who underwent LVA. The frequency of cellulitis was compared before and after surgery. The diagnostic criteria for cellulitis were a fever of 38·5°C or higher, and warmth/redness in the affected limb(s).

RESULTS:

A total of 95 patients were included. The mean number of episodes of cellulitis in the year preceding surgery was 1·46, compared with 0·18 in the year after surgery (P < 0·001).

CONCLUSION:

LVA reduced the rate of cellulitis in these patients with lymphoedema.

PMID:
25116167
DOI:
10.1002/bjs.9588
[Indexed for MEDLINE]

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