Lymphaticovenular anastomosis to prevent cellulitis associated with lymphoedema

作者：Mihara M^*; Hara H; Furniss D; Narushima M; Iida T; Kikuchi K; Ohtsu H; Gennaro P; Gabriele G; Murai N

来源：British Journal of Surgery, 2014, 101(11): 1391-1396.

DOI：10.1002/bjs.9588

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. %26lt;br%26gt;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 degrees C or higher, and warmth/redness in the affected limb(s). %26lt;br%26gt;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 %26lt; 0.001). %26lt;br%26gt;Conclusion: LVA reduced the rate of cellulitis in these patients with lymphoedema.

• 出版日期2014-10