Lymphaticovenular anastomosis to prevent cellulitis associated with lymphoedema.
retrospective_cohort · Level III
Where this comes from
- Record sourced from PubMed, PMID 25116167.
- Also identified by DOI 10.1002/bjs.9588.
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Abstract
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. 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). 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). LVA reduced the rate of cellulitis in these patients with lymphoedema.
Medical subject headings
- Cellulitis
- Lymphatic Vessels
- Lymphedema