Patent Blue Dye in Lymphaticovenular Anastomosis

Annals of the Academy of Medicine, Singapore - Tập 38 Số 8 - Trang 704-706 - 2009
Yan Lin Yap1,2, Jane Lim1,2, Timothy Weng Hoh Shim3, Shenthilkumar Naidu1,2, Wei Chen Ong1,2, Thiam Chye Lim1,2
1 Department of Surgery, Division of Plastic, Reconstructive and Aesthetic Surgery, National University Hospital, Singapore
2Department of Surgery, Division of Plastic, Reconstructive and Aesthetic Surgery, National University Hospital of Singapore, 5 Lower Kent Ridge Road, Singapore 119074.
3National University Hospital, Singapore

Tóm tắt

Introduction: Lymphaticovenular anastomosis (LVA) has been described as a treatment of chronic lymphoedema. This microsurgical technique is new and technically difficult. The small caliber and thin wall lymphatic vessels are difficult to identify and easily destroyed during the dissection. Materials and Methods: We describe a technique of performing lymphaticovenular anastomosis with patent blue dye enhancement. Our patient is a 50-year-old lady who suffers from chronic lymphoedema of the upper limb after mastectomy and axillary clearance for breast cancer 8 years ago. Results: Patent blue dye is injected subdermally and is taken up readily by the draining lymphatic channels. This allows for easy identification of their course. The visualisation of the lumen of the lymphatic vessel facilitates microsurgical anastomosis. The patency of the anastomosis is also demonstrated by the dynamic pumping action of the lymphatic within the vessels. Conclusion: Patent blue dye staining during lymphaticovenular anastomosis is a simple, effective and safe method for mapping suitable subdermal lymphatics, allowing for speedier dissection of the lymphatic vessels intraoperatively. This technique also helps in the confirmation of the success of the lymphaticovenular anastomosis. Key words: Lymphaticovenular anastomosis, Lymphoedema, Patent blue dye, Supermicrosurgery

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Tài liệu tham khảo

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Annals of the Academy of Medicine, Singapore

Tập 38 Số 8

704-706

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