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September 1, 2024Plastic & Reconstructive Surgery Global OpenOpen Access

Treatment of Refractory Ascites with Lymphaticovenous Anastomosis Considering Lymphatic Territories

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Authors

TNTakashi NuriAAAkinori AsakaMOMariko Ota

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Overview

Case report demonstrates resolution of refractory lymphatic ascites after lymphaticovenous anastomosis in an ovarian cancer patient, highlighting the value of lymphatic territories.

Key Points

  • Refractory lymphatic ascites completely resolved after targeted lymphaticovenous anastomosis, eliminating the need for recurring therapeutic punctures.
  • Postoperative computed tomography at 20 days confirmed zero ascites recurrence, following eight successful lymphaticovenous anastomosis procedures.
  • Indocyanine green lymphography mapped dysfunctional pelvic pathways, demonstrating that territory-based anastomosis can overcome refractory leakage.

Cite This Study

Nuri et al. (2024) studied this question.

synapsesocial.com/papers/68e59d83b6db643587537cdahttps://doi.org/10.1097/gox.0000000000006134
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Also Consider

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  1. 1Intranodal lymphangiography under microsurgery for refractory lymphatic ascites after pelvic lymphadenectomy2024 · 1 citations
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  3. 3Lymphovenous anastomosis (<scp>LVA</scp>) for treatment of secondary breast lymphedema: A case report and literature review2020 · 18 citations
  4. 4D118. Inguinal Lymph Node to Vein Anastomosis - ‘The Cleveland Clinic Experience and Technical Refinements’2024
  5. 5Postoperative Lymphatic Patterns and Application of LVA in Breast Cancer Patients With Truncal Lymphedema2026