Pediatric lymphedema and syndromes: Role of microsurgery

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Pediatric lymphedema and syndromes: Role of microsurgery

Postby patoco » Thu Jan 31, 2008 7:14 am

Pediatric lymphedema and correlated syndromes: Role of microsurgery.

Microsurgery. 2008 Jan 25

Corradino Campisi, M.D., Ph.D. 1 *, Elisa Da Rin, M.D. 1, Carlo Bellini, M.D. 2, Eugenio Bonioli, M.D. 3, Francesco Boccardo, M.D., Ph.D. 1
1Department of Surgery, Unit of Lymphatic Surgery and Microsurgery, San Martino Hospital, University of Genoa, Italy
2Neonatal Intensive Care Unit, Pediatric Department, University of Genoa, Gaslini Institute, Genoa, Italy
3Pediatric Department, University of Genoa, Gaslini Institute, Genoa, Italy

email: Corradino Campisi (campisicorradino@tin.it campisi@unige.it)

*Correspondence to Corradino Campisi, Full Professor of Surgery, Department of Surgery, Unit of Lymphatic Surgery and Microsurgery, S. Martino Hospital, University of Genoa, Largo R. Benzi, 8, 16132 Genoa, Italy

Abstract
Authors report modern diagnostic and therapeutic procedures used in the correct assessment and treatment of congenital lymphatic and chylous disorders. Lymphatic dysplasias can be clinically represented only by peripheral lymphedema or be associated with more complex dysfunctions of chyliferous vessels and the thoracic duct (chylous ascitis, chylothorax, etc.) It is, therefore, useful to perform a complete diagnostic evaluation of each patient before carrying out any therapeutical approach. Lymphoscintigraphy, lymphangio-MR, oil contrast lymphography, and lymphangio-CT are the common diagnostic tools used in these cases, variable associated depending above all on the complexity of the pathology. From the therapeutical point of view, microsurgical methods proved to bring successful and long lasting results, both with derivative lymphatic-venous anastomoses and reconstructive lymphatic-venous-lymphatic anastomoses. Better long-term results are obtained in earlier stages. © 2008 Wiley-Liss, Inc. Microsurgery, 2008.

http://www3.interscience.wiley.com/cgi- ... 1&SRETRY=0

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