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Harder, Yves et al.: 2024 Modern Surgical Management of Chronic Lymphedema DOI: 10.1055/b-0044-201944
Section VI: Lymphoreconstructive Procedures

12 Nodo-Venal Shunt Microsurgery

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Editors: Harder, Yves; Hirche, Christoph; Seidenstücker, Katrin; Hamdi, Moustapha

Authors: Adriaenssens, Nele; Baumeister, Rüdiger G. H.; Bianchi, Alessandro; Bigdeli, Amir K.; Boos, Anja M.; Bourgeois, Pierre; Brorson, Hakan; Brussaard, Carola; Cordts, Tomke; De Baerdemaeker, Randy; Engel, Holger; Frick, Andreas; Früh, Florian; Gazyakan, Emre; Goss, Jeremy A.; Gousopoulos, Epameinondas; Greene, Arin K.; Harnie, Sarah; Hartiala, Pauliina; Hayashi, Akitatsu; Kilian, Katja; Kumar, Leela Praveen; Kwak, Min-Seok; Lindenblatt, Nicole; Machens, Hans-Günther; Manokaran, Gurusamy; Masia, Jaume; Meroni, Matteo; Penna, Vincenzo; Pieper, Claus Christian; Pomata, Cristhian; Rodríguez-Bauzà, Elena; Roka-Palkovits, Julia; Saaristo, Anne; Salgarello, Marzia; Scaglioni, Mario F.; Schild, Hans Heinz; Spörlein, Andreas; Stäuble, Christiane G.; Suami, Hiroo; Torio, Nestor; Tzou, Chieh-Han; Uyulmaz, Semra; Vandyck, Ellen; Visconti, Giuseppe; Visuri, Mikko; Wagner, Stephan; Waked, Karl; Will, Patrick A.; Wilting, Jörg; Yang, Johnson Chia-Shen; Zeltzer MD, Assaf; Zuther, Joachim E.

Title: Modern Surgical Management of Chronic Lymphedema

Print ISBN: 9783132414280; Online ISBN: 9783132436855; Book DOI: 10.1055/b000000221

1. Edition © 2024. Thieme. All rights reserved.
Georg Thieme Verlag KG, Stuttgart

Subjects: Plastic, Reconstructive and Cosmetic Surgery

Thieme Clinical Collections (English Language)



 
Gurusamy Manokaran and Leela Praveen Kumar

Summary

This chapter describes the surgical technique of nodo-venal shunts as they are regularly performed by the first author. The surgery essentially consists of an anastomosis between the “low pressure” lymphatic vascular system and the “high pressure” vascular system of the superficial veins to conduct a physiological bypass. Accordingly, a connection is established surgically between a well-functioning and draining lymph node in the inguinal region and a patent superficial vein, usually in the draining area of the greater saphenous. Most of the cases that are treated using this technique suffer from chronic lymphedema resulting from filariasis affecting almost always the lower limb.

Key words

conservative treatment - lymphatic filariasis - lymphovenous anastomosis - microvascular lymph node transfer - nodo-venal shunt - physiological bypass surgery
 
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