Treatment of Lymphorrhea Associated with an Amputation Stump with Lymphaticovenular Anastomosis

Authors

  • Francisco Martins de Carvalho Plastic, Reconstructive and Aesthetic Surgery Department and Burn Unit. Centro Hospitalar de São João. Porto. https://orcid.org/0000-0003-2395-3122
  • Alexandre Almeida Plastic, Reconstructive and Aesthetic Surgery Department and Burn Unit. Centro Hospitalar de São João. Porto.
  • Álvaro Silva Plastic, Reconstructive and Aesthetic Surgery Department and Burn Unit. Centro Hospitalar de São João. Porto.
  • Marisa Marques Plastic, Reconstructive and Aesthetic Surgery Department and Burn Unit. Centro Hospitalar de São João. Porto.

DOI:

https://doi.org/10.20344/amp.13470

Keywords:

Amputation Stumps, Anastomosis, Surgical, Lower Extremity, Lymphatic Vessels, Microsurgery

Abstract

Lower limb lymphorrhea is a condition with a considerable impact on the quality of life. It is usually associated with inguinal lymph node dissection and vascular procedures with femoral exposure. In this case report, we describe a patient who underwent a below-knee amputation and two years later developed lymphorrhea from the stump, preventing adaptation to the prosthesis. Lymphoscintigraphy showed a delayed lymphatic progression. After failure of conservative treatment, she underwent lymphaticovenular anastomosis with a successful outcome. Drainage cessation suggests that lymphaticovenular anastomosis may be an effective treatment for patients with lymphorrhea from and amputation stump, although further studies are required to determine long-term efficacy.

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Published

2022-05-02

How to Cite

1.
Martins de Carvalho F, Almeida A, Silva Álvaro, Marques M. Treatment of Lymphorrhea Associated with an Amputation Stump with Lymphaticovenular Anastomosis. Acta Med Port [Internet]. 2022 May 2 [cited 2024 Mar. 28];35(5):384-7. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13470

Issue

Section

Case Report