Combined Volume Reduction Surgery and Lymphaticovenular Anastomosis for Treatment of Lower Leg Lymphedema

Satoshi Onoda, MD, PhD; Kahori Tsukura, MD; Gaku Tachibana, MD; Kohta Kobayashi, MD; Ryohei Katsuragi, MD; Toshihiko Satake, MD, PhD; Erika Hamada, MD

doi:10.1097/GOX.0000000000004870

Plastic and Reconstructive Surgery, Global Open (Mar 2023)

Combined Volume Reduction Surgery and Lymphaticovenular Anastomosis for Treatment of Lower Leg Lymphedema

Satoshi Onoda, MD, PhD,
Kahori Tsukura, MD,
Gaku Tachibana, MD,
Kohta Kobayashi, MD,
Ryohei Katsuragi, MD,
Toshihiko Satake, MD, PhD,
Erika Hamada, MD

Affiliations

Satoshi Onoda, MD, PhD: From the * Department of Plastic and Reconstructive, Aesthetic Surgery, Toyama University Hospital, Toyama, Japan
Kahori Tsukura, MD: From the * Department of Plastic and Reconstructive, Aesthetic Surgery, Toyama University Hospital, Toyama, Japan
Gaku Tachibana, MD: From the * Department of Plastic and Reconstructive, Aesthetic Surgery, Toyama University Hospital, Toyama, Japan
Kohta Kobayashi, MD: From the * Department of Plastic and Reconstructive, Aesthetic Surgery, Toyama University Hospital, Toyama, Japan
Ryohei Katsuragi, MD: From the * Department of Plastic and Reconstructive, Aesthetic Surgery, Toyama University Hospital, Toyama, Japan
Toshihiko Satake, MD, PhD: From the * Department of Plastic and Reconstructive, Aesthetic Surgery, Toyama University Hospital, Toyama, Japan
Erika Hamada, MD: † Department of Lymphedema Treatment Outpatient, Toyama Nishi General Hospital.

DOI: https://doi.org/10.1097/GOX.0000000000004870
Journal volume & issue: Vol. 11, no. 3
p. e4870

Abstract

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Much has been reported in the past regarding obesity as a risk factor for the origin of lymphedema. There are also reports of surgical treatments for obesity-related lymphedema. We have previously reported on the effectiveness of lymphaticovenular anastomosis in reducing chronic inflammation, and we believe that lymphaticovenular anastomosis is a very useful surgical approach in patients with recurrent cellulitis. In this report, we describe a case of a severely obese patient with a body mass index over 50 who developed lymphedema in both lower extremities due to pressure from sagging abdominal fat accompanied by frequent episodes of cellulitis.

Published in Plastic and Reconstructive Surgery, Global Open

ISSN: 2169-7574 (Online)
Publisher: Wolters Kluwer
Country of publisher: United States
LCC subjects: Medicine: Surgery
Website: http://www.prsgo.com

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