Fall
Lymphovenöse Anastomosen des anteromedialen Lymphknotenbündels bei einem Patienten mit primärem Lymphödem am Unterschenkel
PRS Insights 2024
26. März 2026
· 20 Min. Videodauer
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VERFASSER
Dr. med. Christian Taeger
Facharzt für Plastische und Handchirurgie, Privatklinik, München, Deutschland
ZUSAMMENFASSUNG
Lymphovenöse Anastomosen des anteromedialen Lymphknotenbündels bei einem Patienten mit primärem Lymphödem am Unterschenkel
Dies ist der Fall eines 64-jährigen Mannes mit primärem Lymphödem am Unterschenkel. Eine Magnetresonanz-Lymphangiographie (MRL) und der präoperative ICG-Scan am Tag vor dem Eingriff zeigten keine signifikanten Lymphbahnen. Die Inzision erfolgte am anteromedialen Lymphknotenbündel, an dem sich große Lymphbahnen befanden, allerdings falsch in Spiralform ausgerichtet. Trotz Revision ergab diese erste Anastomose keine Durchgängigkeit. Anschließend wurde ein anderes Gefäß gewählt, an dem der Eingriff reibungslos verlief.
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