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Einzelne lymphovenöse Anastomose bei sekundärem Lymphödem im Frühstadium am Bein
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
Einzelne lymphovenöse Anastomose bei sekundärem Lymphödem im Frühstadium am Bein
Eine 53-jährige Frau mit sekundärem Lymphödem im sehr frühen Stadium nach Endometriumkarzinom stellte sich vor. Die Lymphbahnen waren äußerst gesund. Der ICG-Scan zeigte ein lineares Muster, das in einem dermalen Rückfluss endete. Die Inzision erfolgte distal. Ein gesundes, großes Lymphgefäß, das mit Patentblau und ICG gut angefärbt war, wurde in die Vene geführt. Nach der Lymphdrainage zeigt das ICG-Imaging keine Durchlässigkeit und beide Gefäße waren gleich intensiv angefärbt; beides Hinweise auf eine durchlässige Anastomose.
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