Fall
Tiefe, einzelne lymphovenöse Anastomose auf medialer Kniehöhe bei Lymphödem in Stadium I
PRS Insights 2024
26. März 2026
· 17 Min. Videodauer
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VERFASSER
Dr. med. Christian Taeger
Facharzt für Plastische und Handchirurgie, Privatklinik, München, Deutschland
ZUSAMMENFASSUNG
Tiefe, einzelne lymphovenöse Anastomose auf medialer Kniehöhe bei Lymphödem in Stadium I
Dies ist ein Patientenfall mit sehr frühzeitigem Lymphödem in Stadium I. Ein ICG-Scan am Tag vor dem Eingriff zeigte weitestgehend intakte Lymphbahnen. Bei einem erneuten Scan unmittelbar vor dem Eingriff wurde jedoch ein dermaler Rückfluss im proximalen Oberschenkel festgestellt. Es wurde entschieden, die Inzision auf medialer Kniehöhe vorzunehmen. Nur ein sehr kleines, äußerst tief liegendes Lymphgefäß war sichtbar, was die Anastomosierung erschwerte. Die Anastomose wurde mehrfach revidiert, bis sie durchgängig war.
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