Caso
Anastomosis linfovenosa en el paquete linfático anteromedial de la parte inferior de la pierna en un paciente con linfedema primario
Información de PRS 2024
26 marzo 2026
· 20 MIN VER
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AUTOR
Dr. Christian Taeger
Especialista en cirugía plástica y de manos, clínica privada en Múnich (Alemania)
RESUMEN
Anastomosis linfovenosa en el paquete linfático anteromedial de la parte inferior de la pierna en un paciente con linfedema primario
Este caso corresponde a un varón de 64 años con linfedema primario en la parte inferior de la pierna. La linfangiografía por resonancia magnética (MRL) y el escaneo preoperatorio con ICG realizado el día previo a la cirugía no evidenciaron estructuras linfáticas significativas. La incisión se realizó sobre el paquete linfático anteromedial, donde se identificaron vasos linfáticos de gran tamaño, aunque con una disposición en espiral desalineada. A pesar de la revisión, esta primera anastomosis no mostró permeabilidad. Posteriormente, se seleccionó otro vaso y el procedimiento se desarrolló sin incidencias.
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