Cas
Anastomose lympho-veineuse sur le faisceau lymphatique antéro-médial chez un patient atteint de lymphœdème primaire de la jambe
PRS Insights 2024
26 mars 2026
· 20 MIN VISIONNAGE
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AUTEUR
Christian Taeger, MD
Spécialiste en chirurgie plastique et de la main, clinique privée, Munich, Allemagne
RÉSUMÉ
Anastomose lympho-veineuse sur le faisceau lymphatique antéro-médial chez un patient atteint de lymphœdème primaire de la jambe
Il s'agit du cas d'un homme de 64 ans atteint d'un lymphœdème primaire de la jambe. Une lymphangiographie par résonance magnétique (MRL) et le scanner ICG préopératoire la veille de l'intervention n'ont montré aucun vaisseau lymphatique significatif. L'incision a été pratiquée sur le faisceau lymphatique antéro-médial, où de gros vaisseaux lymphatiques étaient présents, bien que mal alignés en spirale. Malgré l'analyse, cette première anastomose n'a pas montré de perméabilité. Par la suite, un autre vaisseau a été sélectionné, où la procédure s'est déroulée sans problème.
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