Treatment of Lymphorrhea Associated with an Amputation Stump with Lymphaticovenular Anastomosis

• Autor(a) principal: Martins de Carvalho, Francisco
• Data de Publicação: 2022
• Outros Autores: Almeida, Alexandre, Silva, Álvaro, Marques, Marisa
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13470
• topic: Amputation Stumps; Anastomosis; Surgical; Lower Extremity; Lymphatic Vessels; Microsurgery; Anastomose Cirúrgica; Cotos de Amputação; Extremidade Inferior; Microcirurgia; Vasos Linfáticos

Lower limb lymphorrhea is a condition with a considerable impact on the quality of life. It is usually associated with inguinal lymph node dissection and vascular procedures with femoral exposure. In this case report, we describe a patient who underwent a below-knee amputation and two years later developed lymphorrhea from the stump, preventing adaptation to the prosthesis. Lymphoscintigraphy showed a delayed lymphatic progression. After failure of conservative treatment, she underwent lymphaticovenular anastomosis with a successful outcome. Drainage cessation suggests that lymphaticovenular anastomosis may be an effective treatment for patients with lymphorrhea from and amputation stump, although further studies are required to determine long-term efficacy.