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This study aimed to determine the impact on outcomes when recipient veins with reflux were used for LVA for the treatment of unilateral lower limb lymphedema.
The use of recipient veins with reflux for lymphaticovenous anastomosis (LVA) is discouraged because of the common belief that it may lead to venous-lymphatic reflux (VLR), a phenomenon in which venous blood is refluxed into the lymphatic lumen after anastomosis, which can lower the long-term patency rate. However, this concept has yet to be validated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lower Limb Lymphedema | Patients with cancer-related unilateral lower limb lymphedema were enrolled. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Veins with reflux | Other | This group included patients who used only recipient veins with reflux |
|
| Measure | Description | Time Frame |
|---|---|---|
| Volume change after LVA. | The primary endpoint was the volume change at 6/12 months after LVA. | 6/12 months |
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Inclusion Criteria:
Exclusion Criteria:
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All adult patients (age >20 years) receiving LVA for lower limb lymphedema at a tertiary medical center were retrospectively reviewed from October 2015 to December 2022.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kaohsiung Chang Gung Memorial Hospital | Kaohsiung City | 83301 | Taiwan |
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| ID | Term |
|---|---|
| D008209 | Lymphedema |
| ID | Term |
|---|---|
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
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| Reflux-free recipient veins | Other | This group included patients who utilized only reflux-free recipient veins |
|