Lymphatic Mapping with Multi-Lymphosome Indocyanine Green Lymphography in Legs with Lymphedema
It is observed that the locations of the most functional lymphatic vessels in the lymphedematous limbs can differ significantly from those in healthy limbs. The aim of this study was to elucidate the lymphatic map of lymphedematous limbs. We retrospectively analyzed 59 patients (118 limbs) with lowe...
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Thieme Medical Publishers, Inc.
2024-11-01
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| Series: | Archives of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2375-8153 |
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| author | Hisako Hara Makoto Mihara |
| author_facet | Hisako Hara Makoto Mihara |
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| description | It is observed that the locations of the most functional lymphatic vessels in the lymphedematous limbs can differ significantly from those in healthy limbs. The aim of this study was to elucidate the lymphatic map of lymphedematous limbs. We retrospectively analyzed 59 patients (118 limbs) with lower limb lymphedema. Fifty-five were women and four were men. The mean age and duration of lymphedema was 62.4 and 7.7 years, respectively. For the lateral thigh lymphosome, we injected indocyanine green (ICG) at the lateral knee and measured the distance (Dt) between the anterior superior iliac spine (ASIS) and the point where the lymphatic vessels crossed the reference line (the line connecting the ASIS and the patellar center). For the lateral calf lymphosome, we injected ICG at the lateral ankle and measured the distance (Dc) between the inferior patellar border and the point where the lymphatic vessels crossed the reference line (the anterior border of the tibia). In the lateral thigh, the mean Dt was 30.4 ± 0.6 cm (range, 0–41 cm) and the distribution peaked at approximately 30 cm from the ASIS. In the calf, the mean Dc was 13.1 ± 0.9 cm (range, −11 to 32 cm). The distribution of lymphatic vessel locations was highly variable. We could establish the lymphatic map in the lymphedematous legs. The distribution of lymphatic vessels in the thigh and lower legs had one and two peaks, respectively. |
| format | Article |
| id | doaj-art-05315d1f4277471597303c3c06261b72 |
| institution | Kabale University |
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| language | English |
| publishDate | 2024-11-01 |
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| spelling | doaj-art-05315d1f4277471597303c3c06261b722024-11-13T23:40:19ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712024-11-01510659259610.1055/a-2375-8153Lymphatic Mapping with Multi-Lymphosome Indocyanine Green Lymphography in Legs with LymphedemaHisako Hara0https://orcid.org/0000-0002-0365-0477Makoto Mihara1https://orcid.org/0000-0002-5553-8882Department of Lymphatic and Reconstructive Surgery, JR Tokyo General Hospital, Tokyo, JapanDepartment of Lymphatic Surgery, Lymphedema Clinic, Tokyo, JapanIt is observed that the locations of the most functional lymphatic vessels in the lymphedematous limbs can differ significantly from those in healthy limbs. The aim of this study was to elucidate the lymphatic map of lymphedematous limbs. We retrospectively analyzed 59 patients (118 limbs) with lower limb lymphedema. Fifty-five were women and four were men. The mean age and duration of lymphedema was 62.4 and 7.7 years, respectively. For the lateral thigh lymphosome, we injected indocyanine green (ICG) at the lateral knee and measured the distance (Dt) between the anterior superior iliac spine (ASIS) and the point where the lymphatic vessels crossed the reference line (the line connecting the ASIS and the patellar center). For the lateral calf lymphosome, we injected ICG at the lateral ankle and measured the distance (Dc) between the inferior patellar border and the point where the lymphatic vessels crossed the reference line (the anterior border of the tibia). In the lateral thigh, the mean Dt was 30.4 ± 0.6 cm (range, 0–41 cm) and the distribution peaked at approximately 30 cm from the ASIS. In the calf, the mean Dc was 13.1 ± 0.9 cm (range, −11 to 32 cm). The distribution of lymphatic vessel locations was highly variable. We could establish the lymphatic map in the lymphedematous legs. The distribution of lymphatic vessels in the thigh and lower legs had one and two peaks, respectively.http://www.thieme-connect.de/DOI/DOI?10.1055/a-2375-8153lymphedemalymphosomeICGlymphatic mappingindocyanine green |
| spellingShingle | Hisako Hara Makoto Mihara Lymphatic Mapping with Multi-Lymphosome Indocyanine Green Lymphography in Legs with Lymphedema Archives of Plastic Surgery lymphedema lymphosome ICG lymphatic mapping indocyanine green |
| title | Lymphatic Mapping with Multi-Lymphosome Indocyanine Green Lymphography in Legs with Lymphedema |
| title_full | Lymphatic Mapping with Multi-Lymphosome Indocyanine Green Lymphography in Legs with Lymphedema |
| title_fullStr | Lymphatic Mapping with Multi-Lymphosome Indocyanine Green Lymphography in Legs with Lymphedema |
| title_full_unstemmed | Lymphatic Mapping with Multi-Lymphosome Indocyanine Green Lymphography in Legs with Lymphedema |
| title_short | Lymphatic Mapping with Multi-Lymphosome Indocyanine Green Lymphography in Legs with Lymphedema |
| title_sort | lymphatic mapping with multi lymphosome indocyanine green lymphography in legs with lymphedema |
| topic | lymphedema lymphosome ICG lymphatic mapping indocyanine green |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2375-8153 |
| work_keys_str_mv | AT hisakohara lymphaticmappingwithmultilymphosomeindocyaninegreenlymphographyinlegswithlymphedema AT makotomihara lymphaticmappingwithmultilymphosomeindocyaninegreenlymphographyinlegswithlymphedema |