Background: The surgical excision of sarcoma tumors in the upper and lower limbs often inevitably leads to large defects that may impair the lymphatic system. Damage in these settings may involve both lymphatic vessels and lymph nodes, and their consequences can be evident at the immediate end of the procedure. In order to prevent short- and long-term lymphatic complications, it is important to address these damages at the time of primary reconstruction. Methods: In our clinical practice, we implemented the combination of lymphatic reconstructive surgeries for all patients who underwent a surgical resection of soft tissue sarcoma with obvious iatrogenic lymphatic system damage (either surgical or radiotherapy-induced) and were retrospectively enrolled. The soft tissue reconstruction was combined with lymphatic procedures intended to restore lymph drainage. Lymphovenous anastomoses (LVA), either in the conventional distal fashion or as lymphatic flow-through with the flap’s veins, were always used. Results:
📖 افتح في inklap 🔗 DOI 📮 اطلب بحثاً