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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 영남대학교 의과대학 Journal of Yeungnam Medical Science Yeungnam University Journal of Medicine 제38권 제1호
- 발행연도
- 2021.1
- 수록면
- 74 - 77 (4page)
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초록· 키워드
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Lymphorrhea is a rare but potentially severe complication that occurs after various surgical procedures. Untreated lymphorrhea may lead to wound dehiscence, infection, and prolonged hospital stay. Currently, there is no standard effective treatment. Early management usually includes leg elevation, drainage, and pressure dressing. However, these methods are associated with prolonged recovery and high recurrence rates. We report a case of lymphorrhea from a calf wound after endoscopic great saphenous vein (GSV) harvesting for coronary artery bypass grafting (CABG). The patient presented with intractable oozing from the postoperative wound on the right calf. Lymphorrhea perGsisted for 6 weeks despite negative-pressure wound therapy with a long-acting somatostatin. We performed unilateral pedal lymphangiography that confirmed wound lymphorrhea, followed by glue embolization. No recurrence was observed after 8 months of follow-up. This case report demonstrates the successful use of lymphangiography with glue embolization in the control of lymphorrhea after GSV harvesting for CABG.
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참고문헌 (6)
참고문헌 신청
Unno N / 2014 / Intraoperative lymph mapping with preoperative vein mapping to prevent postoperative lymphorrhea following paramalleolar bypass surgery in patients with critical limb ischemia / Surg Today 44:436~442
Heitink MV / 2009 / Lymphedema after greater saphenous vein surgery / Eur J Vasc Endovasc Surg 38:656
Kos S / 2007 / Lymphangiography : forgotten tool or rising star in the diagnosis and therapy of postoperative lymphatic vessel leakage / Cardiovasc Intervent Radiol 30:968~973
Rajebi MR / 2011 / Intranodal lymphangiography : feasibility and preliminary experience in children / J Vasc Interv Radiol 22:1300~1305
Nadolski GJ / 2012 / Feasibility of ultrasound-guided intranodal lymphangiogram for thoracic duct embolization / J Vasc Interv Radiol 23:613~616
Heitink MV / 2009 / Lymphedema after greater saphenous vein surgery / Eur J Vasc Endovasc Surg 38:656
Kos S / 2007 / Lymphangiography : forgotten tool or rising star in the diagnosis and therapy of postoperative lymphatic vessel leakage / Cardiovasc Intervent Radiol 30:968~973
Rajebi MR / 2011 / Intranodal lymphangiography : feasibility and preliminary experience in children / J Vasc Interv Radiol 22:1300~1305
Nadolski GJ / 2012 / Feasibility of ultrasound-guided intranodal lymphangiogram for thoracic duct embolization / J Vasc Interv Radiol 23:613~616
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