Document Type
Original Article
Abstract
Background: Post-traumatic lymphedema is minimally researched; only a few articles are talking about post-traumatic lymphedema at the extremities, and few incidence data are available, but up to 20% of patients with major trauma of the limbs have persistent edema after the injury.
Aim and objectives: To evaluate the impact of using free flaps based on lymph axiality on lymph flow restoration (LFR).
Subjects and methods: This interventional study was conducted on thirty post-traumatic patients undergoing soft tissue reconstruction surgeries at an extremity at the plastic and reconstructive surgery unit of Azhar University Hospitals.
Results: There was a statistically significant difference between the positivity and negativity of Lymph Flow Restoration regarding the presence of a missed gap (M gap) between lymphatic vessel stumps, and there was a highly statistically significant difference between the LFR Positive and LFR negative regarding lymph axiality.
Conclusion: Restoration of lymph flow can be achieved with free flap transfer surgery to an extremity without transferring lymph node (LN) surgery or super-microsurgical lymphatic procedures; lymph axiality (LA) without any missed gap between donor and recipient lymph vessels stump is the key for lymph flow restoration.
Keywords
Post Traumatic Lymphedema; Indocyanine Green Lymphography; Fasciocutaneous Free Flap
Subject Area
Plastic surgery
How to Cite This Article
Elbanoby, Tarek Yousef; Abd Elaziz, Mohamed Ali; Abdelfattah, Usama; and El Zawahry, Mohamed Abdelmonem Moussa Hussein
(2024)
"Mohamed Abdelmonem Moussa Hussein El Zawahry,"
Al-Azhar International Medical Journal: Vol. 5:
Iss.
6, Article 20.
DOI: https://doi.org/10.58675/2682-339X.2480
