Arch Plast Surg.  2021 May;48(3):333-335. 10.5999/aps.2019.01004.

Postoperative care after lymphaticovenous anastomosis

Affiliations
  • 1Department of Plastic Surgery, China Medical University Hospital, Taichung City, Taiwan
  • 2Department of Plastic and Reconstructive Surgery, Umberto I University Hospital, Sapienza University of Rome, Rome, Italy
  • 3Division of Plastic and Reconstructive Surgery, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy
  • 4Plastic Surgery Unit, Sant’Andrea Hospital, School of Medicine and Psychology, Sapienza University of Rome, Rome, Italy
  • 5Department of Plastic and Maxillofacial Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand

Abstract

In this report, we discuss the postoperative protocol for patients undergoing lymphaticovenous anastomosis (LVA) in our unit. Immediately after LVA, the incision site is closed over a small Penrose drain and a simple gauze dressing is applied without compression. In the first 5 days, ambulation is allowed, but limb elevation is actively encouraged to promote lymphatic flow across the newly formed anastomosis. Prophylactic antibiotics are routinely given to prevent infection because this patient group is susceptible to infections, which could trigger thrombosis in the anastomosis.

Keyword

Lymphaticovenous anastomosis / Lymphedema / Postoperative care / Compression
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