Since 1980, 110 cases of @entity4269 have been treated by microlymphaticovenous @entity254 . Of these 110 @entity1 , 91 with obstructive @entity4269 of lower limbs were reviewed. The immediate and long-term results have been very satisfactory. Excellent and good results were obtained in 79.1 percent. An average reduction in circumference of the affected limb of 6.4 cm and an average reduction of excess volume of 59.2 +/- 29.5 percent (representing 703 +/- 850 ml) were obtained. Subjective symptoms and objective signs were improved. Four @entity1 (4.4 percent) showed poor results owing to severe @entity82 of neighboring tissue; no lymphatics could be located for @entity254 . As the authors gained experience with the operation over the last 3 years, they modified the operative procedure, the anastomotic technique, and the selection of collective lymphatics. The data obtained suggest that the quality of results is proportional to the number of anastomoses. In order to obtain the best results, the criteria for selection of @entity1 and avoidance of postoperative relapse are discussed. Finally, a test for determination of the indications for microlymphatic surgery is described.

@entity254 in the treatment of lower limb obstructive XXXX : analysis of 91 cases.

@entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity1 :: ('9606', 'Species') :: ['patients'] @entity4269 :: ('MESH:D008209', 'Disease') :: ['lymphedema'] @entity82 :: ('MESH:D005355', 'Disease') :: ['fibrosis']
@entity4269 :: (MESH:D008209,Disease) :: ['lymphedema']
