Centeno-Rodriguez Madelein, Koshima Isao
Department of Plastic Surgery and Burn Unit, San Juan de Dios Hospital, San José, Costa Rica; and International Center for Lymphedema, Hiroshima University Hospital, Hiroshima, Japan.
Plast Reconstr Surg Glob Open. 2018 Feb 27;6(2):e1689. doi: 10.1097/GOX.0000000000001689. eCollection 2018 Feb.
Although a large number of treatments have been developed for lymphedema, definitive management still remains a challenge for plastic surgery, because not all surgical techniques have a positive effect on every patient, and good results are difficult to reproduce. However, it is important to recognize the efforts that Professor Isao Koshima and his colleagues together with the Government of Japan are carrying out to spread information to the different countries on the newest surgical techniques available in current plastic surgery and to motivate young doctors in developing countries to create a microsurgery unit in their home country, providing them with the necessary knowledge and skills to deliver real solutions to complex problems that were previously unanswered. As a result of this program, the authors present the first case of secondary lymphedema successfully treated with lymphaticovenular anastomosis in Costa Rica, Central America.
尽管已经开发出大量针对淋巴水肿的治疗方法，但对于整形外科来说，确定的治疗方案仍然是一个挑战，因为并非所有手术技术对每个患者都有积极效果，而且良好的效果难以重现。然而，重要的是要认识到小嶋一雄教授及其同事与日本政府正在做出努力，向不同国家传播当前整形外科中可用的最新手术技术信息，并激励发展中国家的年轻医生在其本国建立显微外科单元，为他们提供必要的知识和技能，以真正解决以前无法解决的复杂问题。由于这个项目，作者介绍了中美洲哥斯达黎加首例通过淋巴管静脉吻合术成功治疗继发性淋巴水肿的病例。
