Chan Jeffrey C Y, Taranto Giuseppe Di, Elia Rossella, Amorosi Vittoria, Sitpahul Ngamcherd, Chen Hung-Chi
Department of Plastic Surgery, China Medical University Hospital, Taichung City, Taiwan.
Department of Plastic and Reconstructive Surgery, Umberto I University Hospital, Sapienza University of Rome, Rome, Italy.
Arch Plast Surg. 2021 May;48(3):333-335. doi: 10.5999/aps.2019.01004. Epub 2021 May 15.
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.
在本报告中，我们讨论了在我们科室接受淋巴管静脉吻合术（LVA）患者的术后方案。LVA术后，立即在一个小的橡皮引流管上方关闭切口部位，并应用简单的纱布敷料，不施加压迫。在头5天，允许患者走动，但积极鼓励抬高肢体，以促进淋巴液流过新形成的吻合口。由于该患者群体易发生感染，而感染可能引发吻合口血栓形成，因此常规给予预防性抗生素以预防感染。
