Vascularized lymph node transplantation in the treatment of hand lymphedema. Anatomic study of inguinal lymph flap. The technique of double staining of lymph nodes

Abstract

Lymphedema is a chronic progressive disease, which is caused by lymphatic insufficiency. pathophysiological basic of lymph edema is swelling of tissues, hypertrophy of subcutaneous fat. Accumulation of high protein interstitial fluid stimulates cell proliferation and causes inflammation. chronic inflammation in turn leads to fibrosis of intact lymph collectors and surrounding tissues, these changes are irreversible. complex disturbing factors, namely, the surgical removal of the lymph nodes and postoperative radiotherapy lymphodynamics lead to a breach in the hand.
One of the modern methods of treatment is transplantation of vascularized lymphostasis lymph nodes. The most commonly used fiber groin to move to the armpit on the side lymphostasis.
20 operations inguinal lymph discharge flap on the corpses was carried out to study the anatomical us. objective: to determine the relationship of lymph cells in the inguinal flap, evaluate the possibility of the lateral surface of the fence group inguinal lymph nodes without compromising lymphodynamic lower extremities, which method of double contrast lymph collectors groin was used.
Our anatomical study suggests the heterogeneity of the surface groups of the inguinal lymph nodes, lymph nodes for safe use for transplantation lymph flap should include only the lateral superficial inguinal lymph nodes.