Lymphedema after upper limb transplantation: scintigraphic study in 3 patients.

Abstract:

:Lymphatic vasculature is known to spontaneously reconnect after hand replantation. Nonetheless, lymphatic outflow has not been specifically studied in hand transplantation.Lymphedema was studied clinically and scintigraphically in 3 bilateral upper limb transplants performed in Valencia, Spain, since 2006. Case 1 was a radiocarpal level, case 2 midforearm and proximal forearm, and case 3 was a transhumeral transplantation. Follow-up was 5, 4, and 3 years, respectively. Clinically, in case 1, there was a left-sided moderate lymphedema, case 2 was normal, and a right-sided moderate lymphedema was present in case 3. Lymphoscintigraphy results were consistent with the clinical findings. It was normal in the 4 nonedematous limbs. In the 2 affected limbs, there were scintigraphic findings of lymphatic block and lymphangiectasia.The study demonstrates objectively that lymphatic circulation can reconnect spontaneously in hand transplantations, although not in a homogeneously efficient way.

journal_name

Ann Plast Surg

authors

Cavadas PC,Thione A,Carballeira A,Dominguez PC

doi

10.1097/SAP.0b013e31828349ff

subject

Has Abstract

pub_date

2013-07-01 00:00:00

pages

114-7

issue

1

eissn

0148-7043

issn

1536-3708

pii

00000637-201307000-00029

journal_volume

71

pub_type

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