Abstract
The results of the lymphatic vessel transplantation have been objectified using different methods.
Volumes were measured before and after the surgery and compared to the contralateral limbs as far as possible following the method of Kuhnke. Hereby circumferences were measured in a distance of 4 cm, and the volumes of these disks with a height of 4 cm were added up to calculate the volume of the whole limb within the measured area.
With the help of independent investigators of the nuclear medicine and the radiology, function and patency of the grafts were examined.
Lymphoscintigraphies were performed before and after the surgery. The numeric lymphatic transport index was used to evaluate the findings. With this low-invasive method, repeated measurements were possible.
With the help of water-soluble contrast medium performing an indirect lymphography and later on using the sophisticated MRI lymphography, also long-term patency was proved in selected patients.
Quality of life assessment, specifically designed for patients with lymphedema and based on standard questionnaires, was developed and used for evaluation.
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Baumeister, R.G.H. (2017). Methods for Objectification of the Results. In: Reconstructive Lymph Vascular Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-31647-5_4
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DOI: https://doi.org/10.1007/978-3-319-31647-5_4
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