• Acta Medica Port · May 2022

    Case Reports

    Treatment of Lymphorrhea Associated with an Amputation Stump with Lymphaticovenular Anastomosis.

    • Francisco Martins de Carvalho, Alexandre Almeida, Álvaro Silva, and Marisa Marques.
    • Plastic, Reconstructive and Aesthetic Surgery Department and Burn Unit. Centro Hospitalar de São João. Porto. Portugal.
    • Acta Medica Port. 2022 May 2; 35 (5): 384-387.

    AbstractLower limb lymphorrhea is a condition with a considerable impact on the quality of life. It is usually associated with inguinal lymph node dissection and vascular procedures with femoral exposure. In this case report, we describe a patient who underwent a below-knee amputation and two years later developed lymphorrhea from the stump, preventing adaptation to the prosthesis. Lymphoscintigraphy showed a delayed lymphatic progression. After failure of conservative treatment, she underwent lymphaticovenular anastomosis with a successful outcome. Drainage cessation suggests that lymphaticovenular anastomosis may be an effective treatment for patients with lymphorrhea from and amputation stump, although further studies are required to determine long-term efficacy.

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