Correlation of the changes in physical activity and clinical results following lymphatic microsurgery

Background The physical activity (PA) of patients may change after microsurgical treatment for lower extremity lymphedema (LEL). We investigated whether PA changes perioperatively and whether it influences the treatment result. Patients and Methods Sixty patients with unilateral LEL (56 secondary an...

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Bibliographic Details
Published in:Microsurgery 2021-01, Vol.41 (1), p.44-49
Main Authors: Akita, Shinsuke, Yamaji, Yoshihisa, Tokumoto, Hideki, Ogata, Hideyuki, Kosaka, Kentaro, Kubota, Yoshitaka, Kuriyama, Motone, Mitsukawa, Nobuyuki
Format: Article
Language:English
Subjects:
Anastomosis
Exercise
Lymph nodes
Lymphedema
Lymphography
Microsurgery
Patients
Physical activity
Surgery
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Summary:Background The physical activity (PA) of patients may change after microsurgical treatment for lower extremity lymphedema (LEL). We investigated whether PA changes perioperatively and whether it influences the treatment result. Patients and Methods Sixty patients with unilateral LEL (56 secondary and 4 primary) underwent lymphatic microsurgeries. Patients were divided into two groups based on improvement in International Physical Activity Questionnaire Short Form (IPAQ‐SF) categories; the outcomes were compared. Results Fifty‐three patients in whom linear pattern could be partially observed in indocyanine green lymphography or lymphoscintigraphy underwent lymphaticovenular anastomosis (LVA); seven patients in whom no linear pattern was observed underwent simultaneous LVA and vascularized lymph node transfer. No surgical complication was observed. The median IPAQ‐SF score significantly improved from 990 (interquartile range: 231–2,376) to 1,386 (interquartile range: 940.5–4,158; p
ISSN:0738-1085
1098-2752
DOI:10.1002/micr.30642