Combined conservative treatment and lymphatic venous anastomosis for severe lower limb XXXX with recurrent @entity2688 .

@entity1 @entity5 @entity4 @entity4269 @entity2688 @entity3194
BACKGROUND: @entity4269 may be treated either conservatively or surgically. Although conservative therapy is the first-line treatment, some @entity1 are refractory to it and repeat severe @entity2688 . We usually perform lymphaticovenous anastomosis (LVA) for @entity4269 @entity1 , and LVA can reduce the frequency of @entity2688 . CASE REPORT: A 67-year-old @entity1 who had undergone a radical hysterectomy, pelvic lymphadenectomy, and postoperative radiotherapy for cervical @entity5 at the age 50 years. She developed @entity4269 in both legs, and high-pressure compression stockings caused lymphorrhea in the groin and thigh, resulting in recurrent episodes of @entity2688 . Lymphoscintigraphy revealed dilation of the lymphatic vessels in both legs. Results of an @entity3194 test revealed dermal backflow throughout the lower body. After wearing low-pressure stocking, we performed LVA to reduce @entity2688 . After confirming the result of LVA, the @entity1 started wearing high-pressure stocking. The @entity1 underwent a subsequent LVA, 3 months after the first, to further improve @entity4 . The lymphorrhea resolved, and @entity2688 did not recur. CONCLUSIONS: The combination of surgical treatment and conservative treatment is important for severe @entity4269 treatment. Although conservative treatment is usually said to be the first-line treatment, LVA can antecede in cases refractory to conservative treatment.
