Nursing care of a patient with lower limb lymphedema treated with latissimus dorsi lymph node flap transplantation combined with lymphatic vessel venous anastomosis
10.3760/cma.j.cn211501-20240511-01171
- VernacularTitle:背阔肌淋巴结皮瓣移植联合淋巴管-静脉吻合术治疗下肢淋巴水肿患者1例的护理
- Author:
Zhuoqiang WU
1
;
Chunyan LI
;
Xuemei GUO
;
Mingxia PENG
;
Zhuanle WEI
;
Qiaoyan DAI
Author Information
1. 中山大学附属第一医院显微创伤手外科，广州 510080
- Keywords:
Lymphedema;
Nursing care;
Latissimus dorsi lymph node flap;
Lymphatic vein anastomosis
- From:
Chinese Journal of Practical Nursing
2024;40(34):2710-2715
- CountryChina
- Language:Chinese
-
Abstract:
To summarize the nursing experience of a patient with lower limb lymphedema treated with latissimus dorsi lymph node flap transplantation combined with lymphatic vessel venous anastomosis. The main contents of nursing included refining the observation steps and accurately evaluating the blood supply of the skin flap; real time dynamic communication between medical WeChat images and text, and targeted treatment; implementing personalized disease management to prevent complications; adopting an integrated medical and nursing remote follow-up model to improve follow-up efficiency. After 20 days of careful nursing, the patient′s skin flap had good blood circulation and no vascular crisis or skin flap necrosis after surgery One week after surgery and 1 to 3 months of follow-up, the degree of swelling in the affected limb significantly decreased and the skin softened significantly.
