{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:40:56Z","timestamp":1756384856424},"reference-count":0,"publisher":"Index Copernicus","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pol Przegl Chir"],"published-print":{"date-parts":[[2018,5,16]]},"abstract":"<jats:p>Introduction: Chylous complications, which occur also in the profile of vascularsurgical interventions with considerable frequency, are challenging with regard to their adequate management.\nAim &amp; method: Compact short overview on epidemiological, classifying, symptomatic, diagnostic and therapeutic aspects of chylous complications in vascular surgery, based on i) own clinical experiences, ii) a current selection of relevant scientific references and iii) representative case reports from clinical practice.\nResults (complex patient- &amp; clinical finding-associated aspects): - Basic treatment of lymphedema \/ postreconstructive edema comprises the complex physical therapy to improve edematous swelling, which need to be usually performed over years.\n- In case of lymphocele, wait-and-see strategy can be initially pursued to observe spontaneous clinical course. If the lymphocele and its clinical complaints persist, puncture, placement of a drainage or temporary instillation of doxycyclin or ethanol can be attempted.\n- In case of lymphatic fistula, vacuum-assisted closure dressing, radiation and selective ligation of lymphatic vessels after previous application of methylen blue dye can be used.\n- Chylascites and chylothorax should be primarily treated \u2013 as have been widely established in the mean time \u2013 with a consequently conservative approach comprising initially paracentesis \/ thoracocentesis, protein-enriched and low-fat diet containing middle chain triglycerides (MCT) or total parenteral nutrition combined with the application of a somatostatin analogue (surgical approach as ultima ratio only aiming at ligation of the lesioned lymphatic vessel \u2013 if necessary, including preoperative consumption of cream).\nSummary: Chylous complications can be primarily treated with conservatice measures, which should be exploited using a step-wise approach prior to surgical intervention as ultima ratio.\nConclusion: The experienced vascular surgeon should be aquainted with a sufficient, finding-adapted management of chylous complications. This requires a well-experienced clinician and surgeon with great expertise regarding the interdisciplinary setting comprising of interventional radiology, vascular (abdominal) surgery and partially surgical intensive care.\n\n<\/jats:p>","DOI":"10.5604\/01.3001.0011.8172","type":"journal-article","created":{"date-parts":[[2018,5,16]],"date-time":"2018-05-16T16:29:55Z","timestamp":1526488195000},"page":"43-48","source":"Crossref","is-referenced-by-count":2,"title":["Chylous complications of various severity and manifestations within diverse compartments in reconstructive vascular surgery #)\n#) The manuscript is dedicated to Prof. Dr. Z. Halloul"],"prefix":"10.5604","volume":"90","author":[{"given":"Klaus","family":"Wasseroth","sequence":"first","affiliation":[{"name":"AMEOS Hospital, Schoenebeck (Germany) Center of Vascular Medicine, Aschersleben \/ Schoenebeck (certified by the \u201cGerman Society for Vascular Surgery and Vascular Medicine\u201c)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Udo","family":"Barth","sequence":"additional","affiliation":[{"name":"AMEOS Hospital, Schoenebeck (Germany) Center of Vascular Medicine, Aschersleben \/ Schoenebeck (certified by the \u201cGerman Society for Vascular Surgery and Vascular Medicine\u201c)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roland","family":"Albrecht","sequence":"additional","affiliation":[{"name":"HELIOS Klinikum (Municipal Hospital), Aue (Germany) Dept. of General, Abdominal and Minimally Invasive Surgery (with Thoracic Surgery)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Volker","family":"Rahms","sequence":"additional","affiliation":[{"name":"AMEOS Hospital, Schoenebeck (Germany) Center of Vascular Medicine, Aschersleben \/ Schoenebeck (certified by the \u201cGerman Society for Vascular Surgery and Vascular Medicine\u201c)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Meyer","sequence":"additional","affiliation":[{"name":"University Hospital at Magdeburg, Magdeburg (Germany) Dept. of General, Abdominal and Vascular Surgery"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3689","container-title":["Polish Journal of Surgery"],"original-title":[],"link":[{"URL":"https:\/\/ppch.pl\/gicid\/pdf\/01.3001.0011.8172","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/ppch.pl\/gicid\/pdf\/01.3001.0011.8172","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,5,16]],"date-time":"2018-05-16T16:30:01Z","timestamp":1526488201000},"score":1,"resource":{"primary":{"URL":"https:\/\/ppch.pl\/gicid\/01.3001.0011.8172"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5,16]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,5,16]]}},"URL":"https:\/\/doi.org\/10.5604\/01.3001.0011.8172","relation":{},"ISSN":["0032-373X","2299-2847"],"issn-type":[{"value":"0032-373X","type":"print"},{"value":"2299-2847","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,5,16]]}}}