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September 1966

Study of the Thoracico-abdominal Lymphatic System: II. Lymph Node Perfusion by Overfill Technique

Author Affiliations

From the departments of surgery and medicine, Chicago Medical School and Mount Sinai Hospital Medical Center, Chicago.

Arch Surg. 1966;93(3):377-381. doi:10.1001/archsurg.1966.01330030007002

IN A PREVIOUS communication,1 we described a procedure which facilitates our present day technique of lymphography. By this procedure the infusion is introduced through a lymph node instead of a dissected distal lymphatic channel.

Following this procedural improvement, our efforts were directed towards demonstrating radiographically a wider field of the lymphatic bed without the inconvenience of dye spilling into the vascular tree. In present day lymphography of experimental dogs, the injection dose of ethiodized oil (Ethiodol) into each hind leg is 3 to 4 cc. With this total dose of 6 to 8 cc, only four to five retroperitoneal lymph nodes are visualized. Any increase of the dose induces seepage of the radiopaque dye into the pulmonary vascular tree with only moderate to slight improvement in the visualization of the lymphatic beds.

We have devised a method whereby the whole thoracico-abdominal lymphatic tree is visualized, without the inconvenience of

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