[libribook.com] Traumatic Scar Tissue Management 1st Edition

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Figure 3.3Torso and pelvic anatomy.The left venous angle is an area located behind the left clavicle and is made upby the connection of the left subclavian and internal jugular veins (Fig. 3.3).Approximately 2–3 liters of lymph are returned to the venous blood via thethoracic duct within a time period of 24 hours.

Primary lower lymphatic structuresThe lymph coming from the lower extremities drains into the inguinal lymphnodes. Inguinal lymph nodes are located in the medial femoral triangle, which isoutlined by the inguinal ligament (proximal border), the sartorius muscle (lateralborder) and the gracilis muscle (medial border). Dissection and/or radiation ofthese lymph nodes could result in secondary lymphedema. The more commonreason for the onset of lymphedema in the lower extremity is congenitalmalformations of the lymphatic system, resulting in primary lymphedema(discussed in more detail later in this chapter).

Figure 3.3

Torso and pelvic anatomy.

The left venous angle is an area located behind the left clavicle and is made up

by the connection of the left subclavian and internal jugular veins (Fig. 3.3).

Approximately 2–3 liters of lymph are returned to the venous blood via the

thoracic duct within a time period of 24 hours.

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