Hematolymphoid relations in the intestinal wall as an alternative to lymphovenous anastomosis

Abstract

The debates on lymphovenous anastomosis (LVA) which staered many decades ago are still being continued. Lt can be explained by the fact that neither proponents nor adversaries of the KVA have any odjective morphological evidenct of their existence of absence. Nevertheless, the concept of LVA is used by pathokogists to deal with the issues of etiology and pathogrnesis of various diseases, and by clinicians to Justify the prescription of pathogenetic therapy to patients. Is it possible that the microbasculature of 0rgans have any hematolymphoid relations which could be alternative to the LVA? The aim of research is to analyse various morphological options of hematolymphoid relations in the intestinal wall of laboratory animals. Material and methods. The study was perdormed on the autopsy intestinal material of cast (n=9), bogs (n=5) and rabbits (n=5) and. The histological sections (n=357),stained by routine methods, were examined under the Leica DM 1000 microscope with a digital video system. Results. Two types of hematolymphoid relations in the interstinal wall have been found out: 1) intimate contact of the wall of the exchange vlood microvessels with the wall of lymphatic microssels 2) exchange blood microvessels are located in the lumen of the lymphatic microvessels. Botoh the first and the second types of these hematolymphoid relations can serve as an alternative to LVA.