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Correspondence and communication| Volume 65, ISSUE 10, P1438-1439, October 2012

Perforator-bridged lymphaticovenular anastomosis

      Management of lymphedema is difficult due to lack of understanding of its physiology and evaluation. Conservative treatments including compression therapy have been the mainstay of its management, but a surgical approach has been postulated to have the potential to become the treatment of choice, especially in cases refractory to conservative treatments.
      • Yamada Y.
      Studies on lymphatico-venous anastomoses in lymphedema.
      • Koshima I.
      • Inagawa K.
      • Urushibara K.
      • et al.
      Supermicrosurgical lymphaticovenular anastomosis for the treatment of lymphedema in the upper extremities.
      • Koshima I.
      • Nanba Y.
      • Tsutsui T.
      • et al.
      Long-term follow-up after lymphaticovenular anastomosis for lymphedema in the leg.
      • Nagase T.
      • Gonda K.
      • Inoue K.
      • et al.
      Treatment of lymphedema with lymphaticovenular anastomoses.
      • Chang D.W.
      Lymphaticovenular bypass for lymphedema management in breast cancer patients: a prospective study.
      In lymphaticovenular anastomosis (LVA), a lymphatic vessel is anastomosed to a venule to bypass an obstructed region of the lymphatic flow.
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      References

        • Yamada Y.
        Studies on lymphatico-venous anastomoses in lymphedema.
        Nagoya J Med. 1969; 32: 1-21
        • Koshima I.
        • Inagawa K.
        • Urushibara K.
        • et al.
        Supermicrosurgical lymphaticovenular anastomosis for the treatment of lymphedema in the upper extremities.
        J Reconstr Microsurg. 2000; 16: 432-437
        • Koshima I.
        • Nanba Y.
        • Tsutsui T.
        • et al.
        Long-term follow-up after lymphaticovenular anastomosis for lymphedema in the leg.
        J Reconstr Microsurg. 2003; 19: 209-215
        • Nagase T.
        • Gonda K.
        • Inoue K.
        • et al.
        Treatment of lymphedema with lymphaticovenular anastomoses.
        Int J Clin Oncol. 2005; 10: 304-310
        • Chang D.W.
        Lymphaticovenular bypass for lymphedema management in breast cancer patients: a prospective study.
        Plast Reconstr Surg. 2010; 126: 752-758