As super-micro surgical techniques have improved, lymphaticovenular anastomosis (LVA)
has become the major treatment for lymph edema. Furthermore, indocyanine green fluorescent
lymphography (ILG) can detect lymph vessels accurately
1
and LVA can be performed through a small incision. However, lymph vessels which are
suitable for LVA exist under the superficial fascia
2
therefore an assistant has to open the surgical site or retractors are required.
Another factor that makes LVA complicated is lymph fluid. Sometimes surgeons are required
to perform LVA while the surgical site is submerged in lymph fluid. Handling the thin
11-0 or 12-0 nylon threads under condition is challenging. To deal with these conditions
and make it possible to perform LVA only a single surgeon, we used a lid retractor
with suction function.To read this article in full you will need to make a payment
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References
- Minimally invasive lymphatic supermicrosurgery (MILS): indocyanine green lymphography-guided simultaneous multisite lymphaticovenular anastomosis via millimeter skin incisions.Ann Plast Surg. 2014; 72: 67-70
- The Superior-Edge-of-the-Knee Incision Method in Lymphaticovenular Anastomosis for Lower Extremity Lymphedema.Plast Reconstr Surg. 2015; 136: 665e-675e
- Application of new instruments for beginner lymphatic supermicrosurgeon.J Plast Reconstr Surg. 2018; 71: 1093-1094
- Preparatory intravascular stenting technique: and easier method of supermicrosurgical lymphaticovenular anastomosis.Ann Plast Surg. 2013; 71: 541-543
Article info
Publication history
Published online: December 14, 2018
Accepted:
December 9,
2018
Received in revised form:
November 10,
2018
Received:
October 26,
2018
Footnotes
☆Parts of this article have been presented at the 22nd Annual Meeting of the Japan Society for Innovative Techniques in Plastic Surgery, 2017.
Identification
Copyright
© 2018 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
