Journal
ANNALS OF PLASTIC SURGERY
Volume 72, Issue 1, Pages 67-70Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/SAP.0b013e3182605580
Keywords
lymphedema; lymphaticovenular anastomosis (LVA); supermicrosurgery; indocyanine green (ICG) lymphography; minimally invasive lymphatic supermicrosurgery (MILS)
Categories
Ask authors/readers for more resources
Among various surgical treatments, lymphaticovenular anastomosis (LVA), which bypasses congested lymph into venous circulation, is the least invasive surgical treatment. However, it usually entails skin incisions of around 3 cm, and operation time of around 4 hours. With multiple supermicrosurgeons under guidance of indocyanine green lymphography, LVAs can be simultaneously performed under local anesthesia within approximately 2 hours via small skin incisions with length less than 1 cm, allowing minimally invasive lymphatic supermicrosurgery (MILS). We performed MILS on 11 limbs of compression-refractory peripheral lymphedema cases. Length of skin incision for LVA ranged from 1 to 9 mm. Average operation time was 1.82 hours. Of the11 limbs, 10 showed postoperative volume reduction. Indocyanine green lymphography clearly visualizes superficial lymph flows, which helps us to decide precise skin incision sites and find lymphatic vessels in LVA surgery, shortening skin incision length and operation time. Minimally invasive lymphatic supermicrosurgery can serve as the most reasonable treatment of compressionrefractory peripheral lymphedema.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available