Supermicrosurgical Suture-Stent Technique for A Lymphaticovenular Bypass

Pedicle-to-Perforator Bypass Using Supermicrosurgical Technique for Deep Inferior Epigastric Artery Perforator Flap Salvage

Abstract: Optimal Sites for Supermicrosurgical Lymphaticovenular Anastomosis: An Analysis of 1259 Anastomoses

RESULTS: LVA resulted in 1259 anastomoses using 949 lymphatic vessels at 794 surgical sites. The number of anastomoses per limb ranged from 1 to 16 (median 5). Multivariate analyses revealed that factors associated with larger lymphatic vessel (0.5 mm or larger) were age [65 or older; odds ratio (OR) 1.403], radiation history (OR 1.622), incision in thigh/leg (compared with groin; OR 1.607/1.62...

Abstract: Multi-site Lymphaticovenular Bypass Using Supermicrosurgery Technique for Lymphedema Management in Lower Lymphedema Cases

ReSultS: The most common indication for reconstruction was oncologic, followed by traumatic and congenital. Patients received an average of 5.8 implants during the course of treatment. The average follow-up time was 10.6 years with a range of 6 months to 24 years. A statistically significant correlation was found between skin reaction and age (p=0.022), with younger patients more likely to deve...

Hemi-Intravascular Stenting for Supermicrosurgical Anastomosis

Background Although supermicrosurgical anastomosis is a widely known reconstructive microsurgical technique, it is difficult to perform. To expand the clinical use of supermicrosurgery, we used hemi-intravascular stenting (hemi-IVaS), which is performed by inserting an intravascular stent into one side of the vessel. We conducted lymphaticovenular anastomosis, free perforator flap transfer, and...

Lymphaticovenular bypass for lymphedema management in breast cancer patients: a prospective study.

BACKGROUND Lymphedema is a common and debilitating condition. Management options for lymphedema are limited and controversial. The purpose of this prospective study was to provide a preliminary analysis of lymphaticovenular bypass for the treatment of upper limb lymphedema in breast cancer patients. METHODS Twenty patients with upper extremity lymphedema secondary to treatment of breast cance...