Key Points ▪ Surgical success can be defined as the downgrading of the patient’s lymphedema with at least a 10% circumferential differentiation decrease, with improved symptoms, decrease in episodes of…
Key Points ▪ Design the upper margin of the flap just below the lower border of the mandible to make the scar inconspicuous. ▪ Preoperative ultrasound is a valuable tool…
Key Points ▪ Microsurgical lymph vessel transplantation is a reconstructive procedure to bypass the blocked lymphatic pathways in secondary lymphedema. ▪ Lymph vessel transplantation has proved its effect for over…
Key Points ▪ Lymphovenous bypass (LVB) usually require anastomosing lymphatic vessels less than 0.8 mm in diameter to small subdermal venules. ▪ A high resolution microscope, super-fine instruments and sutures,…
Key Points ▪ Exponential increase in interest in lymphedema surgery will continue to define new surgical techniques and improve effective treatment protocols. ▪ Combination of surgical and nonsurgical treatment protocols…
Key Points ▪ Superficial inguinal lymph nodes targeted for harvest lie between the groin crease and inguinal ligament. ▪ The vascular supply of these nodes is typically the superficial circumflex…
Key Points ▪ The surgical treatment of lymphedema has not been evaluated in randomized clinical trials; therefore, the level of current evidence does not justify the widespread adoption of surgery…
Key points ▪ Harvesting lymph nodes from the axillary or groin region may cause secondary lymphedema of the upper or lower extremity. ▪ The main advantage of supraclavicular nodes harvest…
Key Points ▪ Design the upper margin of the flap just below the lower border of the mandible to make the scar inconspicuous. ▪ Preoperative ultrasound is a valuable tool…
Key Points ▪ The vascularized lymph node flap transfer from the groin was first introduced by Clodius in 1982 in two clinical cases. ▪ Animal studies described the vascularized lymph…
