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…
Key Points ▪ Reductive procedures (direct excision with skin grafting or liposuction) alone or as an adjunct are effective in gross reduction of volume; however they carry significant morbidity. ▪…
Key Points ▪ A vascularized lymph node flap can be transferred to virtually any location on the extremities, but is usually transferred to the axilla, elbow, wrist, groin, knee, or…
Key Points ▪ Lymph node transfer is still considered as experimental surgery. ▪ Lymph node transfer can be easily combined with routine microvascular breast reconstruction. ▪ Lymph node flap contains…
