Key Points Lymphovenous bypass (LVB) usually requires anastomosing lymphatic vessels less than 0.8 mm in diameter to small subdermal venules. A high-resolution microscope, super-fine instruments and sutures, and the training of supermicrosurgery are the basic requirements for the success of…
Key Points Indocyanine green (ICG) lymphography clearly visualizes superficial lymph flows in real time without ionized radiation exposure. Dynamic ICG lymphography, dual-phase fluorescent image observation, is important to maximize the efficacy of ICG lymphography for lymphatic mapping and appropriate severity…
Figure 43.1 Groin flap and superficial circumflex iliac artery perforator flap. Open full size image Introduction The groin flap, nourished by the superficial circumflex iliac artery (SCIA), is historically important because it was the first successful free flap. With its…
Introduction Up until recently, lymphedema has largely remained on the sidelines of microsurgery. For many years, most microsurgeons avoided lymphatic reconstruction because of inconsistent results, lack of published data, and concerns regarding safety in a poorly understood disease process. Fortunately,…