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Inicio Cirugía Española (English Edition) Supermicrosurgical Lymphovenous Anastomosis
Journal Information
Vol. 97. Issue 5.
Pages 291 (May 2019)
Vol. 97. Issue 5.
Pages 291 (May 2019)
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DOI: 10.1016/j.cireng.2019.04.009
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Supermicrosurgical Lymphovenous Anastomosis
Anastomosis linfático-venosa mediante técnica de supramicrocirugía
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Jose M. Lassoa,b, Esther Deleyto la Cruzc,
Corresponding author
esdelac@gmail.com

Corresponding author.
, Carlota Gonzalez-Pozegac
a Sección de Microcirugía, Departamento de Cirugía Plástica y Reconstructiva, Hospital Gregorio Marañón, Madrid, Spain
b Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain
c Cirugía Plástica y Reconstructiva, Hospital Gregorio Marañón, Madrid, Spain
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Lymph flow diversion to the venous system is a pillar of the surgical treatment of lymphedema. We demonstrate (Fig. 1) an end-to-end lymphaticovenous anastomosis with intussusception of the lymphatic vessels conducted by means of a supermicrosurgical technique with 12/0 nylon sutures. Shown are 2 lymphatic vessels (white) anastomosed to a vein (green) and the corresponding fluorescence image (Fig. 2), in which the permeability of the anastomosis is observed by injection of indocyanine green. The patient is a 48-year-old woman with lymphedema of the right upper extremity that had developed over the previous 3 years, secondary to lymphadenectomy due to breast cancer.

Fig. 1
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Fig. 2
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Please cite this article as: Lasso JM, Deleyto la Cruz E, Gonzalez-Pozega C. Anastomosis linfático-venosa mediante técnica de supramicrocirugía. Cir Esp. 2019;97:291.

Copyright © 2018. AEC
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