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Lymphaticovenous Anastomosis Supermicrosurgery Decreases Oxidative Stress and Increases Antioxidant Capacity in the Serum of Lymphedema Patients

Supermicrosurgical Suture-Stent Technique for A Lymphaticovenular Bypass

Department of Plastic and Reconstructive Surgery, Cancer Institute Hospital of the Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo 135-8550, Japan
Author to whom correspondence should be addressed.
Academic Editor: Emmanuel Andrès
J. Clin. Med. 2021, 10(12), 2595;
Received: 2 May 2021 / Revised: 28 May 2021 / Accepted: 7 June 2021 / Published: 11 June 2021
(This article belongs to the Special Issue Surgical Management of Lymphedema: Past, Present, and Future)
Background: Lymphaticovenular anastomosis (LVA) is a challenging procedure and requires a sophisticated supermicrosurgical technique. The aim of this study was to evaluate and establish a discrete supermicrosurgical anastomosis method using the “suture-stent technique”. Methods: Forty-eight LVA sites of twenty patients with lower extremity lymphedema who had undergone LVA between July 2020 and January 2021 were included in this study. LVA was performed with the conventional technique or with the suture-stent technique. The patency of the anastomoses was evaluated using an infrared camera system intraoperatively. The success rate on the first try and the final success rate for each group were compared. Results: After full application of the exclusion criteria, 35 LVAs of 16 patients including 20 limbs were included in the analysis. The ratio of good patency findings after anastomosis in the suture-stent technique group was 100%. The incidences of leakage or occlusion on the first try were statistically greater in the conventional technique group (29.4%) than in the suture-stent technique group (0%) (p = 0.0191). All anastomoses achieved good patency in the final results. Conclusion: With its minimal risk of catching the back wall during the anastomosis, the suture-stent technique can be considered an optimal anastomosis option for LVA. View Full-Text
Keywords: lymphedema; lymphaticovenular anastomosis; suture-stent technique; ICG lymphography lymphedema; lymphaticovenular anastomosis; suture-stent technique; ICG lymphography
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MDPI and ACS Style

Karakawa, R.; Yoshimatsu, H.; Kamiya, K.; Fuse, Y.; Yano, T. Supermicrosurgical Suture-Stent Technique for A Lymphaticovenular Bypass. J. Clin. Med. 2021, 10, 2595.

AMA Style

Karakawa R, Yoshimatsu H, Kamiya K, Fuse Y, Yano T. Supermicrosurgical Suture-Stent Technique for A Lymphaticovenular Bypass. Journal of Clinical Medicine. 2021; 10(12):2595.

Chicago/Turabian Style

Karakawa, Ryo, Hidehiko Yoshimatsu, Keisuke Kamiya, Yuma Fuse, and Tomoyuki Yano. 2021. "Supermicrosurgical Suture-Stent Technique for A Lymphaticovenular Bypass" Journal of Clinical Medicine 10, no. 12: 2595.

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