Upgradation of Lymph Supermicrosurgical Skills through Lymphatic Venous Anastomosis

Supermicrosurgery, a technique involving the dissection and anastomosis of small vessels, has revolutionized the field of lymphedema treatment. However, in a lymphatic venous anastomosis, an arduous technique is required to manipulate the 0.1-0.8-mm lymphatic channels, whereas conventional microsurg...

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Main Authors: Hirofumi Imai, Shuhei Yoshida, Toshiro Mese, Solji Roh, Isao Koshima
Format: Article
Language:English
Published: Japan Society of Plastic and Reconstructive Surgery 2022-01-01
Series:Journal of Plastic and Reconstructive Surgery
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/jprs/1/1/1_2021-0010/_pdf/-char/en
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author Hirofumi Imai
Shuhei Yoshida
Toshiro Mese
Solji Roh
Isao Koshima
author_facet Hirofumi Imai
Shuhei Yoshida
Toshiro Mese
Solji Roh
Isao Koshima
author_sort Hirofumi Imai
collection DOAJ
description Supermicrosurgery, a technique involving the dissection and anastomosis of small vessels, has revolutionized the field of lymphedema treatment. However, in a lymphatic venous anastomosis, an arduous technique is required to manipulate the 0.1-0.8-mm lymphatic channels, whereas conventional microsurgery deals with 0.8-2.0-mm vessels. Although several practice models in lymph supermicrosurgery are available, the upgradation of lymph supermicrosurgical skills in human lymphatic venous anastomosis has not been reported. In this study, we suggest the efficacy steps of the lymph supermicrosurgical technique for surgeons who are not accustomed to microsurgery. After acquiring 1 year of experience in lymph microsurgery, using the line production system and intravascular stenting method, the author along with experienced supermicrosurgeons concludes that accurate anastomosis of the small lymph channel is possible in a safe and rapid manner. In this study, tips for lymphatic venous anastomosis are described in the text and video.
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spelling doaj.art-8eac8c3c49904ad8afdf5a33058b51262023-07-20T05:23:02ZengJapan Society of Plastic and Reconstructive SurgeryJournal of Plastic and Reconstructive Surgery2436-259X2022-01-011131332021-0010Upgradation of Lymph Supermicrosurgical Skills through Lymphatic Venous AnastomosisHirofumi Imai0Shuhei Yoshida1Toshiro Mese2Solji Roh3Isao Koshima4International Center for Lymphedema, Hiroshima University HospitalInternational Center for Lymphedema, Hiroshima University HospitalInternational Center for Lymphedema, Hiroshima University HospitalInternational Center for Lymphedema, Hiroshima University HospitalInternational Center for Lymphedema, Hiroshima University HospitalSupermicrosurgery, a technique involving the dissection and anastomosis of small vessels, has revolutionized the field of lymphedema treatment. However, in a lymphatic venous anastomosis, an arduous technique is required to manipulate the 0.1-0.8-mm lymphatic channels, whereas conventional microsurgery deals with 0.8-2.0-mm vessels. Although several practice models in lymph supermicrosurgery are available, the upgradation of lymph supermicrosurgical skills in human lymphatic venous anastomosis has not been reported. In this study, we suggest the efficacy steps of the lymph supermicrosurgical technique for surgeons who are not accustomed to microsurgery. After acquiring 1 year of experience in lymph microsurgery, using the line production system and intravascular stenting method, the author along with experienced supermicrosurgeons concludes that accurate anastomosis of the small lymph channel is possible in a safe and rapid manner. In this study, tips for lymphatic venous anastomosis are described in the text and video.https://www.jstage.jst.go.jp/article/jprs/1/1/1_2021-0010/_pdf/-char/enlymphedemasupermicrosurgeryanastomosissurgerylymphatic channelsdissectionsurgeons
spellingShingle Hirofumi Imai
Shuhei Yoshida
Toshiro Mese
Solji Roh
Isao Koshima
Upgradation of Lymph Supermicrosurgical Skills through Lymphatic Venous Anastomosis
Journal of Plastic and Reconstructive Surgery
lymphedema
supermicrosurgery
anastomosis
surgery
lymphatic channels
dissection
surgeons
title Upgradation of Lymph Supermicrosurgical Skills through Lymphatic Venous Anastomosis
title_full Upgradation of Lymph Supermicrosurgical Skills through Lymphatic Venous Anastomosis
title_fullStr Upgradation of Lymph Supermicrosurgical Skills through Lymphatic Venous Anastomosis
title_full_unstemmed Upgradation of Lymph Supermicrosurgical Skills through Lymphatic Venous Anastomosis
title_short Upgradation of Lymph Supermicrosurgical Skills through Lymphatic Venous Anastomosis
title_sort upgradation of lymph supermicrosurgical skills through lymphatic venous anastomosis
topic lymphedema
supermicrosurgery
anastomosis
surgery
lymphatic channels
dissection
surgeons
url https://www.jstage.jst.go.jp/article/jprs/1/1/1_2021-0010/_pdf/-char/en
work_keys_str_mv AT hirofumiimai upgradationoflymphsupermicrosurgicalskillsthroughlymphaticvenousanastomosis
AT shuheiyoshida upgradationoflymphsupermicrosurgicalskillsthroughlymphaticvenousanastomosis
AT toshiromese upgradationoflymphsupermicrosurgicalskillsthroughlymphaticvenousanastomosis
AT soljiroh upgradationoflymphsupermicrosurgicalskillsthroughlymphaticvenousanastomosis
AT isaokoshima upgradationoflymphsupermicrosurgicalskillsthroughlymphaticvenousanastomosis