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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Format: | Article |
Language: | English |
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Japan Society of Plastic and Reconstructive Surgery
2022-01-01
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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. |
first_indexed | 2024-03-12T22:53:09Z |
format | Article |
id | doaj.art-8eac8c3c49904ad8afdf5a33058b5126 |
institution | Directory Open Access Journal |
issn | 2436-259X |
language | English |
last_indexed | 2024-03-12T22:53:09Z |
publishDate | 2022-01-01 |
publisher | Japan Society of Plastic and Reconstructive Surgery |
record_format | Article |
series | Journal of Plastic and Reconstructive Surgery |
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 |