Semin Plast Surg 2018; 32(01): 022-027
DOI: 10.1055/s-0038-1636510
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Lymphovenous Anastomosis Bypass Surgery

Edward I. Chang
1   Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas
,
Roman J. Skoracki
2   Department of Plastic Surgery, Ohio State University, Columbus, Ohio
,
David W. Chang
3   Section of Plastic Surgery, Department of Surgery, University of Chicago, Chicago, Illinois
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Publikationsdatum:
09. April 2018 (online)

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Abstract

The field of lymphedema surgery has witnessed tremendous advancements over the years and has been coupled to the rapid growth of supermicrosurgical techniques. A lymphovenous bypass or lymphaticovenular anastomosis is a new technique that requires identification of patent, residual lymphatic channels and performing an anastomosis to a recipient venule, thereby allowing outflow of lymphatic fluid and improvement in a patient's lymphedema. This article provides a summary of the maturation of the technique, as well as the technical aspects of the approach and the current outcomes in the treatment of postmastectomy lymphedema.