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DOI: 10.1055/s-0044-1779477
Nylon Suture Loop for Tagging Lymphatic Channels during Lymphaticovenular Anastomosis
Abstract
Background Lymphaticovenular anastomosis (LVA) requires special supermicrosurgery techniques designed for vessels less than 0.8 mm in size. While preparing the field for LVA, it is often difficult to handle the lymphatic vessel directly without injuring it or fracturing it entirely.
Method We propose a novel technique, which is used in LVA for tagging of lymphatic vessels, with the use of a nylon 6–0 suture and micro-ligaclip.
Results We have successfully performed 78 LVAs in 26 cases with this method. The average lymphatic vessel size was 0.3 mm (0.15–0.8 mm).
Conclusion This novel technique to implement the use of a nylon suture with a micro-ligaclip to use as a vessel loop for lymphatics has not been previously described in the literature. It is a useful technique that we find beneficial to lymphatic identification through tagging of the lymphatic channels, contributing to greater success in each anastomosis.
Keywords
lymphaticovenular anastomosis - lymphaticovenous anastomosis - supermicrosurgery - vessel loop - micro-ligaclipAuthor Contributions
G.H.-M.T. contributed to the investigation, resources, data curation, writing of the original draft, review, and editing, visualization, and project administration. J.F. contributed to the methodology, validation, investigation, resources, visualization, and supervision. Y.O.K. contributed to the methodology, validation, investigation, resources, visualization, and supervision. T.W.W.P. contributed to the investigation, resources, visualization, and supervision. A.W-J.W. contributed to the conceptualization, methodology, visualization, validation, investigation, resources, writing of the original draft, review, and editing, visualization, supervision, and project administration.
Informed Consent
Written informed consent was obtained from the patient to publish this report in accordance with the journal's patient consent policy.
Publication History
Article published online:
02 February 2024
© 2024. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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