Ultrasound-Assisted Lymphaticovenular Anastomosis for the Treatment of Peripheral Lymphedema

The Recipient Venule in Supermicrosurgical Lymphaticovenular Anastomosis: Flow Dynamic Classification and Correlation with Surgical Outcomes

“…17,18 In our opinion, color Doppler ultrasound venule mapping should be preferred as the tool for a more accurate LVA preoperative planning, which includes the preoperative functional and size evaluation of recipient venules with any limitation related to pannus thickness and swelling. 19,20…”

Venule valve graft in lymphatic supermicrosurgery: A novel strategy for managing blood backflow

“…Preoperative color-Doppler ultrasound (US) might aid in planning the surgical incisions allowing the identification and marking of the venule valves in addition to lymphatic channels and recipient venules, especially when venule backflow is questionable at US examination (Visconti, Yamamoto, & Hayashi, 2017).…”

Ultra‐high frequency ultrasound preoperative planning of the rerouting method for lymphaticovenular anastomosis in incisions devoid of vein

“…Ultra-high frequency ultrasound preoperative planning of the rerouting method for lymphaticovenular anastomosis in incisions devoid of vein Dear Editor, Supermicrosurgical lymphaticovenular anastomosis (LVA) represents a valid surgical option for the treatment of peripheral lymphedema (Scaglioni, Fontein, Arvanitakis, & Giovanoli, 2017). However, the shunts should be performed using still functional lymphatics channels and favorable recipient venules (Hayashi et al, 2019;Visconti, Hayashi, Bianchi, & Salgarello, 2019;Visconti, Salgarello, & Hayashi, 2018;Visconti, Yamamoto, Hayashi, & Hayashi, 2017).…”

“…(Below, right) The venule was rerouted through a subcutaneous tunnel into the lymphatic incision to perform the LVA. LVA, lymphaticovenular anastomosis venule to use (Hayashi et al, 2019;Visconti et al, 2017Visconti et al, , 2018Visconti et al, , 2019.…”