Optimizing Outcomes in Lymphedema Reconstruction | Journal CME Article-Journal CME Article: Optimizing Outcomes in Lymphedema Reconstruction Video 1 of 4

Journal CME Article: Optimizing Outcomes in Lymphedema Reconstruction Video 1 of 4

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Video Summary

Proper equipment facilitates lymphovenous bypass surgery. ICGN technology helps identify lymphatic vessels, enhancing surgical precision with a high-powered fluorescent microscope. Key tools include fine microsurgical instruments and sutures, emphasizing the importance of needle size. ICGN, commonly available in hospitals, is injected in the web spaces of fingers/toes and wrist/ankles. It binds to plasma protein, allowing lymphatic visualization with special cameras. Lymphatic mapping is conducted before the procedure, revealing functional lymphatics and dermal backflow areas, guiding bypass decisions. Examples demonstrate mapping, injection sites, and surgical planning, identifying areas needing bypass and those without blockages.

Keywords

lymphovenous bypass

ICGN technology

microsurgical instruments

lymphatic mapping

surgical precision