Optimizing Outcomes in Lymphedema Reconstruction | Journal CME Article-Journal CME Article: Optimizing Outcomes in Lymphedema Reconstruction Video 2 of 4

Journal CME Article: Optimizing Outcomes in Lymphedema Reconstruction Video 2 of 4

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Video Summary

The procedure involves performing a lymphatic bypass under a microscope, utilizing micro-instruments and techniques to identify lymphatics and veins for anastomosis. The skin is injected with epinephrine for hemostasis and isosulfone blue to highlight lymphatics. Fluorescent microscopy aids in identifying and mapping lymphatic vessels. A suitable lymphatic vessel with ample fluid is selected, and a vein with no backflow serves as the recipient. The process ensures efficient lymphatic drainage, verified through successful milking tests and visible dye transfer post-anastomosis, demonstrating effective lymphatic and vascular connections.

Keywords

lymphatic bypass

fluorescent microscopy

anastomosis

isosulfone blue

micro-instruments