Optimizing Outcomes in Lymphedema Reconstruction | Journal CME Article-Journal CME Article: Optimizing Outcomes in Lymphedema Reconstruction Video 3 of 4

Journal CME Article: Optimizing Outcomes in Lymphedema Reconstruction Video 3 of 4

Video Transcription

Video Summary

The video discusses a procedure involving end-to-side anastomosis for lymphatic surgery. When a suitable recipient vein isn't available or has significant backflow, this technique is used. In the procedure, a lymphatic vessel (around 0.45 mm) is connected to a larger vein (about 1.5 mm). Critical steps include ensuring correct directional flow and checking for leaks post-procedure. The use of dyes like isosulfone blue and ICG is highlighted, facilitating visualization. The successful connection is confirmed through patency tests, observing dye flow through the vein, ensuring proper lymphatic fluid drainage.

Keywords

end-to-side anastomosis

lymphatic surgery

isosulfone blue

ICG dye

patency tests