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

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

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Video Summary

The surgical procedure involves an incision above the clavicle, dividing the platysma muscle, and retracting the sternocleidomastoid muscle. Dissection continues through adipofascial tissue, identifying and transecting the omohyoid muscle, and exposing the internal jugular vein. The vein is retracted medially using an Army-Navy retractor. The dissection proceeds to level 5B, isolating lymph nodes on the vascular pedicle. The distal transverse cervical artery and vein are clipped and ligated, with care taken near the phrenic nerve and thoracic duct. The procedure is often part of a subcutaneous lymph node transplant, with specified donor sites.

Keywords

surgical procedure

internal jugular vein

lymph node transplant

phrenic nerve

thoracic duct