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Lymphatic–Venous Anastomosis

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Lymphedema

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Abstract

Lymphatic–venous anastomosis is performed for the treatment of chronic lymphedema; however, its indications, true results, and other features are still unclear. In this chapter, the author demonstrates the surgical indications of lymphatic–venous anastomosis using lymphoscintigraphy images, techniques of lymphaticovenous side-to-end anastomosis (LVSEA), postoperative patency of the anastomosis by ICG fluorescence lymphography, and net effects of lymphatic–venous anastomosis on volume reduction. Lymphatic–venous anastomosis, if indicated, is a useful therapeutic option for lymphedema, particularly in combination with compression therapy before and after surgery. In addition, compression therapy can be reduced or terminated postoperatively in some patients who undergo lymphatic–venous anastomosis.

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Authors and Affiliations

  1. Plastic and Reconstructive Surgery, Yokohoma City University Hospital, 3-9 Fukuura, Kanazawa-ku, Yokohoma, 236-0004, Japan

    Jiro Maegawa M.D., Ph.D.

Authors
  1. Jiro Maegawa M.D., Ph.D.
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Correspondence to Jiro Maegawa M.D., Ph.D. .

Editor information

Editors and Affiliations

  1. Department of Plastic and Oral Surgery, Boston Children’s Hospital, Boston, Massachusetts, USA

    Arin K. Greene

  2. Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Brookline, Massachusetts, USA

    Sumner A. Slavin

  3. Plastic and Reconstructive Surgery, Skåne University Hospital, Malmö, Sweden

    Håkan Brorson

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© 2015 Springer International Publishing Switzerland

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Maegawa, J. (2015). Lymphatic–Venous Anastomosis. In: Greene, A., Slavin, S., Brorson, H. (eds) Lymphedema. Springer, Cham. https://doi.org/10.1007/978-3-319-14493-1_23

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  • DOI: https://doi.org/10.1007/978-3-319-14493-1_23

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-14492-4

  • Online ISBN: 978-3-319-14493-1

  • eBook Packages: MedicineMedicine (R0)

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