TECHNICAL SIMPLIFICATION OF THE SUPERMICROSURGICAL SIDE-TO-END LYMPHATICOVENULAR ANASTOMOSIS USING THE PARACHUTE TECHNIQUE

摘要

BackgroundSupermicrosurgical side-to-end (S-E) lymphaticovenular anastomosis (LVA) is the most favorable anastomotic configuration for the treatment of lymphedema because it creates antegrade and retrograde lymph flow while preserves the native lymph flow. However, it is technically demanding and its successful performance has been limited only to the experienced LVA surgeons. This study aimed to evaluate the applicability of parachute technique in S-E LVA and its potential in decreasing the technical complexity of the procedure.