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One-anastomosis Gastric Bypass OAGB in Rats

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Published on: November 10, 2018

Lymphovenous Anastomosis Bypass Surgery.

Edward I Chang¹, Roman J Skoracki², David W Chang³

¹Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas.

Seminars in Plastic Surgery

|April 12, 2018

Summary

Supermicrosurgical lymphovenous bypass, a novel technique, connects lymphatic channels to venules to improve lymphedema. This surgical advancement offers a new treatment for postmastectomy lymphedema patients.

Keywords:

lymphaticovenular anastomosis lymphedema surgery lymphovenous bypass

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Area of Science:

Lymphedema Surgery
Microsurgery
Vascular Surgery

Background:

Lymphedema surgery has advanced significantly with supermicrosurgical techniques.
Lymphaticovenular anastomosis (LVA) is a key advancement, requiring identification of patent lymphatic channels.
This technique aims to improve lymphedema by enabling lymphatic fluid outflow.

Purpose of the Study:

To summarize the evolution of lymphovenous bypass (LVB) techniques.
To detail the technical aspects of performing LVB.
To review current outcomes of LVB for postmastectomy lymphedema.

Main Methods:

Supermicrosurgical identification of lymphatic channels and venules.
Anastomosis of lymphatic channels to recipient venules.
Review of existing literature on LVB for lymphedema treatment.

Main Results:

LVB allows for lymphatic fluid to bypass blocked channels and drain into the venous system.
The technique has shown promise in improving lymphedema symptoms.
Outcomes are influenced by the precise surgical technique and patient selection.

Conclusions:

Lymphovenous bypass represents a significant advancement in lymphedema surgery.
Mastery of supermicrosurgical techniques is crucial for successful LVB.
LVB offers a viable option for managing postmastectomy lymphedema.