Related Experiment Video
Updated: Jan 1, 2026
12:18
A Murine Model of a Burn Wound Reconstructed with an Allogeneic Skin Graft
Published on: August 8, 2020
10.7K
Microscope-Induced Thermal Burns During Lymphaticovenular Anastomosis
Shuhei Yoshida1, Isao Koshima1, Hirofumi Imai1
1From the International Center for Lymphedema, Hiroshima University Hospital.
Annals of Plastic Surgery
|December 19, 2019
Summary
Microscope-induced thermal burns can occur during lymphaticovenular anastomosis (LVA) surgery. Surgeons should be aware of risks like high illumination intensity and short working distances to prevent tissue damage.
Area of Science:
- Microsurgery
- Vascular Surgery
- Dermatology
Background:
- Xenon lamps enhance microsurgical visualization but pose thermal burn risks.
- Lymphaticovenular anastomosis (LVA) requires high magnification and specific surgical conditions.
Observation:
- Two cases of microscopic thermal burns during LVA in patients with lymphedema are reported.
- A 23-year-old and a 57-year-old woman experienced full-thickness and deep dermal burns, respectively.
Findings:
- Both burn wounds healed without requiring skin grafting.
- Key risk factors identified include high illumination intensity, short working distances, and epinephrine in local anesthesia.
Implications:
- Awareness of these risk factors is crucial for preventing thermal injuries during LVA.
- Optimizing surgical techniques and illumination settings can mitigate microscope-induced thermal damage in microsurgery.
