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Immediate Lymphatic Reconstruction: Technical Points and Literature Review
Michelle Coriddi1, Babak Mehrara1, Roman Skoracki2
1Reconstructive Surgery Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, N.Y.
Plastic and Reconstructive Surgery. Global Open
|March 8, 2021
Summary
Lymphatic reconstruction via lymphovenous bypass during lymph node dissection can reduce lymphedema. This report details the microsurgical technique to aid surgeons in offering this preventative option.
Area of Science:
- Microsurgery
- Vascular Surgery
- Lymphedema Management
Background:
- Lymph node dissection can lead to lymphedema.
- Lymphovenous bypass is a potential preventative surgical technique.
- Limited literature exists on the surgical procedure.
Purpose of the Study:
- To review the evidence supporting immediate lymphatic reconstruction.
- To provide detailed technical guidance for lymphovenous bypass.
- To facilitate the adoption of this procedure by surgeons.
Main Methods:
- Literature review on lymphovenous bypass.
- Description of microsurgical lymphatic reconstruction techniques.
- Focus on procedures performed during lymph node dissection.
Main Results:
- Evidence suggests lymphovenous bypass decreases lymphedema rates.
- The surgical procedure is technically demanding.
- Detailed technical steps are provided to demystify the operation.
Conclusions:
- Immediate lymphatic reconstruction is a viable option for lymphedema prevention.
- Detailed surgical knowledge is crucial for successful implementation.
- This guide aims to empower surgeons to offer this advanced technique.
