Supermicrosurgical Lymphaticovenular Anastomosis / edited by Giuseppe Visconti, Akitatsu Hayashi, Johnson Chia-Shen Yang.

Format:

Book

Author/Creator:

Visconti, Giuseppe.

Contributor:

Hayashi, Akitatsu.

Yang, Johnson Chia-Shen.

Language:

English

Subjects (All):

Surgery, Plastic.

Endoscopic surgery.

Blood-vessels--Surgery.

Blood-vessels.

Plastic Surgery.

Minimally Invasive Surgery.

Vascular Surgery.

Local Subjects:

Plastic Surgery.

Minimally Invasive Surgery.

Vascular Surgery.

Physical Description:

1 online resource (403 pages)

Edition:

2nd ed. 2024.

Place of Publication:

Cham : Springer Nature Switzerland : Imprint: Springer, 2024.

Summary:

The supermicrosurgical procedure known as Lymphaticovenular Anastomosis, or LVA, is a minimally invasive physiologic surgical treatment of lymphedema, which has gained attention worldwide in recent years as technical limitations were overcome and surgical indications can now apply to a larger set of patients with lymphatic disease. Complex advanced-stage lymphedema cases and patients with lymphorrea still have functional lymphatic channels, and could benefit from lymphaticovenular anastomosis. The latest technologies, such as ultrahigh frequency ultrasound, allow now to perform a detailed preoperative planning, improving efficacy and reliability of the intervention. Additional technologies that are available, as for example Rest-Stress Lymphoscintigraphy, Laser Tomography and Photoacoustic Imaging are also presented in the book, as all concur to build a complete preoperative and intraoperative set of information. Supermicrosurgical Lymphaticovenular Anastomosis is ahandy, one-of-a-kind guide built on the experience of contributors that are experts in this highly specialized field, while presenting topics in a clear and complete fashion, with the support of over 240 illustrations and chapter-related videos for a thorough understanding of preparatory steps and microsurgical techniques. This volume will be a valued companion to the modern microsurgeon dealing with lymphedema who wants to refine supermicrosurgical skills but also be of interest for professionals to gain insight in latest and more traditional technologies, through the related dedicated chapters and videos. Via app: download the SN More Media app for free, scan a link with play button and videos directly on your smartphone or tablet.

Contents:

Foreword

. Preface

Section 1. The Lymphedema

1. Introduction To Lymphaticovenular Anastomosis Surgery: Historical Perspectives

2. Applied Anatomy of the Lymphatic System

3. Physiologic Surgery of Lymphedema (overall description of all procedures includign LVA, LNF, VLNT)

4. Indication for Lymphatic Surgery and Patient Selection

Section 2. Severity Staging & Preoperative Planning

5. Lymphoscintigraphy

6. Near-Infrared Fluorescent Lymphography using ICG

7. Ultrasound

8. Magnetic Resonance Lymphography

9. Photoacustic Technology

Section 3. The Dynamics of LVA

10. Anastomosis Configurations

11. The recipient Venule

12. Intraoperative Selection of the Lymphatic Channels

13. The Dynamic LVA

14. The Confluence Point: a new incision strategy in LVA

Section 4. Operative Techniques

15. Immediate Lymphatic Reconstruction

16. Upper Extremity Lymphedema

17. Lower Extremity Lymphedema

18. Breast and Genital Lymphedema

19. Head and Neck Lymphedema

20. Early-Moderate Stage Lymphedema -including ELVA

21. Advanced-Stage Lymphedema

22. Lymphorrea

23. Lymphocele

24. Robotic Lymphovenous Anastomosis

Section 5. Tip and Tricks

25. Clinical and Technical Pearls to Successful Lymphaticovenular Anastomosis

26. IVAS

27. Airborne, Needle Stenting and Nip Stitch

28. Valvuloplasty

29. Optimal Surgical Positions for Lymphaticovenular Anastomosis

Section 6. Physical Therapy

30. Complex Decongestive Therapy

Section 7. Ancillary Procedures

31. Liposuction

32. Biobridge in Lymphatic Surgery

Section 8. Experimental

33. Experimental model of LVA in small animals

34. Experimental model of LVA in large animals.

ISBN:

9783031388095

3031388097