Supermicrosurgical Lymphvenous Bypass Intervention for Treatment

Supermicrosurgical Lymphvenous Bypass Intervention for Lymphedema Treatment

Background: In addition to antegrade anastomosis, retrograde anastomosis has been thought to offer further improvements after lymphaticovenous anastomosis (LVA) by bypassing the retrograde lymphatic flow. However, this concept has yet to be validated. The aim of this study was to determine the impacts on outcomes of performing both retrograde and antegrade anastomosis, as compared to antegrade-only anastomosis for treating lower limb lymphedema.

Inclusion Criteria:

• Lower limb lymphedema patients.

Exclusion Criteria:

• Patients who have had previous LVA, liposuction, or excisional therapy such as the Charles procedure were excluded.