Document Detail


Preparatory Intravascular Stenting Technique: An Easier Method of Supermicrosurgical Lymphaticovenular Anastomosis.
MedLine Citation:
PMID:  24051451     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Recent supermicrosurgical techniques have made it possible to anastomose lymph vessels to the subdermal venular system. However, because the lymphatic fluid is clear and the vessel is translucent, soft, and fragile, with a thinner wall than blood vessels, supermicrosurgical lymphaticovenular anastomosis is a demanding technique. One difficulty of lymphaticovenular anastomosis is identification of the lumen to pass the suture into it. This report describes a preparatory intravascular stenting technique to identify the lumen and perform lymphaticovenular anastomosis accurately. In this technique, we placed 9-0 or 10-0 nylon thread into the lymphatic lumen before transecting the lymph vessel. The end of the nylon was pushed through to appear from the lymphatic lumen, then advanced into the vein to stabilize the 2 vessels. This technique allows supermicrosurgical lymphaticovenular anastomosis to be performed quickly and efficiently.
Authors:
Takashi Nuri; Koichi Ueda; Akira Yamada; Mai Hara
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-9-18
Journal Detail:
Title:  Annals of plastic surgery     Volume:  -     ISSN:  1536-3708     ISO Abbreviation:  Ann Plast Surg     Publication Date:  2013 Sep 
Date Detail:
Created Date:  2013-9-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7805336     Medline TA:  Ann Plast Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
From the Department of Plastic and Reconstructive Surgery, Osaka Medical College, Takatsuki, Osaka, Japan.
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