Fusion Lymphoplasty for Diameter Approximation in Lymphatic Supermicrosurgery using Two Lymphatic Vessels for a Larger Recipient Vein

Lymphovenous shunt operations are used to treat compression-refractory progressive lymphedema. Among them, supermicrosurgical lymphaticovenular anastomosis (LVA), or lymphatic supermicrosurgery, is becoming popular with its effectiveness and minimal invasiveness.1,2 It is important to find a lymphatic vessel with abundant lymph flow and a nearby vein with diameter similar to the lymphatic vessel.2,3 Although detection of lymphatic vessels suitable for LVA is assisted with the use of indocyanine green lymphography navigation, it is sometimes difficult to find a size-matched recipient vein near the lymphatic vessel.

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