Upgradation of Lymph Supermicrosurgical Skills through Lymphatic Venous Anastomosis.

Supermicrosurgery, a technique involving the dissection and anastomosis of small vessels, has revolutionized the field of lymphedema treatment. However, in a lymphatic venous anastomosis, an arduous technique is required to manipulate the 0.1-0.8-mm lymphatic channels, whereas conventional microsurgery deals with 0.8-2.0-mm vessels. Although several practice models in lymph supermicrosurgery are available, the upgradation of lymph supermicrosurgical skills in human lymphatic venous anastomosis has not been reported. In this study, we suggest the efficacy steps of the lymph supermicrosurgical technique for surgeons who are not accustomed to microsurgery. After acquiring 1 year of experience in lymph microsurgery, using the line production system and intravascular stenting method, the author along with experienced supermicrosurgeons concludes that accurate anastomosis of the small lymph channel is possible in a safe and rapid manner. In this study, tips for lymphatic venous anastomosis are described in the text and video.