Microsurgical Reconstruction with lymphovenous anastomosis (LVA) using supermicrosurgery technique
This surgical approach is most effective in the early stages of the disease, when the oedema is still reversible.
In this technique we suture lymphatic channels to veins. The lymphatics are very tiny with a diameter of 0.3 mm to 0.8 mm. It requires complex microsurgical expertise, a high resolution microscope as well as special instruments and suture materials that are imported from Asia.
An near infrared (NIR) camera is used for the evaluation of the lymphoedema. This device is also necessary to visualize small lymphatics.
The lymphatic channels are located directly under the skin and we only needs a 1-2 cm superficial skin incisions to perform the lymphovenous anastomosis.