Surgical Film Library-Lymphovenous Bypass To Reduce Lower Extremity Lymphedema

Video Transcription

Video Summary

The speaker discusses advanced surgical treatment for upper extremity lymphedema, focusing on lymphovenous bypass (LVB) and lymph node transfer surgeries. Lymphedema is a chronic condition causing swelling and tissue changes due to lymphatic dysfunction. The key to successful treatment is selecting the right surgery based on patient evaluation, including physical exams, bioimpedance spectroscopy, MRI, and especially ICG lymphography to assess the lymphatic system's status. Fluid-predominant cases with linear ICG patterns may benefit from LVB, while solid-predominant cases with more severe patterns may require lymph node transfer. The speaker explains the supermicrosurgical techniques involved, emphasizing the use of high-magnification microscopes and delicate instruments to connect tiny lymphatic vessels and veins, ensuring no blood backflow. Postoperative results show significant volume reduction and symptom relief when combined with compression therapy. Early surgical intervention, teamwork with therapists, and patient compliance are crucial for effective management. The use of ultrasound contrast enhances vessel mapping.

Asset Subtitle

Vahe Fahradyan, United States

Meta Tag

Route MIS-Laparoscopic

Skill Level Expert

Surgical Location Inguinal

Keywords

MIS-Laparoscopic

Inguinal

Expert

upper extremity lymphedema

lymphovenous bypass (LVB)

lymph node transfer surgery

ICG lymphography

supermicrosurgery techniques

compression therapy