Case Study

Minimally Invasive Supermicrosurgery Technique

Treatment of upper extremity lymphedema

New techniques have emerged in recent years for lymphedema treatment, in particular minimally invasive lymphaticovenular anastomosis. Given the small diameter of lymphatic vessels, this supermicrosurgery procedure requires excellent visualization.

A Turkish team successfully operated a 51-year-old female with upper extremity lymphedema (UEL) using this novel technique. To do so, it relied on a Leica surgical microscope providing x40 magnification, allowing to have a clear view of the superficial tissue vein vessels and lymphatic vessels.

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The Leica microscopes combine superior OR-quality optics with cutting-edge illumination for outstanding visualization and long-term reliability. They are also extremely maneuverable and customizable, adapting to surgeon preferences.  

In their case report, the Turkish team concluded that lymphaticovenular anastomosis and minimally invasive supermicrosurgery techniques are favorable alternatives for lymphedema treatment, enabled by recent technologies.

Summary

The authors present the case of a patient admitted with numbness and anesthesia in the left upper extremity and who was diagnosed with upper extremity lymphedema. The operation was performed under local anesthesia, with three incisions. Exploration of skin tissue was conducted using the Leica microscopes and the superficial lymphatic vessel was anastomosed to the appointed venous vessel. The operation outcome was successful, improving the patient’s quality of life. This case should appeal to plastic reconstructive surgeons who deal with lymphedema looking to embrace modern approaches.

Read the full article:

Deniz Çevirme1, Hakan Hançer1, Ayşe Zehra Karakoç1, Hasan Sunar1 and Mehmet Kaan Kırali1

1Department of Cardiovascular Surgery, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, Istanbul, Turkey

Treatment of upper extremity lymphedema with minimally invasive supermicrosurgery technique

Turk Gogus Kalp Dama 2020;28(4):695-698DOI: 10.1002/micr.2236

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