title: The guide wire method: a new technique for easier side-to-end lymphaticovenular anastomosis.
abstract: Lymphaticovenular anastomosis has become one of the treatment options for lymphedema. Among several types of anastomosis, side-to-end anastomosis in which a window is made on the wall of a lymphatic vessel is considered to be the most effective, because it creates bidirectional bypasses through 1 anastomosis. However, making a side-to-end anastomosis with a small lymphatic vessel and a venule can be technically challenging. We developed a new technique using an intravascular stenting that significantly facilitates the procedure.
authors.affiliation: From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.
authors.forename: Hidehiko
authors.initials: H
authors.lastname: Yoshimatsu
authors.forename: Takumi
authors.initials: T
authors.lastname: Yamamoto
authors.forename: Mitsunaga
authors.initials: M
authors.lastname: Narushima
authors.forename: Takuya
authors.initials: T
authors.lastname: Iida
authors.forename: Isao
authors.initials: I
authors.lastname: Koshima
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000295:instrumentation / Q000379:methods; D005240:Feasibility Studies; D006801:Humans; D042601:Lymphatic Vessels / Q000601:surgery*; D008209:Lymphedema / Q000601:surgery*; D008866:Microsurgery / Q000295:instrumentation / Q000379:methods*; D008875:Middle Aged; D015607:Stents; D016896:Treatment Outcome; D014699:Venules / Q000601:surgery*