Case
Lymphovenous anastomoses for very early case of secondary lymphedema on the left leg after prostate cancer
PRS Insights 2024
27 March 2026
· 22 min watch
![Portrait of Christian Taeger wearing glasses, with a soft-focus background.]({"xsmall":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/christian_taeger.jpeg/_jcr_content/renditions/original.image_file.100.100.0,16,853,869.file/christian_taeger.jpeg","small":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/christian_taeger.jpeg/_jcr_content/renditions/original.image_file.360.360.0,16,853,869.file/christian_taeger.jpeg","medium":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/christian_taeger.jpeg/_jcr_content/renditions/original.image_file.768.768.0,16,853,869.file/christian_taeger.jpeg","large":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/christian_taeger.jpeg/_jcr_content/renditions/original.image_file.853.853.0,16,853,869.file/christian_taeger.jpeg","xlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/christian_taeger.jpeg/_jcr_content/renditions/original.image_file.853.853.0,16,853,869.file/christian_taeger.jpeg","xxlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/christian_taeger.jpeg/_jcr_content/renditions/original.image_file.853.853.0,16,853,869.file/christian_taeger.jpeg","max":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/christian_taeger.jpeg/_jcr_content/renditions/original.image_file.853.853.0,16,853,869.file/christian_taeger.jpeg"})
AUTHOR
Christian Taeger, MD
Specialist for Plastic and Hand Surgery, Private Clinic, Munich, Germany
SUMMARY
Lymphovenous anastomoses for very early case of secondary lymphedema on the left leg after prostate cancer
This is a very early case of secondary lymphedema following prostate cancer on the left leg. Expected conditions were good, and the preoperative ICG scan the day before surgery showed many linear lymphatics. However, at the height of the knee, all the lymphatics were already sclerosed. More distal on the lower leg conditions were excellent. Initially there was some backflow of venous blood into the lymphatics, but after several revisions, this phenomenon was no longer observed.
![Close-up view of surgical tweezers maneuvering a piece of light blue surgical tape positioned on tissue during a procedure.]({"xsmall":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/lva_s_for_primary_lymphedema_1.jpg/_jcr_content/renditions/original.image_file.100.56.0,0,1920,1080.file/lva_s_for_primary_lymphedema_1.jpg","small":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/lva_s_for_primary_lymphedema_1.jpg/_jcr_content/renditions/original.image_file.360.203.0,0,1920,1080.file/lva_s_for_primary_lymphedema_1.jpg","medium":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/lva_s_for_primary_lymphedema_1.jpg/_jcr_content/renditions/original.image_file.768.432.0,0,1920,1080.file/lva_s_for_primary_lymphedema_1.jpg","large":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/lva_s_for_primary_lymphedema_1.jpg/_jcr_content/renditions/original.image_file.1024.576.0,0,1920,1080.file/lva_s_for_primary_lymphedema_1.jpg","xlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/lva_s_for_primary_lymphedema_1.jpg/_jcr_content/renditions/original.image_file.1280.720.0,0,1920,1080.file/lva_s_for_primary_lymphedema_1.jpg","xxlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/lva_s_for_primary_lymphedema_1.jpg/_jcr_content/renditions/original.image_file.1440.810.0,0,1920,1080.file/lva_s_for_primary_lymphedema_1.jpg","max":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/lva_s_for_primary_lymphedema_1.jpg/_jcr_content/renditions/original.image_file.1920.1080.0,0,1920,1080.file/lva_s_for_primary_lymphedema_1.jpg"})
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![A close-up view of a surgical procedure, highlighting tissue and instruments within an anatomical space.]({"xsmall":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/va_s_for_leg_1.jpg/_jcr_content/renditions/original.image_file.100.56.file/va_s_for_leg_1.jpg","small":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/va_s_for_leg_1.jpg/_jcr_content/renditions/original.image_file.360.203.file/va_s_for_leg_1.jpg","medium":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/va_s_for_leg_1.jpg/_jcr_content/renditions/original.image_file.768.432.file/va_s_for_leg_1.jpg","large":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/va_s_for_leg_1.jpg/_jcr_content/renditions/original.image_file.1024.576.file/va_s_for_leg_1.jpg","xlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/va_s_for_leg_1.jpg/_jcr_content/renditions/original.image_file.1280.720.file/va_s_for_leg_1.jpg","xxlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/va_s_for_leg_1.jpg/_jcr_content/renditions/original.image_file.1440.810.file/va_s_for_leg_1.jpg","max":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/va_s_for_leg_1.jpg/_jcr_content/renditions/original./va_s_for_leg_1.jpg"})
![A close-up view of a surgical procedure showing a blue surgical tape being applied with precision instruments.]({"xsmall":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5321---lva-for-early-stage-lower-extremity-secondary-lymphedema/single_lymphovenous.jpg/_jcr_content/renditions/original.image_file.100.56.file/single_lymphovenous.jpg","small":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5321---lva-for-early-stage-lower-extremity-secondary-lymphedema/single_lymphovenous.jpg/_jcr_content/renditions/original.image_file.360.203.file/single_lymphovenous.jpg","medium":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5321---lva-for-early-stage-lower-extremity-secondary-lymphedema/single_lymphovenous.jpg/_jcr_content/renditions/original.image_file.768.432.file/single_lymphovenous.jpg","large":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5321---lva-for-early-stage-lower-extremity-secondary-lymphedema/single_lymphovenous.jpg/_jcr_content/renditions/original.image_file.1024.576.file/single_lymphovenous.jpg","xlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5321---lva-for-early-stage-lower-extremity-secondary-lymphedema/single_lymphovenous.jpg/_jcr_content/renditions/original.image_file.1280.720.file/single_lymphovenous.jpg","xxlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5321---lva-for-early-stage-lower-extremity-secondary-lymphedema/single_lymphovenous.jpg/_jcr_content/renditions/original.image_file.1440.810.file/single_lymphovenous.jpg","max":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5321---lva-for-early-stage-lower-extremity-secondary-lymphedema/single_lymphovenous.jpg/_jcr_content/renditions/original./single_lymphovenous.jpg"})
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