Single lymphovenous anastomosis for early-stage lower extremity secondary lymphedema

A 53-year old woman with very early-stage secondary lymphedema following endometrial cancer was presented. Very healthy lymphatics were present. The ICG scan showed a linear pattern that ended in dermal backflow. The incision was made distally. A healthy, big lymphatic vessel, which was well stained with patent blue and ICG, was put to the vein. After lymphatic drainage, ICG imaging revealed no leakage, and both vessels were equally stained, indicating a patent anastomosis.