ZEISS Lymphovenous Anastomosis
CHALLENGES IN P&R SURGERY

Lymphovenous anastomosis

  • Clinical challenge
  • ZEISS solution
  • Peer Insights
CLINICAL CHALLENGE

Lymphovenous anastomosis – a supermicrosurgical technique

A lymphovenous anastomosis is a technique which depends on the identification of lymphatic channels and the patency check of connected vessels.1 Next to the surgeon’s experience and skills, a high magnification is needed when working on those small structures on submillimeter level with small tools and sutures. Visualization systems with advanced magnification play a key role in achieving successful bypasses.¹

"Given the submillimeter size of the lymphatic vessels and recipient veins, the anastomosis presents unique challenges. The lymphatic channel, in particular, is often smaller than the vein, and the walls of the lymph vessels are especially thin and often collapse on themselves, making it difficult to place the needle into the lumen."

Chang, Edward I et al. “Lymphovenous Anastomosis Bypass Surgery.” Seminars in plastic surgery vol. 32,1 (2018): 22-27. doi:10.1055/s-0038-1636510

ZEISS Lymphovenous Anastomosis

ZEISS TIVATO 700

Since the beginning of (super-)microsurgery in P&R in the 1960s, ZEISS supports surgeons worldwide with visualization systems to picture even the smallest details.  ZEISS TIVATO® 700 enhances usability by:

  • Workflow-Enhancing Visualization
  • Ultimate Reach & Flexibility
  • All-Digital
  • 1

    Chang, Edward I et al. “Lymphovenous Anastomosis Bypass Surgery.” Seminars in plastic surgery vol. 32,1 (2018): 22-27. doi:10.1055/s-0038-1636510

  • 2

    The approval status of this method for the angiography of vessels is depending on country. Please use the fluorescent agent as per the approval status.

  • 3

    Handchir Mikrochir Plast Chir. 2012 Apr;44(2):84-8