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


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

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.


ZEISS SOLUTION

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
Peer insights

Plastic & reconstructive surgery

Lymphovenous anastomosis on a 58-year-old female patient

Read article

Lymphovenous anastomosis with ZEISS KINEVO 900

Read article

Maximize your product usage with MyZEISS

Gain exclusive learning content, peer-to-peer content, patient material and access to tools to manage your daily tasks.

Login

Make a sales request

Any questions about buying our products?

Click here

to get direct assistance from our service team.

Stay up to date

Sign up for updates on current topics, news and events.

  • 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