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Utilizing a Lower Extremity Vein Graft for Immediate Lymphatic Reconstruction
8 days ago | By Journal of Plastic, Reconstructive & Aesthetic Surgery
Immediate lymphatic reconstruction is targeted at preventing breast cancer related lymphedema by anastomosing disrupted arm lymphatic channels to axillary vein tributaries. Inadequate vein length and venous back-bleeding are two technical reasons that lead to ILR procedures being aborted intraoperatively. Recently, our team began routinely harvesting a lower extremity vein graft for all ILR procedures to reduce our abort rate. We describe the surgical approach of an LEVG and evaluate the effects on aborted case rates and intraoperative time.
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