{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T21:04:02Z","timestamp":1790024642017,"version":"4.0.1"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,9,8]],"date-time":"2014-09-08T00:00:00Z","timestamp":1410134400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:p>Supermicrosurgical lymphaticovenular anastomosis (LVA) has been reported to be useful for the treatment of obstructive lymphedema. However, LVA has a potential risk of anastomosis site thrombosis. It is more physiological to use a lymphatic vessel as a recipient vessel of lymphatic bypass surgery, because there is no chance for blood to contact the anastomosis site. We report a chronic localized lower leg lymphedema case treated with supermicrosurgical superficial\u2010to\u2010deep lymphaticolymphatic anastomosis (LLA). A 66\u2010year\u2010old male with a 60\u2010year history of cellulitis\u2010induced left lower leg lymphedema suffered from very frequent episodes of cellulitis and underwent LLA under local infiltration anesthesia. LLA was performed at the dorsum of the left foot. A dilated superficial lymphatic vessel was found in the fat layer, and a nondilated intact deep lymphatic vessel was found along the dorsalis pedis artery below the deep fascia. The superficial lymphatic vessel was supermicrosurgically anastomosed to the deep lymphatic vessel in a side\u2010to\u2010end fashion. After the surgery, the patient had no episodes of cellulitis, and the left lower leg lymphedematous volume decreased. Superficial\u2010to\u2010deep LLA may be a useful option for the treatment of secondary lymphedema due to obstruction of only the superficial lymphatic system. \u00a9 2014 Wiley Periodicals, Inc. Microsurgery 35:68\u201371, 2015.<\/jats:p>","DOI":"10.1002\/micr.22327","type":"journal-article","created":{"date-parts":[[2014,9,8]],"date-time":"2014-09-08T06:45:50Z","timestamp":1410158750000},"page":"68-71","source":"Crossref","is-referenced-by-count":26,"title":["Supermicrosurgical anastomosis of superficial lymphatic vessel to deep lymphatic vessel for a patient with cellulitis\u2010induced chronic localized leg lymphedema"],"prefix":"10.1002","volume":"35","author":[{"given":"Takumi","family":"Yamamoto","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery the University of Tokyo Tokyo Japan"},{"name":"Department of Plastic Surgery Noda Hospital Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isao","family":"Koshima","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery the University of Tokyo Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,9,8]]},"reference":[{"key":"e_1_2_4_2_1","first-page":"102","article-title":"Edema: Diagnosis and management","volume":"88","author":"Trayes KP","year":"2013","journal-title":"Am Fam Physician"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2007.08423.x"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2008.08590.x"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e31824f20d4"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.20737"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31820cf5c6"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2010.10.011"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01658013"},{"key":"e_1_2_4_10_1","first-page":"90","article-title":"Microsurgical lymphvessel\u2010transplantation for the treatment of lymphedema: Experimental and first clinical experiences","volume":"14","author":"Baumeister RG","year":"1981","journal-title":"Lymphology"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22040"},{"key":"e_1_2_4_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e3182605580"},{"key":"e_1_2_4_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e31826caff1"},{"key":"e_1_2_4_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0059523"},{"key":"e_1_2_4_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22115"},{"key":"e_1_2_4_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22187"},{"key":"e_1_2_4_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e318250f0a0"},{"key":"e_1_2_4_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/1538574413510979"},{"key":"e_1_2_4_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22215"},{"key":"e_1_2_4_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22272"},{"key":"e_1_2_4_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2014.06.007"},{"key":"e_1_2_4_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/1358836X9800300209"},{"key":"e_1_2_4_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31820cf5df"},{"key":"e_1_2_4_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182268cd9"},{"key":"e_1_2_4_25_1","first-page":"165","article-title":"Natural history of lymph pumping pressure after pelvic lymphadenectomy","volume":"45","author":"Okitsu T","year":"2012","journal-title":"Lymphology"},{"key":"e_1_2_4_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e318255168a"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmicr.22327","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.22327","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T22:25:30Z","timestamp":1696458330000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.22327"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,9,8]]},"references-count":25,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2015,1]]}},"alternative-id":["10.1002\/micr.22327"],"URL":"https:\/\/doi.org\/10.1002\/micr.22327","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,9,8]]}}}