{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T20:21:20Z","timestamp":1785874880722,"version":"3.56.0"},"reference-count":35,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2022,9,23]],"date-time":"2022-09-23T00:00:00Z","timestamp":1663891200000},"content-version":"vor","delay-in-days":22,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Lymphaticovenular anastomosis (LVA) is an effective, functional treatment for limb lymphedema. This study reports an alternative surgical approach to lymphedema treatment without the use of indocyanine green mapping.<\/jats:p><jats:p>\n          Methods\u2003A retrospective analysis was performed on 29 consecutive lymphedema patients who underwent LVAs from January 2015 to December 2020, whereby incisions were made along the anatomy of the superficial venous systems in both upper and lower extremities around the joint areas. The evaluation included qualitative assessments and quantitative volumetric analyses.<\/jats:p><jats:p>\n          Result\u2003The mean number of anastomoses was 3.07, and the operative time was 159.55\u2009minutes. Symptom improvement was recorded in 86.21% of the patients, with a mean volume reduction of 32.39%. The lymphangitis episodes decreased from 55.17% before surgery to 13.79% after surgery, and the median number of lymphangitis episodes per year decreased from 1 before surgery to 0 after surgery.<\/jats:p><jats:p>\n          Conclusions\u2003The superficial venous anatomical approach is an easy way to start a lymphedema practice using LVA without other advanced surgical equipment. With this reliable technique, microsurgeons can perform LVA procedures and achieve good results.<\/jats:p>","DOI":"10.1055\/s-0042-1756348","type":"journal-article","created":{"date-parts":[[2022,9,23]],"date-time":"2022-09-23T22:36:52Z","timestamp":1663972612000},"page":"689-695","source":"Crossref","is-referenced-by-count":3,"title":["Lymphaticovenular Anastomosis: Superficial Venous Anatomical Approach"],"prefix":"10.1055","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8348-5941","authenticated-orcid":false,"given":"Kengkart","family":"Winaikosol","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Unit, Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5732-6720","authenticated-orcid":false,"given":"Palakorn","family":"Surakunprapha","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Unit, Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,9,23]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1089\/lrb.2006.4404","article-title":"Adipose tissue dominates chronic arm lymphedema following breast cancer: an analysis using volume rendered CT images","volume":"4","author":"H Brorson","year":"2006","journal-title":"Lymphat Res Biol"},{"issue":"04","key":"ref2","first-page":"170","article-title":"The diagnosis and treatment of peripheral lymphedema: 2009 Consensus Document of the International Society of Lymphology","volume":"49","author":"Executive Committee","year":"2016","journal-title":"Lymphology"},{"issue":"06","key":"ref3","doi-asserted-by":"crossref","first-page":"2419","DOI":"10.1097\/PRS.0b013e318213a218","article-title":"Primary lymphedema: clinical features and management in 138 pediatric patients","volume":"127","author":"C C Schook","year":"2011","journal-title":"Plast Reconstr Surg"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1016\/j.ejvs.2014.10.023","article-title":"Indocyanine green lymphography findings in primary leg lymphedema","volume":"49","author":"T Yamamoto","year":"2015","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"209S","DOI":"10.1097\/PRS.0000000000002683","article-title":"Lymphedema: Surgical and medical therapy","volume":"138","author":"D W Chang","year":"2016","journal-title":"Plast Reconstr Surg"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"29","DOI":"10.35772\/ghm.2019.01010","article-title":"Technical pearls in lymphatic supermicrosurgery","volume":"2","author":"T Yamamoto","year":"2020","journal-title":"Glob Health Med"},{"issue":"02","key":"ref7","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1007\/s10549-008-9932-5","article-title":"Lymphatic venous anastomosis (LVA) for treatment of secondary arm lymphedema. 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