Supermicrosurgical Lymphaticovenular Anastomosis

2. Auflage 2024
ISBN: 978-3-031-38808-8
Verlag: Springer Nature Switzerland

Buch, Englisch, 407 Seiten, Book w. online files / update, Format (B × H): 183 mm x 260 mm, Gewicht: 1108 g

The supermicrosurgical procedure known as Lymphaticovenular Anastomosis, or LVA, is a minimally invasive physiologic surgical treatment of lymphedema, which has gained attention worldwide in recent years as technical limitations were overcome and surgical indications can now apply to a larger set of patients with lymphatic disease. Complex advanced-stage lymphedema cases and patients with lymphorrea still have functional lymphatic channels, and could benefit from lymphaticovenular anastomosis. The latest technologies, such as ultrahigh frequency ultrasound, allow now to perform a detailed preoperative planning, improving efficacy and reliability of the intervention. Additional technologies that are available, as for example Rest-Stress Lymphoscintigraphy, Laser Tomography and Photoacoustic Imaging are also presented in the book, as all concur to build a complete preoperative and intraoperative set of information. Supermicrosurgical Lymphaticovenular Anastomosis is ahandy, one-of-a-kind guide built on the experience of contributors that are experts in this highly specialized field, while presenting topics in a clear and complete fashion, with the support of over 240 illustrations and chapter-related videos for a thorough understanding of preparatory steps and microsurgical techniques. This volume will be a valued companion to the modern microsurgeon dealing with lymphedema who wants to refine supermicrosurgical skills but also be of interest for professionals to gain insight in latest and more traditional technologies, through the related dedicated chapters and videos.

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Zielgruppe

Professional/practitioner

Autoren/Hrsg.

Visconti, Giuseppe

Yang, Johnson Chia-Shen

Hayashi, Akitatsu

Fachgebiete

• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Chirurgie Gefäßchirurgie
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Chirurgie Plastische, Rekonstruktive & Kosmetische Chirurgie
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Chirurgie Minimalinvasive Chirurgie, Laserchirurgie, Laparoskopie

Inhaltsverzeichnis

Foreword.-. Preface.- Section 1. The Lymphedema.- 1. Introduction To Lymphaticovenular Anastomosis Surgery: Historical Perspectives.- 2. Applied Anatomy of the Lymphatic System.- 3. Physiologic Surgery of Lymphedema (overall description of all procedures includign LVA, LNF, VLNT).- 4. Indication for Lymphatic Surgery and Patient Selection.- Section 2. Severity Staging & Preoperative Planning.- 5. Lymphoscintigraphy.- 6. Near-Infrared Fluorescent Lymphography using ICG.- 7. Ultrasound.- 8. Magnetic Resonance Lymphography.- 9. Photoacustic Technology.- Section 3. The Dynamics of LVA.- 10. Anastomosis Configurations.- 11. The recipient Venule.- 12. Intraoperative Selection of the Lymphatic Channels.- 13. The Dynamic LVA.- 14. The Confluence Point: a new incision strategy in LVA.- Section 4. Operative Techniques.- 15. Immediate Lymphatic Reconstruction.- 16. Upper Extremity Lymphedema.- 17. Lower Extremity Lymphedema.- 18. Breast and Genital Lymphedema.- 19. Head and Neck Lymphedema.- 20. Early-Moderate Stage Lymphedema -including ELVA.- 21. Advanced-Stage Lymphedema.- 22. Lymphorrea.- 23. Lymphocele.- 24. Robotic Lymphovenous Anastomosis.- Section 5. Tip and Tricks.- 25. Clinical and Technical Pearls to Successful Lymphaticovenular Anastomosis.- 26. IVAS.- 27. Airborne, Needle Stenting and Nip Stitch.- 28. Valvuloplasty.- 29. Optimal Surgical Positions for Lymphaticovenular Anastomosis.- Section 6. Physical Therapy.- 30. Complex Decongestive Therapy.- Section 7. Ancillary Procedures.- 31. Liposuction.- 32. Biobridge in Lymphatic Surgery.- Section 8. Experimental.- 33. Experimental model of LVA in small animals.- 34. Experimental model of LVA in large animals.

Über Autor(innen)

Dr. Giuseppe Visconti; MD, PhD, is a board-certified Plastic Surgeon based in Rome. He started the Lymphedema Surgery Program in University Hospital “Agostino Gemelli” in Rome, which is nowadays one of the highest-volume Center for lymphedema surgery in Europe and recognized as Surgical Center of Excellence for lymphatic disease by LE&RN. Among the first user of Ultra High-Frequency Ultrasound in Europe for lymphatic surgery, he pioneered its use for perforator flaps. Dr Giuseppe Visconti has been granted by the Italian Ministry of Health a research project on Lymphedema Surgery in 2017, has produced more than 25 publications dedicated to lymphedema surgery on international peer reviewed Journals, 3 chapters on lymphedema surgery for International Books and is Co-Editor of the first book entirely dedicated to Supermicrosurgical LVA, published in 2020. Appointed as Visiting Professor at the University of Medicine and Pharmacy Victor Babes in Timisoara, Romania in 2019. Co-Founder of the Imaging in Reconstructive Microsurgery Yearly Meeting since 2019, he is regularly invited in National and International Meetings for Lymphedema Surgery and has been appointed as Faculty in Boston Lymphatic Symposium in 2021, at the American Society of Reconstructive Microsurgery in 2022, at the International Master Degree in Surgical Lymphology 2022-2024 by RMES and Keynote Speaker on Lymphedema Surgery at the National Annual Meeting of Italian Society for Plastic, Reconstructive and Aesthetic Surgery in 2022.

Dr Akitatsu Hayashi, MD, is specialized in the surgical treatment for lymphedema. He is best known for pioneering with modern imaging techniques of the lymphatic vessels for lymphedema surgery (Ultrasound, OCT) and Director of the Kameda Lymphedema Center, first Asian designated Surgical Center of Excellence by the LE&RN, USA, in 2020. He was appointed Visiting Professor of Asan Medical Center, Korea in 2019, Virtual Professor at Buncke Clinic, USA, in 2020 and faculty at the Boston Lymphatic Symposium in 2021. He also has been publishing on related international journals (as the Journal of Clinical Medicine, Journal of Reconstructive Microsurgery, Journal of Plastic, reconstructive and Aesthetic Surgery, Journal of Microsurgery), lecturing in 13 countries and performing surgery in 8 countries around the globe.

Dr Johnson Chia-Shen Yang, MD, PhD, FACS, is a board certified plastic and reconstructive microsurgeon at Kaohsiung Chang Gung Memorial Hospital. Dr. Yang is consider to be the pioneer of supermicrosurgery in Taiwan. He is currently the director of International Supermicrosurgical Lymphedema Center, which was recognized as one of the six Surgical Center of Excellence for lymphatic disease in the world by Lymphatic Education and Research Network in 2021. Dr. Yang was also selected as one of the five Key Opinion Leader (KOL) in the Greater China region by Carl Zeiss in 2021. As the only plastic surgeon, he was interviewed by “ZEISS Beyond Talks” for the celebration of Carl Zeiss’s 175th anniversary. His ground breaking articles were published in International Journal of Surgery (IJS), Journal of American college of Surgeons (JACS), and Plastic and Reconstructive Surgery (PRS). Dr. Yang has been invited to speak at international conferences as well as keynote speaker at the annual meeting of Japan Society of Plastic Reconstructive Surgery and Pakistan Association of Plastic Surgeons. In 2017, Dr. Yang was appointed as visiting professor by BG Trauma Center Ludwigshafen, University of Heidelberg, Germany.