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Index
https://t.me/medicina_free
Note: Page numbers set bold or italic indicate headings or figures, respectively.
A
Adipose-derived stem cells (ASCs)
234
Aerobic exercises 78
Anastomosis technique 85
Anatomy of lymphatic system 4
Anesthesia 113
Animal models
– lymphedema models
–– in large animal 227
–– in rodents 229
– small animal models,
challenges of
–– hindlimb volumetry 230
–– histology and
immunohistochemistry 232
–– lymphatic imaging 231
– small animal models, challenges
of 230
Animal models 227
Autologous lymph vessel transfer
(ALVT)
– clinical cases 131
– from healthy thigh to groin of
affected extremity 128
– in groin region 129
– indications and
contraindications 127
– interpositional graft 130
– lymphatic graft, harvesting 128
– number of used lymphatic
collectors 130
– operative technique 127
– pearls and pitfalls 130
– postoperative management 130
– preoperative considerations
127
– surgical equipment 130
– to axilla region 128
– vessel transfer, type of 130
Autologous lymph vessel transfer
(ALVT) 127
Axilla region, autologous lymph
vessel transfer to 128
Axillar recipient site, value and
extent of scar release of 152
Axillar region, anatomy of 136
Axillary area, lymphatic anatomy
of 151
B
Bandages 71
Barcelona cocktail 156
Bilateral lymphedema 22
Blue dye 123
Breast cancer-related lymphedema,
surgery for 209
Breast reconstruction
– and vascularized lymph node
transfer 197
– axillar recipient site, value and
extent of scar release of 152
– clinical cases 157
– in combination with lymph node
flap and lymphovenous
anastomosis 156
– in combination with
lymphovenous anastomosis
155
– in combination with
vascularized lymph node flap
–– alternative flaps 155
–– inguinal lymph node flap,
surgical technique to harvest
153
–– recipient vessels, management
of 155
–– simultaneous reconstruction
153
–– staged reconstruction 153
– in combination with
vascularized lymph node flap
152
– indications and
contraindications 150
– intraoperative position 156
– lymphatic anatomy of donor site,
lower limb and inguinal area
151
– lymphatic anatomy of donor
site 151
– lymphatic anatomy of recipient
site
–– postoperative derivative
lymphatic pathways 151
–– upper limb and axillary area
151
– lymphatic anatomy of recipient
site 151
– patient education 157
– pearls and pitfalls 161, 163
– postoperative management
–– apparative evaluation 157
–– complete decongestive
therapy
–– compression therapy 156
–– follow-ups 157
–– manual lymphatic drainage 156
–– non-apparative evaluation 157
– postoperative management 156
Breast reconstruction 150
156
C
Cadaver
– dorsal forearm of 6
– lower extremity of 6
Cellulitis 87
Charles’ procedure 178
Chronic lymphedema
– breast cancer-related
lymphedema, surgery for 209
– breast reconstruction and
vascularized lymph node
transfer 197
– dermolipectomy and
lymphoreductive surgery 194
– lacking functional lymphatic
collectors 208
– lower extremity lymphedema,
surgery for 210
– lymphovenous anastomosis
–– during surgery 196
–– for the surgeon 195
–– regarding the patient 196
– lymphovenous anastomosis
195
– presenting with functional
lymphatic collectors 208
– suction-assisted lipectomy
–– intraoperative 195
–– postoperative 195
–– preoperative 194
– suction-assisted lipectomy 194
– therapeutic failure, dealing with
–– causes, analysis of 198
–– secondary procedures 198
– therapeutic failure, dealing
with 197
– upper extremity lymphedema,
surgery for 210
– vascularized lymph node
transfer 196
– with fat hypertrophy and/or
tissue fibrosis 210
– wrong surgical technique
avoidance in wrong patient 193
Chronic lymphedema 193, 208
Chronic lymphocele,
lymphovenous anastomosis for
187
Circular-knit and flat-knit
garments 73
Circumference 31, 32, 33
Classification, of lymphedema 19
Clinical examination, tissue
resistance 30
Clinical examination 29
Combined surgical approaches
221
Complete decongestive therapy
(CDT)
– background, timing and
teamwork are key to success 96
– background 94
– best practices 99
– compression therapy
–– alternative compression
materials 77
–– circular-knit and flat-knit
garments 73
–– compression bandages 71
–– compression classes 74
–– compression garments 72
–– custom-made and standard
compression garments 76
–– principles of compression 70
–– styles of compression
garments 73
– compression therapy 69
– discussion 100
– exercises
–– abdominal breathing exercises
77
–– aerobic exercises 78
–– decongestive exercises 77
–– resistive exercises 78
– exercises 77
– goals of 63
– limitations in lymphedema
management 81
– Manual Lymph Drainage (MLD)
64
– Manual Lymph Drainage,
additional techniques of
–– deep abdominal technique 67
–– edema technique 68
–– fibrosis technique 68
–– vasa vasorum technique 69
– Manual Lymph Drainage,
additional techniques of 67
– Manual Lymph Drainage, basic
strokes of
–– pump technique 66
–– rotary technique 67
–– scoop technique 66
–– stationary circles 65
– Manual Lymph Drainage, basic
strokes of 65
– Manual Lymph Drainage,
contraindications for 69
– perioperative complete
decongestive therapy, evidencebased practice for
–– compression therapy 98
–– exercise 99
–– manual lymphatic drainage 98
–– skin care 99
– perioperative complete
decongestive therapy, evidence-
based practice for 96
– skin and nail care 79
Complete decongestive therapy
(CDT) 63, 93, 101
Compression bandages 71
Compression classes 74
Compression garments
– styles of 73
– two-way elasticity in 74
Compression garments 72, 76
Compression glove with finger
stubs 75
Compression levels 76
Compression therapy
– absolute and relative
contraindications for 71
– alternative compression
materials 77
– circular-knit and f lat-knit
garments 73
– compression garments 76
– custom-made garments 76
–
effects of 70
Index
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– principles of compression 70
Compression therapy 69, 98
Consensus for treatment
indication 224
Conservative lymphedema
management, documentation
and screening modalities for 85
Contrast-enhanced magnetic
resonance lymphangiography
45, 48
Conventional magnetic resonance
imaging 43, 44
Conventional MRI 44
Cushioning, proper 114
Custom-made and standard
compression garments 76
D
Dandelion, decellularization of
236
Data-driven medicine, future of
59
De- and recellularized scaffolds
235
Decongestive exercises 77
Decongestive therapy
– compression therapy 156
– manual lymphatic drainage 156
Decongestive therapy 156
Deep abdominal technique, hand
placements for 68
Deep abdominal technique 67
Dermal backflow (DB) 41
Dermolipectomies
– in extremities 179
– scrotal dermolipectomies 180
– vulvar dermolipectomies 180
Dermolipectomy and
lymphoreductive surgery 194
Diagnostic imaging techniques
– indocyanine green
lymphangiography 92
– lymphoscintigraphy 92
– magnetic resonance
lymphangiography 92
Diagnostic imaging techniques 92
Documentation 117
Documentation and screening
modalities for conservative
lymphedema management 85
Donning aids, for open-toe
compression stockings 73
Donor and recipient sites
– inguinal vascularized lymph
node transfer to distal recipient
141
– proximal versus distal recipient
area, scar management, and flap
types 140
Donor and recipient sites 140
Donor sites
– complication rates based on
222
– gastroepiploic lymph node
transfer 138
– inguinal lymph node transfer
133
– jejunal mesenteric lymph node
transfer 138
– lateral thoracic/thoracodorsal
lymph node transfer 136
– omental lymph node transfer
138
– submental lymph node transfer
137
– supraclavicular lymph node
transfer 134
Donor sites 133
Double barrel lymphatic vessels
115
Dressing 117
E
Edema technique 68, 68
Elastic taping 84
– general application of 85
Embryology of lymphatic system
3
End-to-end lymphovenous
anastomosis (LVEEA), in
conjunction with end-to-side
lymphaticovenous anastomosis
119
End-to-end lymphovenous
anastomosis (LVEEA) 118
End-to-end nodo-venal shunt or
anastomoses 166
End-to-side lympholymphatic
anastomosis (LLESA) 119, 120
End-to-side lymphovenous
anastomosis (LVESA) 118
Endothelial cells , and methods of
isolation and cultivation 233
Etiology, of lymphedema 14
Evidence-based service 59
Excisional procedures
– additional intraoperative tools
181
– indications and
contraindications 177
– intraoperative position 181
– lymphoreductive surgery 177
– patient education 183
– pearls and pitfalls 183
– postoperative management 183
– preoperative evaluation and
planning 178
– surgical equipment 181
– surgical technique
–– dermolipectomies in
extremities 179
–– general remarks 179
–– scrotal dermolipectomies 180
–– vulvar dermolipectomies 180
– surgical technique 179
Excisional procedures 177
Exercises
– abdominal breathing exercises
77
– aerobic exercises 78
– decongestive exercises 77
– resistive exercises 78
Exercises 77
Experimental research
, 99
– animal models
–– large animal, lymphedema
models in 227
–– rodents, lymphedema models
in 229
–– small animal models,
challenges of 230
– animal models 227
– tissue engineering for the
replacement of lymph nodes
–– biomaterials 238
–– lymph node tissue engineering
239
–– lymphatic system 237
–– regeneration of lymphatic
tissue 237
– tissue engineering for the
replacement of lymph nodes
237
– tissue engineering, lymphatic
–– cell source 233
–– cocultures 234
–– current achievements and
limitations 235
–– de- and recellularized
scaffolds 235
–– external growth factors for
234
–– hydrogels 235
–– scaffolds for 235
– tissue engineering, lymphatic
233
– vascularized lymph node
transfer and growth factors
–– application and delivery of
growth factors 242
–– clinical application 244
–– experimental background 242
– vascularized lymph node
transfer and growth factors 241
Experimental research 227
Expert group/lymphedema board
and patient advocacy 58
F
Fat hypertrophy, surgery for
lymphedema with 210
Fibroblasts 234
Fibrosis technique 68, 69
Filarial lymphedema
– clinical classification of 23
– management of 23
Filiariasis-induced chronic
lymphedema 24
Flat-knit thigh-high compression
garment 74
Flexitouch Plus System 84
Functional lymphatic collectors
– surgery for lymphedema
lacking 208
– surgery for lymphedema
presenting with 208
Functional lymphatic vessel
– definition of 109
– identification of 112
– reflux-free recipient vein,
concept of using 109
– vein finders/visualizers 109
Functional lymphatic vessel 109
Functional magnetic resonance
lymphangiography
– peripheral lymphatic leakage,
diagnosis of 50
– technique 48
Functional magnetic resonance
lymphangiography 48
G
Gastro-epiploic region, anatomy
of 138
Gastroepiploic lymph node
transfer 138
Gauze bandages on the fingers 83
Gerusa Dreyer classification 23
Great saphenous vein (GSV)
– identification of 167
– isolation and distal ligation
of 167
– proximal transection of 167
–“cobra-hood” appearance of
168
Great saphenous vein (GSV) 168
Groin region, autologous lymph
vessel transfer in 129
H
Hindlimb volumetry 230
Homans’ procedure 178
Hybrid visualization microscopy
114
Hydrogels 235
I
Immune system and autonomic
nervous system, interplay
between 95
Immunological function, lymphatic
system and 9
Incidence, of lymphedema 16
Indocyanine 38
Indocyanine green injection, timing
for 112
Indocyanine green
lymphangiography 40, 92, 110,
123
Indocyanine green near-infrared
imaging 39
Indocyanine green near-infrared
imaging
– indocyanine 38
– lymphangiography 39
– reversed lymphatic mapping 41
Inguinal area, lymphatic anatomy
of 151
Inguinal flap, preoperative
planning of 154
Inguinal lymph node flap 154
Inguinal lymph node transfer 133
Inguinal lymphatic leakage 51,
130
Inguinal region, anatomy of 134
Inspection, checklist for 31
252
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Intensive phase 79
Intermittent pneumatic
compressions, contraindications
for 84
Interpositional graft 130
Interprofessional and
multidisciplinary lymphedema
network
– evidence-based service 59
– expert group/lymphedema
board and patient advocacy 58
– funding 58
– goals 57
– lymphedema networks and
data-driven medicine, future of
59
– marketing 58
– organizational structure and
involved personnel 58
– pearls and pitfalls 59
– presentation of the concept 57
Interprofessional and
multidisciplinary lymphedema
network 57
Intra-operative visualization, tools
to be used for 214
Intraoperative position
– cushioning, proper 114
– posture 114
Intraoperative position 114
Intraoperative tools, additional
– blue dye 123
– indocyanine green
lymphangiography 123
Intraoperative tools, additional
123
Intravascular stenting 115
Iodine allergy/hyperthyroidism,
preoperative planning in
patients with 36
J
Jejunal mesenteric lymph node
transfer 138
L
Lambda-shaped lymphovenous
anastomosis 119, 120
Large animal, lymphedema models
in 227
Lateral thoracic/thoracodorsal
lymph node transfer 136, 144
Lower extremity lymphedema,
surgery for 210
Lower extremity, compression
styles for 75
Lower limb and inguinal area,
lymphatic anatomy of 151
Lymph fluid, lymphatic system to
transport 8
Lymph node flap and
lymphovenous anastomosis,
breast reconstruction in
combination with 156
Lymph node tissue engineering
239
Lymph nodes, tissue engineering
for replacement of
– biomaterials 238
– lymphatic system 237
– lymphatic tissue, regeneration
of 237
Lymph nodes, tissue engineering
for replacement of 237
Lymph vessel affinity, blue dye
with 110
Lymphangiogenesis, potential
therapeutic approaches and
future perspectives 12
Lymphangiogenesis 11
Lymphangiogenic growth factors
234
Lymphangiography, scintigraphic
36
Lymphangiography 39
Lymphangion 94
Lymphatic channels, evaluation of
36
Lymphatic collectors
– harvesting of 129
– innervation of 96
Lymphatic filariasis (LF)
– clinical case 24
– clinical manifestations
–– diagnosis 22
–– filarial lymphedema, clinical
classification of 23
– clinical manifestations 22
– management
–– of filarial lymphedema 23
–– of stage I and II 23
–– of stage III and IV 24
–– of stage V, VI, and VII 24
– management 23
– pathophysiology, pathology 22
– pathophysiology 21
– prevalence 21
Lymphatic filariasis (LF) 21
Lymphatic graft, harvesting 128
Lymphatic imaging 231
Lymphatic malformations 14
Lymphatic surgery
– diagnostic imaging techniques
–– indocyanine green
lymphangiography 92
–– lymphoscintigraphy 92
–– magnetic resonance
lymphangiography 92
– diagnostic imaging techniques
92
– pathophysiological aspects and
clinical considerations 91
– surgical procedures
–– reconstructive techniques 92
–– reductive and lymphoreductive
techniques 93
– surgical procedures 92
Lymphatic surgery 91
Lymphatic system
– anatomy of 4
– and its immunological function
9
– embryology of 3
– physiology of 7
– to transport lymph fluid 8
Lymphatic system 3, 237
Lymphatic tissue, regeneration of
237
Lymphatic vessels
– double barrel lymphatic vessels
115
– intravascular stenting 115
– magnetic resonance imaging of
–– contrast-enhanced magnetic
resonance lymphangiography
45
–– noncontrast 45
– magnetic resonance imaging of
44
– multisite anastomosis 115
Lymphatic vessels 109, 115
Lymphatics, schematic diagram of 5
Lymphedema bandaging,
modification of 88
Lymphedema networks and data-
driven medicine, future of 59
Lymphedema of leg using
lipectomy 174
Lymphedema with lymphovenous
anastomosis, indocyanine green
lymphangiography visualizing
dermal backflow 110
Lymphedema with lymphovenous
anastomosis 110
Lymphedema-related wounds,
types of 86
Lymphocytes and other cell types
in lymph node 237
Lymphoreconstructive surgery
– robotic-assisted surgery (R AS)
205
– supermicrosurgical training
models
–– with the use of lymphatic
vessels 204
–– without the use of lymphatic
vessels 203
Lymphoreconstructive surgery
203, 214
Lymphoreductive surgery 177,
194, 213
Lymphoscintigraphy 92
Lymphosomes 7
Lymphovenous anastomosis (LVA)
– and lympholymphatic
anastomoses 121
– breast reconstruction in
combination with 155
– clinical cases 124
– comparison among different
types of 120
– contraindications 111
– current consensus regarding
surgical treatment for
lymphedema with 110
– definition 107
– different commonly used
configurations of 122
– documentation 117
– dressing 117, 118
– during surgery 196
– end-to-end, in conjunction with
end-to-side lymphaticovenous
anastomosis 119
– end-to-end 118
– end-to-side 118
– end-to-side lympholymphatic
anastomosis 119, 120
– for chronic lymphocele 187
– for single recipient vein and
multiple lymphatic vessels 121
– for the surgeon 195
– functional lymphatic vessel
–– definition of 109
–– reflux-free recipient vein,
concept of using 109
–– vein finders/visualizers 109
– functional lymphatic vessel 109
– functional lymphatic vessels,
identifying 112
– imaging studies for preoperative
evaluation and planning of 113
– indications 111
– indocyanine green injection,
timing for 112
– indocyanine green
lymphangiography visualizing
dermal backflow 110
– intraoperative documentation
of 117
– intraoperative tools
–– blue dye 123
–– indocyanine green
lymphangiography 123
– intraoperative tools 123
– intraoperative use of hook for
196
– lambda-shaped 119
– literature on 216
– lymphovenous implantation/
“Octopus” anastomosis 121
– medical history 111
– patient education
–– after lymphovenous
anastomosis 123
–– before lymphovenous
anastomosis 123
– patient education 123
– pearls and pitfalls 124
– perspective 124
– preoperative evaluation for 112
– preoperative planning of
–– in patients with iodine allergy/
hyperthyroidism 36
–– intraoperative selection of
lymphatic collectors 36
–– lymphatic channels, evaluation
of 36
–– recipient venule, evaluation of
35
–– venule rerouting 36
– preoperative planning of 35
– preparation 108
– reflux-free veins, identifying
112
– regarding the patient 196
– results following the successful
treatment of 124–125
– robotic microsurgery 124
– side-to-end 119, 119
– side-to-side 120, 120
– soft tissue manipulation
–– lymphatic vessels 109
Index
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–– recipient vein 109
– soft tissue manipulation 109
– strategic incision placement for
41
– successful 117
– supermicrosurgical 108
– supermicrosurgery 116
– supermicrosurgical
–– double barrel lymphatic
vessels 115
–– intravascular stenting 115
–– lymphatic vessels 115
–– microvascular lymphovenous
implantation 115
–– multisite anastomosis 115
–– veins and venules 115
– supermicrosurgical 115
– supermicrosurgical skills for
124
– surgical considerations for 108
– surgical equipment
–– mobile indocyanine green near-
infrared systems (selection)
122
–– supermicrosurgical instrument
(selection) 123
–– surgical microscopes
(selection) 121
– surgical equipment 121
– surgical setting and technique
–– anesthesia: local, regional, or
general 113
–– intraoperative position 114
–– posture 114
–– proper cushioning 114
– surgical setting and technique
113
Lymphovenous anastomosis (LVA)
35, 107, 108, 195
M
Magnetic resonance imaging
– conventional magnetic
resonance imaging 43
– of lymphatic vessels
–– contrast-enhanced magnetic
resonance lymphangiography 45
–– noncontrast 45
– of lymphatic vessels 44
Magnetic resonance imaging 43
Magnetic resonance
lymphangiography (MRL) 92
Magnetic resonance imaging, tips
and tricks 48
Management of lymphedema, two-
phase approach in
– intensive phase 79
– patient education 81
– self-management phase 81
Management of lymphedema, two-
phase approach in 79
Manual Lymph Drainage (MLD)
– additional techniques of
–– deep abdominal technique 67
–– edema technique 68, 68
–– fibrosis technique 68, 69
–– vasa vasorum technique 69, 69
– additional techniques of 67
– basic strokes of
–– pump technique 66
–– rotary technique 67
–– scoop technique 66
–– stationary circles 65
– basic strokes of 65
– contraindications for 69
– general contraindications for 70
– indications of 70
Manual Lymph Drainage (MLD)
64, 98
Medical history 29
Microvascular lymphovenous
implantation 115
Mobile indocyanine green near-
infrared systems 122
Modern surgical management of
chronic lymphedema
– breast cancer-related
lymphedema, surgery for 209
– lacking functional lymphatic
collectors 208
– lower extremity lymphedema,
surgery for 210
– presenting with functional
lymphatic collectors 208
– upper extremity lymphedema,
surgery for 210
– with fat hypertrophy and/or
tissue fibrosis 210
Modern surgical management of
chronic lymphedema 208
Morphological development of the
human lymphatic system 4
Multiple lymphatic vessels,
lymphovenous anastomosis for
121
Multisite anastomosis 115
N
Nail care 79
Nanoparticle-based interstitial
magnetic resonance
lymphangiography 232
National lymphedema network
(NLN) 57
Near-infrared technique, vein
finder with 113
Nodo-venal shunt microsurgery
– complications 165
– general considerations 163
– indications and
contraindications 163
– patient education 165
– postoperative care 165
– preoperative assessment 163
– preoperative preparation 164
– surgical technique 164
Nodo-venal shunt microsurgery
165
Nonapparative volume
measurement
– circumference 31
– water displacement 32
Nonapparative volume
measurement 30
Noncontrast 45
Nutrition, role of 86
O
Octopus lymphovenous
anastomosis 115
Omental lymph node transfer 138
One stage versus staged-combined
surgical procedures to treat
lymphedema 188
Outpatient versus inpatient
treatment 86
“Octopus” anastomosis 121
“Octopus” technique 116
P
Padded gradient compression with
nonelastic adjustable bands 77
Palpation, checklist for 31
Pathophysiology, of lymphedema
17
Patient education
– after lymphovenous
anastomosis 123
– before lymphovenous
anastomosis 123
Patient education 81, 123
Patient history, checklist for 31
Perioperative complete
decongestive therapy
– compression therapy 98
– exercise 99
– manual lymphatic drainage 98
– skin care 99
Perioperative complete
decongestive therapy 96
Peripheral lymphatic leakage,
diagnosis of 50
Peripheral lymphedema 99
Physiology of lymphatic system
– and its immunological function
9
– to transport lymph fluid
(circulating system) 8
Physiology of lymphatic system 7
Post-operative visualization, tools
to be used for 214
Postoperative derivative lymphatic
pathways 151
Posture 114
Pre-operative visualization, tools to
be used for 214
Preoperative planning of
lymphovenous anastomoses
– in patients with iodine allergy/
hyperthyroidism 36
– intraoperative selection of
lymphatic collectors 36
– lymphatic channels, evaluation
of 36
– recipient venule, evaluation of
35
– venule rerouting 36
Preoperative planning of
lymphovenous anastomoses 35
Prevalence, of lymphedema 15
Pre–lymphovenous anastomosis
118
Primary lymphedema, genetic
alterations associatedwith 30
Primary lymphedema 30
Prophylactic surgery 223
Pump technique 66
R
Recipient vein 109
Recipient venule, evaluation of 35
Reconstructive microsurgery
– lymphovenous anastomosis for
chronic lymphocele 187
– one stage versus staged-
combined surgical procedures
188
– pearls and pitfalls 190
– secondary lymph node transfer
185
– suction-assisted lipectomy 184
Reconstructive microsurgery 184
Reconstructive techniques 92
Reductive and lymphoreductive
techniques 93
Reflux-free recipient vein, concept
of using 109
Reflux-free veins identification
with vein finder 112
Regeneration of lymphatic tissue
237
Resistive exercises 78
Reversed lymphatic mapping 41
Robotic lymphovenous
anastomosis microsurgery 124
Robotic-assisted omental lymph
node f lap 145, 146
Robotic-assisted surgery (RAS)
205
Rodents, lymphedema models in
229
Rotary technique 67
S
Scintigraphic lymphangiography
36
Scoop technique 66
Scrotal dermolipectomies 180
Secondary lymph node transfer
185
Secondary lymphedema 30, 180
Self-management phase 81
Sequential intermittent pneumatic
compression, intermittent
pneumatic compressions,
contraindications for 84
Sequential intermittent pneumatic
compression 83
Short tau inversion recovery (STIR)
sequence 45
Side-to-end lymphovenous
anastomosis (LVSEA) 119, 119
254
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Side-to-side lymphovenous
anastomosis (LVSSA) 120, 120
Single recipient vein,
lymphovenous anastomosis for
121
Skin and nail care 79
Skin care 99
Small animal models, challenges of
– hindlimb volumetry 230
– histology and
immunohistochemistry 232
– lymphatic imaging 231
Small animal models, challenges
of 230
Soft tissue manipulation
– lymphatic vessels 109
– recipient vein 109
Soft tissue manipulation 109
Stages, of lymphedema 19
Stationary circles 65
Strength exercises 78
Submandibular region, anatomy
of 137
Submental lymph node transfer
137
Suction-assisted lipectomy (SAL)
– clinical cases 174
– indications and
contraindications 171
– intraoperative 195
– intraoperative position 172
– lower extremity, lymphedema
of, preceded by conservative
treatment 174
– lower extremity, lymphedema
of 174
– patient education 173
– pearls and pitfalls 175
– postoperative 195
– postoperative management 172
– preoperative 194
– preoperative evaluation and
planning 171
– surgical technique 172
– upper extremity, lymphedema
of 174
Suction-assisted lipectomy (SAL)
171, 184, 194
Supermicrosurgery, suture
technique for 116
Supermicrosurgical instrument
123
Supermicrosurgical lymphovenous
anastomosis
– functional lymphatic vessel
–– definition of 109
–– reflux-free recipient vein,
concept of using 109
–– vein finders/visualizers 109
– functional lymphatic vessel 109
– lymphatic vessels
–– double barrel lymphatic
vessels 115
–– intravascular stenting 115
–– multisite anastomosis 115
– lymphatic vessels 115
– microvascular lymphovenous
implantation 115
– preparation 108
– soft tissue manipulation
–– lymphatic vessels 109
–– recipient vein 109
– soft tissue manipulation 109
– surgical considerations for
lymphovenous anastomosis
108
– veins and venules 115
Supermicrosurgical lymphovenous
anastomosis 108, 115
Supermicrosurgical skills for
lymphovenous anastomosis 124
Supermicrosurgical training
models
– with the use of lymphatic
vessels, for lymphovenous
anastomosis and vascularized
lymph node transfer 204
– with the use of lymphatic
vessels 204
– without the use of lymphatic
vessels 203
Supplements, role of 86
Supraclavicular lymph node flap
142
Supraclavicular lymph node
transfer 134
Supraclavicular region, anatomy
of 135–136
Surgical considerations for
lymphovenous anastomosis
108
Surgical equipment
– and intraoperative tools 146
– mobile indocyanine green near-
infrared systems 122
– supermicrosurgical instrument
123
– surgical microscopes 121
Surgical equipment 121
Surgical procedures
– reconstructive techniques 92
– reductive and lymphoreductive
techniques 93
Surgical procedures 92
Surgical setting and technique
– anesthesia 113
– documentation 117
– dressing 117
– intraoperative position
–– posture 114
–– proper cushioning 114
– intraoperative position 114
– supermicrosurgery, suture
technique for 116
– supermicrosurgical
lymphovenous anastomosis,
technique of
–– double barrel lymphatic
vessels 115
–– intravascular stenting 115
–– lymphatic vessels 115
–– microvascular lymphovenous
implantation 115
–– multisite anastomosis 115
–– veins and venules 115
– supermicrosurgical
lymphovenous anastomosis,
technique of 115
Surgical setting and technique 113
Surgical treatment
– complete decongestive therapy
–– background 94
–– best practices 99
–– compression therapy 98
–– exercise 99
–– manual lymphatic drainage 98
–– skin care
– complete decongestive therapy
93
– lymphatic surgery
–– conclusions 93
–– diagnostic imaging techniques
–– indocyanine green
–– lymphoscintigraphy 92
–– magnetic resonance
–– pathophysiological aspects and
–– reconstructive techniques 92
–– reductive and lymphoreductive
– lymphatic surgery 91
Surgical treatment 91
“Stemmer’s sign 32
99
92
lymphangiography 92
lymphangiography 92
clinical considerations 91
techniques 93
T
T cells 10
Thigh-high compression stocking
75
Thompson procedure 179
Tissue engineering approaches of
lymph nodes/lymphoid organs
239
Tissue engineering for replacement
of lymph nodes
– biomaterials 238
– lymphatic system 237
– regeneration of lymphatic
tissue 237
Tissue engineering for replacement
of lymph nodes 237, 239
Tissue engineering, lymphatic
– cell source 233
– cocultures 234
– current achievements and
limitations 235
– external growth factors 234
– scaffolds for
–– de- and recellularized
scaffolds 235
–– hydrogels 235
– scaffolds for 235
Tissue engineering, lymphatic 233
Tissue fibrosis, surgery for
lymphedema with 210
Tissue resistance 30
Tools to be used for pre-, intra-,
and postoperative visualization
214
Total breast anatomy restoration
156
Treatment algorithm for
lymphedema
– diagnostics 208
– modern surgical management of
chronic lymphedema
–– breast cancer-related
lymphedema, surgery for 209
–– lacking functional lymphatic
collectors 208
–– lower extremity lymphedema,
surgery for 210
–– upper extremity lymphedema,
surgery for 210
–– with fat hypertrophy and/or
tissue fibrosis 210
–– with functional lymphatic
collectors
– modern surgical management of
chronic lymphedema 208
Treatment algorithm for
lymphedema 207
Two-phase approach in
lymphedema management
– intensive phase 79
– patient education 81
– self-management phase 81
Two-phase approach in
lymphedema management 79
208
U
Ultrasound imaging 33
Ultrasound imaging
– lymphovenous anastomoses,
preoperative planning of
–– in patients with iodine allergy/
hyperthyroidism 36
–– lymphatic channels, evaluation
of 36
–– lymphatic collectors,
intraoperative selection of 36
–– recipient venule, evaluation of
35
–– venule rerouting, preoperative
and intraoperative planning of
36
– lymphovenous anastomoses,
preoperative planning of 35
– vascularized lymph node
transfer 36
Unilateral secondary lymphedema
131
Upper extremity lymphedema
– high-frequency ultrasound scan
of 35
– surgery for 210
Upper limb, lymphatic anatomy of
151
V
Vasa vasorum technique 69, 69
Vascularized inguinal lymph node
transfer 143
Vascularized jejunal mesenteric
lymph node transfer 145
Vascularized lateral thoracic lymph
node transfer 144
Vascularized lymph node (VLN)
flap
Index
https://t.me/medicina_free
– breast reconstruction in
combination with
–– alternative flaps 155
–– inguinal lymph node flap,
surgical technique to harvest
153
–– recipient vessels, management
of 155
–– simultaneous reconstruction
153
–– staged reconstruction 153
– breast reconstruction in
combination with 152
– target lymph nodes for 42
Vascularized lymph node transfer
(VLNT)
– and growth factors
–– application and delivery of
growth factors 242
–– clinical application 244
–– experimental background 242
– and growth factors 241
– donor and recipient sites
–– inguinal vascularized lymph
node transfer to distal
recipient 141
–– proximal versus distal recipient
area, scar management, and
flap types 140
– donor and recipient sites 140
– donor sites
–– gastroepiploic lymph node
transfer 138
–– inguinal lymph node transfer
133
–– jejunal mesenteric lymph node
transfer 138
–– lateral thoracic/thoracodorsal
lymph node transfer 136
–– omental lymph node transfer
138
–– submental lymph node
transfer 137
–– supraclavicular lymph node
transfer 134
– donor sites 133
– in lymphedema surgery 219
– indications and
contraindications 139
– intraoperative markings for 43
– patient education
– pearls and pitfalls 148
148
– postoperative management 147
– preoperative evaluation and
planning 140
– recipient and donor site
complications following 140
– robotic-assisted omental lymph
node f lap 145, 146
– surgical equipment and
intraoperative tools 146
– surgical technique
–– vascularized inguinal lymph
node transfer 143
–– vascularized jejunal mesenteric
lymph node transfer 145
–– vascularized lateral thoracic
lymph node transfer 144
–– vascularized submental lymph
nodes transfer 145
–– vascularized supraclavicular
lymph node transfer 143
– surgical technique 143
Vascularized lymph node transfer
(VLNT) 133, 196, 223
Vascularized submental lymph
nodes transfer 145
Vascularized supraclavicular lymph
node transfer 143
Vein finders/visualizers 109
Veins 115
Venule rerouting, preoperative and
intraoperative planning of 36
Venules 115
Vessel transfer, type of 130
Vulvar dermolipectomies 180
W
Water displacement 32
Weight management, role of 86
Worms known to cause
lymphedema 21
Wound management in
lymphedema patients
– lymphedema bandaging,
modification of 88
– lymphedema-related wounds,
types of 86
Wound management in
lymphedema patients 86
256
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