Abstract
Lymphaticovenular anastomosis (LVA) is a minimally invasive surgical treatment which can be performed under local anesthesia and is effective for compression-refractory lymphedema. LVA, however, requires experience and supermicrosurgical technique to detect and anastomose lymphatic vessels through a small skin incision. Recently, ICG lymphography was developed and considered useful for LVA surgery with visualization of superficial lymph flows. We report a safer and a more secure LVA with guidance of ICG lymphography.
