Abstract
The treatment of lower extremity lymphedema involves conservative therapy or surgery. Combined physical therapy is the gold standard of self-control therapy in lymphedema treatment.Lymphedema of the extremities is a chronic, debilitating disease. Lymphedema can be treated conservatively or surgically, including tissue resection and direct or indirect lymph drainage. Lymphaticovenular anastomosis（LVA）is an effective surgical treatment for obstructive lymphedema refractory to conservative decongestive therapy. The aim of LVA is to create as many lymphatic drainage pathways as possible while preserving the remaining lymph flow. Indocyanine green（ICG）lymphography has been reported to be an effective modality for evaluation of lymph circulation of the limbs and the diagnosis of lymphedema; it provides useful information for LVA. We report a safer and more secure LVA with guidance using ICG lymphography conducted in Saga University Hospital.
