fig4

Figure 4. A variety of anastomotic configurations (named in a lymphatic-to-vein convention) are available to maximize anterograde drainage. (A) Single end-to-end anastomosis, (B) end-to-end anastomosis of two lymphatics to two venous branches, (C) end-to-side anastomosis, (D) depicts multiple small-caliber, fibrotic (non-translucent) lymphatic vessels and a single, large-caliber vein, for which (E) an invaginating “octopus” technique is most appropriate. L: Lymphatic; V: venule.