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![Fundamental and essential techniques for supermicrosurgical lymphaticovenular anastomosis: the art of Isao Koshima's supermicrosurgery](https://image.oaes.cc/02b52e85-e99d-48ee-ad64-1dd52ec0e990/4280.fig.1.jpg)
Figure 1. Safe procedure in traditional (non-supermicrosurgery) microsurgery. In traditional microsurgery (non-supermicrosurgery), the left hand is used to insert the tips of forceps into the anastomosing vessel to dilate and keep the lumen. Intima-to-intima anastomosis can be performed in each suture by inserting the left-hand forceps into the lumen to not pick up the back wall.