fig5

Figure 5. Making a comfortable wound bed for LVA. After the fixations of the incision are all released, both sides of the incision are carefully pulled upward to confirm whether there are any fibers or other lymphatic vessels disturbing the lymph-to-venous flow at the anastomosis. These fibers and/or vessels (right) should be resected to promote lymphatic flow at the LVA to keep the longtime patency with lymphedema improvements.