fig2
From: Combination of lymphovenous anastomosis and lymph node transfer for breast cancer-related lymphedema
Figure 2. Flow chart of the operative plan decision-making. The flap selection depends on whether the patient needs breast reconstruction and whether the axilla is severely contracted or not. In addition, in patients with intact and functional lymphatic vessels on preoperative imaging, LVA is concurrently performed. ICG: indocyanine green; DIEP: deep inferior epigastric perforators; LNT: lymph node transfer; LVA: lymphovenous anastomosis; SCIP: superficial circumflex iliac perforator.