fig1
From: Lymphatic reconstruction with vascularized lymph vessel flap: lymph-interpositional-flap transfer
Figure 1. Based on lymphatic anatomy, ICG is injected at the most distal or peripheral parts of the lymphosomes in a recipient and donor sites to visualize the lymph axialities. ICG is also injected at the border of the defect to visualize the proximal lymph axiality. After LIFT is elevated and transferred with microvascular anastomoses, the flap is inset; the lymph vessels’ stumps are approximated with the superficial fascia fixation, the flap and the recipient superficial fascia are sutured with 2-3 stitches of 3-0 absorbable stitches, approximating the lymph vessels between the flap and the recipient site. ICG: indocyanine green; LIFT: lymph-interpositional-flap transfer.
