fig2

Fundamental and essential techniques for supermicrosurgical lymphaticovenular anastomosis: the art of Isao Koshima's supermicrosurgery

Figure 2. The left-hand forceps in supermicrosurgery to perform intima-to-intima anastomosis. In handling small vessels less than 0.5 mm in diameter, only one side tip of the forceps can be inserted and dilate the lumen. In supermicrosurgery, the surgeon’s left hand always holds the last suture or the adventitia of the lymphatic vessel and vein when making suture to feel the intima of vessels and lymphatic flow itself. In addition, the right hand plays an important role to feel the lumen of the anastomosing vessel, cooperating with the left hand’s feeling by sensing the tip of the needle via the needle holder.

Plastic and Aesthetic Research
ISSN 2349-6150 (Online)   2347-9264 (Print)

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Portico

All published articles are preserved here permanently:

https://www.portico.org/publishers/oae/