fig6

Figure 6. Case 1. A 52-year-old woman with secondary lymphedema in the legs. Black lines and numbers indicate skin incisions in lymphaticovenous anastomosis (LVA). (A) Clinical pictures and results of multi-point indocyanine green (ICG) lymphography. Cross marks indicate ICG injection sites; (B) Image of lymphoscintigraphy. Dermal backflow is observed in the left thigh. Additionally, slight dermal backflow is observed around the right inguinal lymph node; (C) Ultrasound findings and corresponding intraoperative findings during LVA. Blue circles indicate veins and yellow circles indicate lymph vessels. At each site, lymphatic vessels and veins consistent with ultrasonographic findings are observed. V: vein; L: lymphatic vessel.