A new microsurgical concept for the treatment of bilateral lower extremity lymphedema

Background: Lymphedema is still a challenge for doctors after gynecological cancers, irradiation and trauma. New surgical treatments can change the long-term outlook for many patients. Microsurgical methods including lymphaticovenous anastomosis (LVA) and vascularized lymph node transfer (VLNT) have gained increasing popularity among microsurgeons in recent years and despite published studies detailing outcomes of surgical success, only limited studies have reported recommendations based on the pattern of lymphatic flow. Methods: This case series includes four patients with chronic bilateral lower limb lymphedem…