The planning of lymphaticovenular anastomosis LVA is a difficult task for surgeons as it is not easy to observe the lymphatic collectors by the indocyanine green lymphography.
Color Doppler Ultrasound allows you to see both lymphatic collectors and venules. When indocyanine green lymphography cannot locate any collector, color Doppler ultrasound will help in its visualization.
Even with the venule, Color Doppler Ultrasound is better than other tools because it gives the exact location of the venule, to set its standard so it can match with the collector and to preoperatively evaluate the absence of blood reflux within the selected venule for the presence of a valve.
Accordingly it is very useful in which the lymphaticovenular anastomosis surgeon can plan skin slit more efficiently and provides decrease in operative exploration time.
This procedure is performed by Lymphologists, lymphaticovenular anastomosis surgeons…
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Doctors, radiologists or medical staff must have the proper training and skills to perform the procedure with each ultrasound scanner device.