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The natural history of microsurgical lymphovenous anastomoses: An experimental study  Peter Gloviczki, M.D., Larry H. Hollier, M.D., Frederick E. Nora,

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Presentation on theme: "The natural history of microsurgical lymphovenous anastomoses: An experimental study  Peter Gloviczki, M.D., Larry H. Hollier, M.D., Frederick E. Nora,"— Presentation transcript:

1 The natural history of microsurgical lymphovenous anastomoses: An experimental study 
Peter Gloviczki, M.D., Larry H. Hollier, M.D., Frederick E. Nora, M.D., Michael P. Kaye, M.D.  Journal of Vascular Surgery  Volume 4, Issue 2, Pages (August 1986) DOI: / (86) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

2 Fig. 1 End-to-end lymphovenous anastomosis. A = anastomosis; L = lymph vessel; V = vein. Journal of Vascular Surgery 1986 4, DOI: ( / (86) ) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

3 Fig. 2a c. Microsurgical technique of end-to-end lymphovenous anastomosis. (By permission of Mayo Foundation.) Journal of Vascular Surgery 1986 4, DOI: ( / (86) ) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

4 Fig. 2d g. Microsurgical technique of end-to-end lymphovenous anastomosis. (By permission of Mayo Foundation.) Journal of Vascular Surgery 1986 4, DOI: ( / (86) ) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

5 Fig. 3a f. Cinelymphangiogram of patent lymphovenous anastomosis 3 months after operation. Arrows indicate passage of Ethiodol droplet in iliofemoral vein. (Note time and frame count [30/sec] at bottom of each picture.) A = anastomosis; L = lymph vessel. Journal of Vascular Surgery 1986 4, DOI: ( / (86) ) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

6 Fig. 3g l. Cinelymphangiogram with simultaneous phlebogram in same animal (Fig. 3a-f) confirms passage of Ethiodol in vein. (Note time and frame count [30/sec] at bottom of each picture.) A = anastomosis; L = lymph vessel. Journal of Vascular Surgery 1986 4, DOI: ( / (86) ) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

7 Fig. 4 Scanning electron micrographs. a, Patent end-to-end lymphovenous anastomosis 2 weeks after operation (original magnification, ×70). b, Suture, free of endothelium, is visible at anastomosis (original magnification, ×200). A = anastomosis; L = lymph vessel; S = suture; V = vein; VV = venous valve. Journal of Vascular Surgery 1986 4, DOI: ( / (86) ) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

8 Fig. 5 a and b, Scanning electron micrographs of patent anastomosis 4 weeks after operation. Endothelial cells cover suture line. A = anastomosis; L = lymph vessel; LV = lymphatic valve; S = suture; V = vein. (a, original magnification, ×10; b, original magnification, ×200.) Journal of Vascular Surgery 1986 4, DOI: ( / (86) ) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

9 Fig. 6 Scanning electron micrograph of patent anastomosis 6 weeks after operation. Fibrin bridges cover anastomotic line. Note partially reendothelialized fibrin strips. A = anastomosis; F = fibrin; L = lymph vessel; V = vein (original magnification, ×30). Journal of Vascular Surgery 1986 4, DOI: ( / (86) ) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

10 Fig. 7 Scanning electron micrograph of patent anastomosis 3 months after operation. Endothelium is intact, and no fibrin deposition is seen. A = anastomosis; L = lymph vessel; S = suture at outer surface of the anastomosis; V = vein (original magnification, ×90). Journal of Vascular Surgery 1986 4, DOI: ( / (86) ) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

11 Fig. 8 Scanning electron micrograph of patent but narrowed anastomosis 3 months after operation. A = anastomosis; L = lymph vessel; LV = lymphatic valve; V = vein; VV = venous valve (original magnification, ×10). Journal of Vascular Surgery 1986 4, DOI: ( / (86) ) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions


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