Lymphatic Vessel Anastomosis
Lymphatic Vessel Anastomosis - Related Videos
08:09
Vessel-sparing Excision and Primary Anastomosis
0 Views •
Cited by 6 •
2019
Here, we present an elaborate and efficient protocol to treat isolated short bulbar or posterior urethral strictures with vessel-sparing excision and primary anastomosis.
01:16
Lymphatic Vessels and Lymph Transport
0 Views •
2024
Lymphatic vessels, known as lymphatics, are crucial in transporting lymph from peripheral tissues to our venous system. This process begins with lymph entering through tiny capillaries that branch through tissues. These capillaries have unique features such as larger diameters, thinner walls, and a distinctive one-way valve system formed by overlapping endothelial cells. This one-way system allows fluids, solutes, and even pathogens to enter but prevents their return to the intercellular spaces.
09:52
Non-invasive Optical Imaging of the Lymphatic Vasculature of a Mouse
0 Views •
Cited by 25 •
2013
Recently developed imaging techniques using near-infrared fluorescence (NIRF) may help elucidate the role the lymphatic system plays in cancer metastasis, immune response, wound repair, and other lymphatic-associated diseases.
08:08
Measurement of Cytosolic Ca2+ in Isolated Contractile Lymphatics
0 Views •
Cited by 24 •
2011
We introduce an approach to evaluate the cytosolic Ca2+ concentration in isolated lymphatics to study Ca2+-dependent and Ca2+-sensitizing mechanisms of lymphatic smooth muscle contraction.
08:39
Quantifying Leukocyte Egress via Lymphatic Vessels from Murine Skin and Tumors
0 Views •
Cited by 23 •
2019
Here, we demonstrate the methods for in vivo quantification of leukocyte egress from naïve, inflamed, and malignant murine skin. We perform a head-to-head comparison of two models: transdermal FITC application and in situ photoconversion. Furthermore, we demonstrate the utility of photoconversion for tracking leukocyte egress from cutaneous tumors.
FAQs
The repair must remain patent, meaning open enough to permit lymph flow through the newly connected pathway. Patency determines whether continuity has been functionally restored rather than merely creating an anatomical connection. When flow is maintained, lymph can move past a disrupted segment, supporting drainage from tissues affected by impaired lymphatic circulation.
Careful alignment brings the ends of the lymphatic vessels into a continuous pathway without disrupting their intended connection. This positioning is central to reestablishing network continuity and creating a channel through which lymph can pass. In practice, surgeons use microsurgical visualization to identify appropriate vessel ends and guide their precise approximation.
A successful connection can provide an alternate route around a damaged or obstructed portion of the lymphatic network. By directing lymph through a restored channel, the repair may reconnect affected tissue with functioning drainage pathways. This bypass principle explains why the technique can be considered in selected disorders involving impaired lymph movement.
The procedure begins with identifying suitable lymphatic vessels, using microsurgical imaging when needed. Surgeons then carefully align the relevant vessel ends and join them to reestablish continuity. Intraoperative assessment follows to evaluate whether the connection is functioning and whether the reconstructed pathway appears patent, providing immediate information about the repair.
Microsurgical imaging helps surgeons locate and distinguish lymphatic vessels that may be suitable for repair. It supports close visualization during vessel-end alignment and joining, which is necessary when working on the small structures of the lymphatic network. Imaging therefore contributes both to selecting the repair site and to performing the connection with greater precision.
Clinicians may consider lymphatic vessel anastomosis for selected cases of secondary lymphedema, postoperative lymphatic injury, and other conditions with impaired lymph flow. Its potential value depends on finding suitable vessels and creating a functioning connection. Intraoperative assessment can help determine whether the repair has restored a usable drainage pathway.