Introducing the bungee-IVaS technique: A modification for safer and simpler intravascular stenting in supermicrosurgery

Abstract

Supermicrosurgery has revolutionized the field of reconstructive surgery by enabling surgeons to perform challenging procedures that were previously unattainable. Lymphaticovenous anastomosis (LVA) for the treatment of lymphedema is a commonly performed procedure using this technique. However, the small diameter and thin-walled nature of lymphatic vessels limit the use of microsurgical forceps instrumentation into the lumen to prevent trauma, increasing the risk of inadvertent catching of the vessel backwall during anastomosis.