Intranodal Lymphangiography with Indocyanine Green: Application in Lymph Node Transfer and Beyond

Diagnostic imaging of truncal lymphatics is a diverse field with several modalities available. The growing popularity of vascularized lymph node transfer (VLNT) for the treatment of lymphedema has brought the topic into focus of plastic reconstructive surgeons worldwide. During this procedure, it is physiologically advantageous to perform lymph node efferent lymphatico-lymphatic anastomosis (ELLA) by including efferent lymphatic vessels in the flap while avoiding excess soft tissue 3. However, in practice it is difficult to identify these vessels.

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