Lymphaticovenous anastomosis (LVA) is a well-recognized surgical option for managing lymphedema. Although LVA requires meticulous supermicrosurgery techniques, its surgical field may often be considerably deep; furthermore, the procedures can be interrupted by excessive interstitial fluid collection. In this report, we present useful instruments and settings to optimize the surgical field during solo LVA surgery. First, neurosurgical sponges have remarkable efficacy in controlling excessive interstitial fluid that interferes with the surgical field during LVA. Second, a nasal speculum is versatile for deep-layer visualization with a single hand. To our knowledge, this is a notably unique report that describes the efficacy of neurosurgical sponges in a highly exudative surgical field during LVA.
Tomohiro Minagawa (Thu,) studied this question.