Preoperative and intraoperative detection and selection of the lymphatic vessels are
important for maximizing therapeutic efficacy of lymphedema supermicrosurgery. As
technology advances, high definition imaging tools could become progressively more
powerful in diagnostic procedure and surgery. I present capability of ultra high-frequency
ultrasound and laser tomography for imaging of the lymphatic vessels for surgery of
lymphedema, which may overcome the weakness of the conventional imaging techniques.
These imaging tool provides real-time images of the lymphatic vessels in extremely high
resolution and enables evaluation of lymphatic lumen condition pre/intra-operatively and
objective post-LVA anastomosis status intraoperatively. The advanced technology for
lymphedema supermicrosurgery maximize the efficacy of surgery, may open new frontiers and have infinite possibilities.

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