Fig. 3.

Postoperative change of leg circumferential lengths.

A: Case 1. A 42-year-old woman with early-stage lymphedema of the bilateral legs following hysterectomy.

Left: Preoperative compression could not stop the progression of edema. LV anastomoses.

Right: Two years after anastomoses. Remarkable decrease with conventional compression.

B: Early stage LV anastomoses under local anesthesia at 3 and 4 months after the appearance of edema.

Left: 3 months after edema

Right: 4 months after edema

C: Periodic decrease in lower leg size up to two years after surgery.

© 2008 Lippincott Williams & Wilkins. All rights reserved. Koshima I, Nanba Y, Tsutsui T et al.: Minimal invasive lymphaticovenular anastomosis under local anesthesia for leg lymphedema: is it effective for Stage III and IV? Ann Plast Surg 2004; 53: 261-266.