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27/29. Two anastomoses were felt to be insufficient due to venous backflow into the lymphatic vessel. When size match was equivalent, end to end anastomoses were performed. If size mismatch between the chosen vein branch and lymphatic was present, or multiple cut lymphatics were in proximity and had sufficient mobility, an invagination technique was used to maximally restore anterograde lymphatic drainage (5/26). Short term follow-up has revealed no instances of transient or progressive lymphedema.

plastic and reconstructive surgery. global open

Abstract: Assessing the Successful Implementation of the Surgical Management and Reconstructive Training (SMART) Course in Nepal: Competency Test Data from Two Consecutive Years