Formation of subfascial lymphovenous anastomoses on the foot

The author suggests a new modification of operation for formation of subfascial lymphovenous anastomoses (LVA) on the dorsum of the foot in treatment of edema of the lower limbs. Sixty-two patients underwent operation. In 34 patients of the control group an epifascial LVA was formed on the dorsal surface of the foot. The operation for LVA anastomosis was combined with fenestration of the leg fascia. A positive effect of various degree was produced in the postthrombotic syndrome in 84% of the studied patients (in 29% of the controls) and in 94% of cases of II degree lymphedema (in 56% of the controls). The expediency of subfascial LVA is substantiated clinically and physiologically.