Abstract: Multi-site Lymphaticovenular Bypass Using Supermicrosurgery Technique for Lymphedema Management in Lower Lymphedema Cases

ReSultS: The most common indication for reconstruction was oncologic, followed by traumatic and congenital. Patients received an average of 5.8 implants during the course of treatment. The average follow-up time was 10.6 years with a range of 6 months to 24 years. A statistically significant correlation was found between skin reaction and age (p=0.022), with younger patients more likely to develop a reaction. When assessing implant failure, no variables in our model were significant for predicting failure of osseointegration. Overall, there were 39 failures out of 155 osseointegrated implants, for a success rate of 74.8%. There was no relationship between skin reaction or implant failure compared to implant position within the orbit. Survey responses were received from 11 of 19 patients, for a response rate of 58%. 82% of patients rated their prosthesis as comfortable and 91% reported good self-confidence with the prosthesis. 91% of patients were overall satisfied with their prosthesis, despite 55% of patients who felt that they had a skin reaction.