Microlymphaticovenous anastomosis for lymphedema

✍ Scribed by Director Julius H. Jacobson

• Publisher: John Wiley and Sons
• Year: 1982
• Tongue: English
• Weight: 805 KB
• Volume: 3
• Category: Article
• ISSN: 0738-1085
• DOI: 10.1002/micr.1920030414

✦ Synopsis

We recently had the opportunity to review the 13-case report on revascularized jejunal reconstruction of the esophagus published in the Journal of Microsurgery (2:83-94, 1980). In six of the reported cases, Chang, Hwang, and Wang used pedicled jejunum, revascularizing the distal end with a vascular anastomosis between the mesenteric and cervical vessels to prevent marginal necrosis.

Citing Androsov et al.,' the authors correctly noted that this revascularized-pedicled intestinal hybrid is not a novel concept. Few authors, however, recognize the original contribution of Longmire to the concept of revascularized intestinal transfer. In 1947, 13 years before Androsov's publication, Longmire reported on a mesenteric-internal mammary vessel anastomosis to revascularize the ischemic distal end of a transposed jejunal segment in an antethoracic esophageal reconstruction for a case of stricture from lye burns.'

Hence, the name of Longmire should be included with those of Carrel,3 Seidenberg et al.,4 and others5-' in the history of revascularized intestinal transfer.