ABSTRACT
J. B. Kinmonth, in his classification, divides the operations into physiological and excisional or resectional. The lymphaticovenous shunting which the authors perform is a direct lymph vessel-to-vein anastomosis by pulling in the lymphatic collector to the lumen of the vein through a hole made in its wall. For making a hole in the vein and introducing a lymphatic stump the surgeons use needles of two different types: the straight one and the angled one. By using the formed prolene loop, the lymphatic vessel is pulled softly and cautiously into the vein after taking out the venous needle. To pull the lymphatic vessels the loop is held by the surgeon’s right hand be ween the thumb and the index finger. In three of their cases surgeons were able to anastomose nine lymphatic vessels: five to the saphena magna vein and the others to the lateral or medial accessory saphenous vein.
