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鄭明輝教授是經過國際專業認可的整形外科專科醫師，同時也是美國重建顯微外科學會2006年Godina獎得主，是第一位亞洲整形外科醫師得獎者。截至目前為止，鄭教授已經完成了2100多例顯微手術，包括頭頸部重建、乳房重建、顱內外動脈血管吻合手術、淋巴管靜脈吻合術和顯微淋巴結皮瓣移植手術。 Gallery Treatment of Mild to Moderate Lymphedema Lymphaticovenous Anastomosis (LVA) - Upper Limbs Case 1 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 手 這是一名57歲的女性，在左乳房切除術和放射治療後，左上肢淋巴水腫12個月。 接受淋巴管靜脈吻合術後，在6個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別為肘上30％及肘下25％。 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 手 在術後12個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別為肘上71％及肘下和100％。 在術後12個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別為肘上86％及肘下100％。 Case 2 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 手 這是一名56歲女性，接受右乳房切除術、腋窩31顆淋巴結廓清術和放射治療後，右上肢淋巴水腫10個月。 接受淋巴管靜脈吻合術後，在3個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別為肘上100％及肘下100％。 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 手 接受淋巴管靜脈吻合術後，在6個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別為肘上100％及肘下100％。 接受淋巴管靜脈吻合術後，在12個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別分別為肘上100％及肘下100％。 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 手 接受淋巴管靜脈吻合術後，在24個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別為肘上100％及肘下100％。 接受淋巴管靜脈吻合術後，在24個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別為肘上100％及肘下100％。 Case 3 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 手 這是一名64歲的女性，右乳房切除術和腋窩淋巴結廓清術和放射治療後左上肢 接受淋巴管靜脈吻合術後，在11個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分為肘上65％及肘下70％。 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 手 接受淋巴管靜脈吻合術後，在18個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分為肘上55％及肘下40％。 接受淋巴管靜脈吻合術後，在24個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別為肘上90％及肘下50％。 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 手 接受淋巴管靜脈吻合術後，在36個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別為肘上和100％及肘下100％。 Case 4 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 手 這是一名39歲的女性，接受左乳房切除術、腋窩31顆淋巴結廓清術和放療後，左上肢淋巴水腫6個月。 接受淋巴管靜脈吻合術後，在3個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別為肘上35％及肘下60％。 Case 5 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 手 這是一名49歲的女性，接受右乳房切除術、腋窩淋巴結廓清術和放療後，右上肢淋巴水腫6個月。 接受淋巴管靜脈吻合術後，在6個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別為肘上80%和肘下50％。 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 手 接受淋巴管靜脈吻合術後，在20個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別為肘上85%和肘下60％。 Lymphaticovenous Anastomosis (LVA) - Lower Limbs Case 1 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 腳 這是一位50歲女性，子宮頸癌術後，右腳淋巴水腫症狀 14年。 接受淋巴管靜派吻合術後，術後一個月追蹤，患者大腿水腫改善 40%，小腿改善 30%。 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 腳 接受淋巴管靜派吻合術後，術後7個月追蹤，患者大腿水腫改善 30%，小腿改善 25%。 Case 2 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 腳 這是一位36歲女性，先天性淋巴水腫，左腳淋巴水腫症狀 12年。 接受淋巴管靜派吻合術後，術後一個月追蹤，患者大腿水腫改善 60%，小腿改善 30%，術後不需要穿壓力套。 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 腳 接受淋巴管靜派吻合術後，術後12個月追蹤，患者大腿水腫改善 60%，小腿改善 40%，術後不需要穿壓力套。 Case 3 子宮頸癌術後淋巴水腫 這是一位62歲女性，子宮頸癌術後，雙腳淋巴水腫症狀 2年，壓力襪使用。 接受淋巴管靜派吻合術後，術後一個月追蹤，患者雙腳大腿水腫改善 30%，小腿改善 20%，術後不需要穿壓力套。 Case 4 子宮頸癌術後淋巴水腫 這是一位67歲女性，子宮頸癌術後，雙腳淋巴水腫症14年，左腳淋巴水腫第1期，右腳淋巴水腫第4期，穿壓力襪12年。 右腳接受淋巴結皮瓣移植，左腳接受淋巴管靜脈吻合術後，術後16天追蹤，右大腿水腫改善11公分，小腿改善 20公分，左大腿改善5公分，左小腿改善2公分，術後不需要穿壓力套。

鄭明輝教授發表66篇淋巴水腫論文和兩本教科書篇章，與國際學術醫界連結，為顯微重建整型外科及淋巴水腫世界權威 Publications Dr. Cheng's Publications in Lymphedema Microsurgery Dr. Cheng's Book and Chapter 1. Vascularized groin lymph node transfer using the wrist as a recipient site for management of postmastectomy upper extremity lymphedema. Lin CH, Ali R, Chen SC, Wallace C, Chang YC, Chen HC, Cheng MH. Plast Reconstr Surg. 2009 Apr;123(4):1265-75. doi: 10.1097/PRS.0b013e31819e6529. https://www.ncbi.nlm.nih.gov/pubmed/19337095 2. A novel approach to the treatment of lower extremity lymphedema by transferring a vascularized submental lymph node flap to the ankle. Cheng MH, Huang JJ, Nguyen DH, Saint-Cyr M, Zenn MR, Tan BK, Lee CL. Gynecol Oncol. 2012 Jul;126(1):93-8. doi: 10.1016/j.ygyno.2012.04.017. Epub 2012 Apr 17. https://www.ncbi.nlm.nih.gov/pubmed/22516659 3. Vascularized groin lymph node flap transfer for postmastectomy upper limb lymphedema: flap anatomy, recipient sites, and outcomes.. Cheng MH, Chen SC, Henry SL, Tan BK, Lin MC, Huang JJ. Plast Reconstr Surg. 2013 Jun;131(6):1286-98. doi:10.1097/PRS.0b013e31828bd3b3 https://www.ncbi.nlm.nih.gov/pubmed/23714790 4. Preplanning Vascularized Lymph Node Transfer with Duplex Ultrasonography: An Evaluation of 3 Donor Sites. Patel KM, Chu SY, Huang JJ, Wu CW, Lin CY, Cheng MH. Plast Reconstr Surg Glob Open. 2014 Sep 8;2(8):e193. doi: 10.1097/GOX.0000000000000105. eCollection 2014 Aug. https://www.ncbi.nlm.nih.gov/pubmed/25426376 5. The use of magnetic resonance angiography in vascularized groin lymph node transfer: an anatomic study. Dayan JH, Dayan E, Kagen A, Cheng MH, Sultan M, Samson W, Smith ML. J Reconstr Microsurg. 2014 Jan;30(1):41-5. doi: 10.1055/s-0033-1351668. Epub 2013 Sep 9. https://www.ncbi.nlm.nih.gov/pubmed/24019175 6. The mechanism of vascularized lymph node transfer for lymphedema: natural lymphaticovenous drainage. Cheng MH, Huang JJ, Wu CW, Yang CY, Lin CY, Henry SL, Kolios L. Plast Reconstr Surg. 2014 Feb;133(2):192e-8e. doi: 10.1097/01.prs.0000437257.78327.5b. https://www.ncbi.nlm.nih.gov/pubmed/24469190 7. Developing a Lower Limb Lymphedema Animal Model with Combined Lymphadenectomy and Low-dose Radiation. Yang CY, Nguyen DH, Wu CW, Fang YH, Chao KT, Patel KM, Cheng MH. Plast Reconstr Surg Glob Open. 2014 Apr 7;2(3):e121. doi: 10.1097/GOX.0000000000000064.eCollection 2014 Mar. https://www.ncbi.nlm.nih.gov/pubmed/25289315 8. Vascularized lymph node flap transfer and lymphovenous anastomosis for klippel-trenaunay syndrome with congenital lymphedema. Qiu SS, Chen HY, Cheng MH. Plast Reconstr Surg Glob Open. 2014 Jul 9;2(6):e167. doi: 10.1097/GOX.0000000000000099. eCollection 2014 Jun. https://www.ncbi.nlm.nih.gov/pubmed/25289360 9. From theory to evidence: long-term evaluation of the mechanism of action and flap integration of distal vascularized lymph node transfers. Patel KM, Lin CY, Cheng MH. J Reconstr Microsurg. 2015 Jan;31(1):26-30. doi: 10.1055/s-0034-1381957. Epub 2014 Aug 19. https://www.ncbi.nlm.nih.gov/pubmed/25137504 10. Quantity of lymph nodes correlates with improvement in lymphatic drainage in treatment of hind limb lymphedema with lymph node flap transfer in rats. Nguyen DH, Chou PY, Hsieh YH, Momeni A, Fang YH, Patel KM, Yang CY, Cheng MH. Microsurgery. 2016 Mar;36(3):239-45. doi: 10.1002/micr.22388. Epub 2015 Feb 25. https://www.ncbi.nlm.nih.gov/pubmed/25715830 11. Simultaneous Bilateral Submental Lymph Node Flaps for Lower Limb Lymphedema Post Leg Charles Procedure. Ito R, Lin MC, Cheng MH. Plast Reconstr Surg Glob Open. 2015 Sep 15;3(9):e513. doi: 10.1097/GOX.0000000000000489. eCollection 2015 Sep. https://www.ncbi.nlm.nih.gov/pubmed/26495226 12. Successful treatment of early-stage lower extremity lymphedema with side-to-end lymphovenous anastomosis with indocyanine green lymphography assisted. Ito R, Wu CT, Lin MC, Cheng MH. Microsurgery. 2016 May;36(4):310-5. doi: 10.1002/micr.30010. Epub 2015 Dec 15. https://www.ncbi.nlm.nih.gov/pubmed/26666982 13. Lymphedema surgery: Patient selection and an overview of surgical techniques. Allen RJ Jr, Cheng MH. J Surg Oncol. 2016 Jun;113(8):923-31. doi: 10.1002/jso.24170. Epub 2016 Feb 5. Review. https://www.ncbi.nlm.nih.gov/pubmed/26846615 14. Surgical anatomy of the vascularized submental lymph node flap: Anatomic study of correlation of submental artery perforators and quantity of submental lymph node. Tzou CH, Meng S, Ines T, Reissig L, Pichler U, Steinbacher J, Pona I, Roka-Palkovits J, Rath T, Weninger WJ, Cheng MH. J Surg Oncol. 2017 Jan;115(1):54-59. doi: 10.1002/jso.24336. Epub 2016 Jun 23. https://www.ncbi.nlm.nih.gov/pubmed/27338566 15. The 5th world symposium for lymphedema surgery-Recent updates in lymphedema surgery and setting up of a global knowledge exchange platform. Loh CY, Wu JC, Nguyen A, Dayan J, Smith M, Masia J, Chang D, Koshima I, Cheng MH. J Surg Oncol. 2017 Jan;115(1):6-12. doi: 10.1002/jso.24341. Epub 2016 Jun 28. Review. https://www.ncbi.nlm.nih.gov/pubmed/27353481 16. The surgical anatomy of the supraclavicular lymph node flap: A basis for the free vascularized lymph node transfer. Steinbacher J, Tinhofer IE, Meng S, Reissig LF, Placheta E, Roka-Palkovits J, Rath T, Cheng MH, Weninger WJ, Tzou CH. J Surg Oncol. 2017 Jan;115(1):60-62. doi: 10.1002/jso.24346. Epub 2016 Jun 28. https://www.ncbi.nlm.nih.gov/pubmed/27353521 17. The 5th World Symposium for Lymphedema Surgery. Cheng MH, Koshima I, Chang DW, Masia J. J Surg Oncol. 2017 Jan;115(1):5. doi: 10.1002/jso.24383. Epub 2016 Jul 29. No abstract available. https://www.ncbi.nlm.nih.gov/pubmed/27473624 18. Platysma-sparing vascularized submental lymph node flap transfer for extremity lymphedema. Poccia I, Lin CY, Cheng MH. J Surg Oncol. 2017 Jan;115(1):48-53. doi: 10.1002/jso.24350. Epub 2017 Jan 6. https://www.ncbi.nlm.nih.gov/pubmed/28058777 19. A prospective clinical assessment of anatomic variability of the submental vascularized lymph node flap. Cheng MH, Lin CY, Patel KM. J Surg Oncol. 2017 Jan;115(1):43-47. doi: 10.1002/jso.24487. Epub 2017 Jan 13. https://www.ncbi.nlm.nih.gov/pubmed/28083889 20. Greater Omental Lymph Node Flap for Upper Limb Lymphedema with Lymph Nodes-depleted Patient. Chu YY, Allen RJ Jr, Wu TJ, Cheng MH. Plast Reconstr Surg Glob Open. 2017 Apr 25;5(4):e1288. doi: 10.1097/GOX.0000000000001288. eCollection 2017 Apr. https://www.ncbi.nlm.nih.gov/pubmed/28507857 21. The surgical anatomy of the vascularized lateral thoracic artery lymph node flap-A cadaver study. Tinhofer IE, Meng S, Steinbacher J, Roka-Palkovits J, Györi E, Reissig LF, Cheng MH, Weninger WJ, Tzou CH. J Surg Oncol. 2017 Dec;116(8):1062-1068. doi: 10.1002/jso.24783. Epub 2017 Aug 7. 22. Visualization of Skin Perfusion by Indocyanine Green Fluorescence Angiography-A Feasibility Study. Steinbacher J, Yoshimatsu H, Meng S, Hamscha UM, Chan CS, Weninger WJ, Wu CT, Cheng MH, Tzou CH. Plast Reconstr Surg Glob Open. 2017 Sep 25;5(9):e1455. doi: 10.1097/GOX.0000000000001455. eCollection 2017 Sep. https://www.ncbi.nlm.nih.gov/pubmed/29062637 23. Vascularized lymph node transfer for treatment of extremity lymphedema: An overview of current controversies regarding donor sites, recipient sites and outcomes. Pappalardo M, Patel K, Cheng MH. J Surg Oncol. 2018 Jun;117(7):1420-1431. doi: 10.1002/jso.25034. Epub 2018 Mar 24. Review. https://www.ncbi.nlm.nih.gov/pubmed/29572824 24. Vascularized Lymph Node Transfer for Lymphedema. Schaverien MV, Badash I, Patel KM, Selber JC, Cheng MH. Semin Plast Surg. 2018 Feb;32(1):28-35. doi: 10.1055/s-0038-1632401. Epub 2018 Apr 9.Review. https://www.ncbi.nlm.nih.gov/pubmed/29636651 25. Accurate Prediction of Submental Lymph Nodes Using Magnetic Resonance Imaging for Lymphedema Surgery. Asuncion MO, Chu SY, Huang YL, Lin CY, Cheng MH. Plast Reconstr Surg Glob Open. 2018 Mar 23;6(3):e1691. doi: 10.1097/GOX.0000000000001691. eCollection 2018 Mar. https://www.ncbi.nlm.nih.gov/pubmed/29707451 26. Critical Ischemia Time, Perfusion and Drainage Function of Vascularized Lymph Nodes. Yang CY, HO OA, Cheng MH, Hsiao HY. Plast Reconstr Surg. 2018 Jun 12. doi: 10.1097/PRS.0000000000004673. [Epub ahead of print] https://www.ncbi.nlm.nih.gov/pubmed/29927833 27. Correlation between Quantity of Transferred Lymph Nodes and Outcome in Vascularized Submental Lymph Node Flap Transfer for Lower Limb Lymphedema. Gustafsson J, Chu SY, Chan WH, Cheng MH. Plast Reconstr Surg. 2018 Jul 10. doi: 10.1097/PRS.0000000000004793. [Epub ahead of print] https://www.ncbi.nlm.nih.gov/pubmed/30020232 28. Acoustic Radiation Force Impulse Elastography: Tissue Stiffness Measurement in Limb Lymphedema. Chan WH, Huang YL, Lin C, Lin CY, Cheng MH, Chu SY. Radiology. 2018 Aug 14:172869. doi: 10.1148/radiol.2018172869. [Epub ahead of print] https://www.ncbi.nlm.nih.gov/pubmed/30106341 29. Lymph node transplantation for the treatment of lymphedema. Gould DJ, Mehrara BJ, Neligan P, Cheng MH, Patel KM. J Surg Oncol. 2018 Aug 21. doi: 10.1002/jso.25180. [Epub ahead of print] Review. https://www.ncbi.nlm.nih.gov/pubmed/30129675 30. Effectiveness of Vascularized Lymph Node Transfer for Extremity Lymphedema Using Volumetric and Circumferential Differences Gustafsson J, Chu SY, Chan WH, Cheng MH. Plast Reconstr Surg. 2018 Jul 10. doi: 10.1097/PRS.0000000000004793. [Epub ahead of print] https://www.ncbi.nlm.nih.gov/pubmed/30020232 31. Lymphedema and concomitant venous comorbidity in the extremity: Comprehensive evaluation, management strategy, and outcomes. Sachanandani N S, Chu SY, Ho O A., Cheong CF, Lin CY, Cheng MH*. J Surg Oncol. 2018 Nov;118(6):941-952. doi: 10.1002/jso.25237. https://www.ncbi.nlm.nih.gov/pubmed/ ? term=Lymphedema+and+concomitant+venous+comorbidity+in+the+extremity%3A+Comprehensive+evaluation%2C+management+strategy%2C+and+outcomes 32. Outcomes of Vascularized Lymph Node Transfer and Lymphovenous Anastomosis for Treatmentof Primary Lymphedema. Cheng MH, Loh CYY, Lin CY. Plats Reconstr Surg Glob Open. 2018 Dec 20;6(12):e2056. https://journals.lww.com/prsgo/Fulltext/2018/12000/Outcomes_of_Vascularized_Lymph Node_Transfer_and.15.aspx 33. Comparisons of Submental and Groin Vascularized Lymph Node Flaps Transfer for BreastCancer-Related Lymphedema. Ho OA, Lin CY, Pappalardo M, Cheng MH. Plats Reconstr Surg Glob Open. 2018 Dec 13;6(12):e1923. https://journals.lww.com/prsgo/Fulltext/2018/12000/Comparisons_of_Submental_and_Groin_Vascularized.13.aspx 34. A Prospective Evaluation of Lymphedema-Specific Quality-of-Life Outcomes Following Vascularized Lymph Node Transfer. Sachanandani N S, Chu SY, Ho O A., Cheong CF, Lin CY, Cheng MH*. J Surg Oncol. 2018 Nov;118(6):941-952. doi: 10.1002/jso.25237. https://www.ncbi.nlm.nih.gov/pubmed/ ? term=Lymphedema+and+concomitant+venous+comorbidity+in+the+extremity%3A+Comprehensive+evaluation%2C+management+strategy%2C+and+outcomes 35. Proposed pathway and mechanism of vascularized lymph node flaps. Ito R, Zelken J, Yang CY, Lin CY, Cheng MH. Gynecol Oncol. 2016 Apr;141(1):182-8. doi: 10.1016/j.ygyno.2016.01.007. Epub 2016 Jan 7. https://www.ncbi.nlm.nih.gov/pubmed/26773469 36. Outcomes of Lymphedema Microsurgery for Breast Cancer-related Lymphedema With or Without Microvascular Breast Reconstruction. Ho OA, Lin CY, Pappalardo M, Cheng MH. Ann Surg. 2017 Jun 7. doi: 10.1097/SLA.0000000000002322. [Epub ahead of print] https://www.ncbi.nlm.nih.gov/pubmed/28594742 37. Validity of the Novel Taiwan Lymphoscintigraphy Staging and Correlation of Cheng LymphedemaGrading for Unilateral Extremity Lymphedema. Cheng MH, Pappalardo M, Lin C, Kuo CF, Lin CY, Chung KC. Ann Surg. 2018 Sep;268(3):513-525. doi: 10.1097/SLA.0000000000002917. https://www.ncbi.nlm.nih.gov/pubmed/30004927 38. Dorsal Wrist Placement for Vascularized Submental Lymph Node Transfer Significantly Improves Breast Cancer-Related Lymphedema. Hattan A, Fries Charles Anton, BChir, FRCS, Cheng Ming-Huei. Plastic and Reconstructive Surgery - Global Open: 2019 Feb, 7(2): e2149. https://journals.lww.com/prsgo/Fulltext/2019/02000/Dorsal_Wrist Placement_for_Vascularized_Submental.14.aspx 39. Comparison of Outcomes between Side-to-End and End-to-End Lymphovenous Anastomoses for Early-Grade Extremity Lymphedema. Fahad K. Al-Jindan, Lin CY, Cheng MH. Plast Reconstr Surg. 2019 May 10. [Epub ahead of print] https://www.ncbi.nlm.nih.gov/pubmed/31188305 40. Factors associated with professional healthcare advice seeking in breast cancer-related lymphedema. Lin CY, Cheng MH et al. J Surg Oncol. 2020 Jan;121(1):67-74. doi: 10.1002/jso.25523. Epub 2019 Jun 18. https://www.ncbi.nlm.nih.gov/pubmed/31209885 41. Lymphoscintigraphy for the Diagnosis of Extremity Lymphedema: Current Controversies Regarding Protocol, Interpretation and Clinical Application. Pappalardo M, Cheng MH. J Surg Oncol. 2020 Jan;121(1):37-47. doi: 10.1002/jso.25526. Epub 2019 Jun 18. https://www.ncbi.nlm.nih.gov/pubmed/31209893 42. Intra-abdominal Chylovenous Bypass Treats Retroperitoneal Lymphangiomatosis. Chen C, Cheng MH et al. J Surg Oncol. 2020 Jan;121(1):75-84. doi: 10.1002/jso.25514. Epub 2019 Jul 4. https://www.ncbi.nlm.nih.gov/pubmed/31273800 43. Lymphedema Microsurgery Reduces the Rate of Implant Removal for Patients Who Have Pre-existing Lymphedema and Total Knee Arthroplasty for Knee Osteoarthritis. Voravitvet TY, Cheng MH et al. J Surg Oncol. 2020 Jan;121(1):57-66. doi: 10.1002/jso.25517. Epub 2019 Jun 13. https://www.ncbi.nlm.nih.gov/pubmed/31197837 44. Clinical Features, Microbiological Epidemiology and Recommendations of Management for Cellulitis in Extremity Lymphedema. Rodriguez JR, Cheng MH et al. J Surg Oncol. 2020 Jan;121(1):25-36. doi: 10.1002/jso.25525. Epub 2019 Jul 2. https://www.ncbi.nlm.nih.gov/pubmed/31264724 45. Delayed Primary Retention Suture: A new technique to inset Vascularized Submental Lymph Node Transfer. Koide S, Cheng MH et al. J Surg Oncol. 2020 Jan;121(1):138-143. doi: 10.1002/jso.25520. Epub 2019 Jul 5. https://www.ncbi.nlm.nih.gov/pubmed/31276208 46. Long-Term Outcome of Lower Extremity Lymphedema Treated with Vascularized Lymph Node Flaps with Venous Complications. Koide S, Cheng MH et al. J Surg Oncol. 2020 Jan;121(1):129-137. doi: 10.1002/jso.25602. Epub 2019 Jun 27. https://www.ncbi.nlm.nih.gov/pubmed/31246288 47. Summary of hands-on supermicrosurgery course and live surgeries at 8th world symposium for lymphedema surgery. Pappalardo M, Cheng MH et al. J Surg Oncol. 2020 Jan;121(1):8-19. doi: 10.1002/jso.25619. Epub 2019 Jul 16. https://www.ncbi.nlm.nih.gov/pubmed/31309553 48. Introduction of the 8th World Symposium for Lymphedema Surgery. Cheng MH, Chang DW, Masia J, Koshima I. J Surg Oncol. 2020 Jan;121(1):7. doi: 10.1002/jso.25620. Epub 2019 Jul 9. https://www.ncbi.nlm.nih.gov/pubmed/31290156 49. Impacts of Arterial Ischemia or Venous Occ.usion on Vascularized Groin Lymph Nodes in a Rat Model. Tinhofer I. E., Yang CY, Chen C, Cheng MH. J Surg Oncol. 2020 Jan;121(1):153-162. doi: 10.1002/jso.25518. Epub 2019 May 31. https://www.ncbi.nlm.nih.gov/pubmed/31152457 50. Volumetric Differences in the Superficial and Deep Compartments of Patients with Secondary Unilateral Lower Limb Lymphedema. Chu SY, Cheng MH et al. Plast Reconstr Surg. (paper in press) 51. Efficacy validation of a lymphatic drainage device for lymphedema drainage in a rat model. Cheng MH, Yang CY, Tee R, Hong YT, Lu CC. J Surg Oncol. 2019 Dec;120(7):1162-1168. https://www.ncbi.nlm.nih.gov/pubmed/?term=Efficacy+validation+of+a+lymphatic+drainage+device+for+lymphedema+drainage+in+a+rat+model 52. Institutionalization of Reconstructive Lymphedema Surgery in Austria - Single Center Experience. Tzou CHJ, Cheng MH et al. J Surg Oncol. 2020 Jan; 121(1):91-99. https://www.ncbi.nlm.nih.gov/pubmed/?term=Institutionalization+of+Reconstructive+Lymphedema+Surgery+in+Austria+%E2%80%93+Single+Center+Experience 53. Comparisons of Manual Tape Measurement and Morphomics Measurement of Patients with Upper Extremity Lymphedema. Horbal SR, Chu SY, Cheng MH* et al. Plast Reconstr Surg Global Open. 2019 Oct 29;7(10): e2431 https://www.ncbi.nlm.nih.gov/pubmed/ ? 54. Characterization of limb lymphedema using the statistical analysis of ultrasound backscattering. Lee YL, Cheng MH et al. Quant Imaging Med Surg. 2020;10(1):48-56. 55. Simultaneous Ipsilateral Vascularized Lymph Node Transplantation and Contralateral Lymphovenous Anastomosis in Bilateral Different-Severities Extremity Lymphedema. Cheng MH*, Tee R, Chen C, Lin CY, Pappalardo M. Ann Surg Oncol. 2020 Jun 18. doi: 10.1245 56. ASO Author Reflection: Simultaneous Ipsilateral Vascularized Lymph Node Transplantation and Contralateral Lymphovenous Anastomosis in Bilateral Different-Severities Extremity Lymphedema. Horbal SR, Chu SY, Cheng MH* et al. Ann Surg Oncol. 2020 Jul 10. 57. Lymphedema microsurgery improved outcomes of pediatric primary extremity lymphedema. Cheng MH*, Liu TTF. Microsurgery, 2020 Jul 11. 58. Chylovenous bypass for mesenteric lymphangiomatosis: A case report. Chen C,Cheng MH*. J Surg Oncol. 2020 Jul 15. 59. Staging and clinical correlations of lymphoscintigraphy for unilateral gynecological cancerrelated lymphedema. Pappalardo M, Lin C, Ho OA, Kuo CF, Lin CY, Cheng MH". J Surg Oncol. 2020 Mar;121(3):422-434. 60. Morbidity of Marginal Mandibular Nerve Post Vascularized Submental Lymph Node Flap Transplantation. Chang Tommy NJ, Lee CH, Lin Jennifer AJ, Cheng MH*. J Surg Oncol. 2020 Dec;122(8):1747-1754 https://pubmed.ncbi.nlm.nih.gov/32869304/ 61. Simultaneous Ipsilateral Vascularized Lymph Node Transplantation and Contralateral Lymphovenous Anastomosis in Bilateral Different-Severities Extremity Lymphedema. Cheng MH*, Tee R, Chen C, Lin CY, Pappalardo M. Ann Surg Oncol. 2020 Jun 18. https://pubmed.ncbi.nlm.nih.gov/32556869/ 62. ASO Author Reflections: Simultaneous Ipsilateral Vascularized Lymph Node Transplantation and Contralateral Lymphovenous Anastomosis in Bilateral Different-Severities Extremity Lymphedema. Cheng MH*. Ann Surg Oncol. 2020 Dec;27(13):5277-5278. https://pubmed.ncbi.nlm.nih.gov/32651692/ 63. Response to letter to the editor: Evidence of Lymph Flow Amelioration on Indocyanine Green Lymphography after Vascularized Lymph Node Transfer. Cheng MH". Ann Surg Oncol. 2021 Jun;123(7):1641. https://pubmed.ncbi.nlm.nih.gov/33825195/ 64. Retrograde Manual Lymphatic Drainage following Vascularized Lymph Node Transfer to Distal Recipient Sites for Extremity Lymphedema: A Retrospective Study and Literature Review. Roka-Palkovits J, Lin CY, Tzou CH J, Tinhofer, Cheng MH*. Plast Reconstr Surg. 2021 Sep 1;148(3):425e-436e. https://pubmed.ncbi.nlm.nih.gov/34432699/ 65. Immediate Lymphovenous Bypass Treated Donor Site Lymphedema during Phalloplasty for Gender Dysphoria. Lin W, Safa B, Chen M, Cheng MH*. Plast Reconstr Surg Glob Open. 2021 Sep 17;9(9):e3822. https://pubmed.ncbi.nlm.nih.gov/34549009/ 66. Heparin-induced thrombocytopenia and thrombosis in primary lymphedema patients who underwent vascularized lymph node transplantations. Hsu SY, Lin CY, Cheng MH*. J Surg Oncol. 2022 Feb 2. https://pubmed.ncbi.nlm.nih.gov/35107827 Book: Principles and Practice of Lymphedema Surgery. Cheng MH, Chang DW, Patel KM (Editors). Elsevier Inc, Oxford, United Kingdom. ISBN: 978-0-323-29897-1. July 2015. Principles and Practice of Lymphedema Surgery 2nd Edition - January 7, 2021 Ming-Huei Cheng, David Chang, Ketan Patel. Paperback ISBN: 9780323694186 Book chapters: 16 1. Cheng MH, Nguyen DH, Huang JJ. Chapter 77: Vascularized Groin Lymph Node Flap for Treatment of Lymphedema. In: Perforator Flaps: Anatomy, Technique, & Clinical Applications. 2nd Edition. Blondeel PN, Morris SF, Hallock GG, and Neligan PC (Editors). Quality Medical Publishing, Inc. St. Louis, Missouri. 2013:1317-1328. 2. Cheng MH, Nguyen DH. Chapter 54: Lymph Node Transfer for Lymphedema. In: Operative Microsurgery. Boyd JB and Jones NF (Editors). McGraw-Hill, New York. 2015:672-682. 3. Tobbia D, Cheng MH. Vascularized Groin Lymph Node Flap Transfer for Post mastectomy Upper Limb Lymphedema. In Grabb's Encyclopedia of Flaps, 4th edition. Strauch B, Vasconez LO, Lee BT, and Herman CK (Editors). Wolters Kluwer, Philadelphia, PA, USA. 2015. 4. Tzou CHJ, Cheng MH. Transfer of lymph node tissue - my approach. In Oncoplastic and Reconstructive Management of the Breast: A Multidisciplinary Approach. CRC Press, Boca Raton, FL, 2015. 5. Cheng MH, Chang DW, Patel KM. Chapter 1: An introduction to principles and practice of lymphedema surgery. In Principles and Practice of Lymphedema Surgery. Cheng MH, Chang DW, Patel KM (Editors). Elsevier Inc, Oxford, United Kingdom. 2015 6. Nguyen DH, Cheng MH. Chapter 5: Laboratory study of lymphoma. In Principles and Practice of Lymphedema Surgery. Cheng MH, Chang DW, Patel KM (Editors). Elsevier Inc, Oxford, United Kingdom. 2015

鄭明輝教授時常受邀至世界各地的教育和醫療機構演講，分享有關淋巴水腫和乳房重建的專業手術技術及研究結果。 Presentations Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery Dec 17, 2024 We appreciate the recognition and affirmation from our patients in the United States. Every word of encouragement is our driving force! Dec 10, 2024 Professor Cheng was invited to attend the 49th Global Plastic Surgery Conference held in Porto, Portugal. Sep 26, 2024 Gratitude from Canada — A Patient's Kindness Warms Our Hearts

Patient Rights Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery General Consent form A+ Surgery Clinic Patient’s rights and cooperation The cooperation between the patient and the medical team is an important factor for a successful treatment. The patient’s understanding towards patient’s rights and obligations is necessary for a mutual communication in order to promote cooperation and trust. During the patient’s visit to our hospital, we ensure that the following 10 patient’s rights are maintained. Please feel free to provide us with feedback if our services do not meet your expectations, in order for us to improve. It is necessary for the patient and family to provide us with relevant disease information so we can provide you with accurate diagnosis and the most suitable treatment while maximizing the use of limited medical resources to protect our medical environment and the health of everyone. We look forward to building a healthy and harmonious medical environment for all of our patients. Please feel free to approach any of our medical personnel if you have any further inquiries or suggestions about patient’s rights, and it will be our pleasure to assist you in every possible way. Patient’s Rights 【Treatment equality】The patient is entitled to receive treatment regardless of race, religion, nationality, gender, age, disease, sexual preference, location, or social status. 【Healthcare safety】The patient has the right to receive healthcare in a safe medical environment. 【Information and explanation】The patient and primary care provider are entitled to inquire about physician’s or other medical personnel’s names and disease information. 【Informed consent】【Right to refuse】【Alternatives】The patient and the primary family caregiver have the right to participate in the discussion and inquiry of the healthcare process and to decide in the treatment plan, including the rights to refuse treatment and to seek a second opinion. 【Continuous healthcare】The patient has the right to request for pain management, disease management, medication, diet and daily living education, and information and medical services relative to home care services after discharge. 【Palliative Care】According to the hospice and palliative laws and regulations, the patient and the family have the right to decide or alter the decision of “do not resuscitate,” and to renounce the use of life support during cardiac arrest at the risk of termination of life. 【Patient’s privacy】We respect and uphold the patient’s privacy. Disease information and records will be kept confidential. 【Information providing】According to the law, the patient has the right to request for copies of his/her medical record, certificate of diagnosis, and invoice of medical expenses. 【Complain Service】The patient has the right to complain or make suggestions to the hospital, and we will respond accordingly. 【Professional Service】All medical personnel must wear identification cards. The patient can refuse to accept medical service if the medical personnel does not wear an identification card. Patient cooperation To ensure patient safety, the patient and family should provide information such as health condition, medical history, drug history, allergy history, travelling history, contagious disease at present, etc. The patient and family should participate in the discussion of treatment plans and come to a conclusion after understanding the consequences of all possible treatments. All doubts should be clarified with the medical personnel in charge prior to the signing of the consent form. The patient and family should cooperate with physicians in terms of treatment, discharge, or transferal. Please respect our medical resources and the medical facilities of the hospital. Please comply to the hospital’s policies and operating procedures. Never request medical personnel to provide false information or certificate of diagnosis. Please obey the hospital’s curfew and infection policy. Please do not smoke or chew betel nuts in the hospital to prevent affecting the rights of other patients. Please pay the remaining balance after subsidy accordingly. Please approach our social workers or medical personnel in charge if you have any difficulty paying the balance. We provide storage services for the patient and family to secure their personal belongings. We are not responsible for damage or loss of property. Please keep your valuables with you at all times.

鄭明輝 院長為乳房重建及淋巴水腫權威，瞭解更多有關鄭院長的的專業領域和各式創舉，例如：亞洲第一位引進及執行自體組織乳房重建技術 鄭明輝 院長 乳房重建及淋巴水腫權威 亞洲第一位引進及執行自體組織乳房重建技術 全球乳癌相關診斷分級、顯微手術發明者 世界排名前2%頂尖科學家、知名整形外科聖手 乳房重建手術就像移花接木，雖然手術繁瑣，但看到患者術後人生由黑白變彩色，成就感難以言喻。 －鄭明輝院長 認識鄭明輝院長：淋巴水腫領域 接受鄭教授的淋巴水腫顯微手術後，完全不需再穿戴壓力衣鄭明輝教授是經過國際專業認可的整形外科專科醫師，同時也是美國重建顯微外科學會2006年Godina獎得主，是第一位亞洲整形外科醫師得獎者。截至目前為止，鄭教授已經完成了2100多例顯微手術，包括頭頸部重建，乳房重建，顱內外動脈血管吻合手術，淋巴管靜脈吻合術和顯微淋巴結皮瓣移植手術。 接受鄭教授的淋巴水腫顯微手術後，完全不需再穿戴壓力衣鄭明輝教授是經過國際專業認可的整形外科專科醫師，同時也是美國重建顯微外科學會2006年Godina獎得主，是第一位亞洲整形外科醫師得獎者。截至目前為止，鄭教授已經完成了2100多例顯微手術，包括頭頸部重建，乳房重建，顱內外動脈血管吻合手術，淋巴管靜脈吻合術和顯微淋巴結皮瓣移植手術。 認識鄭明輝院長：乳房重建領域 國內每年約新增16,000名乳癌患者，乳房切除後重建比率卻不到5%，鄭明輝院長20多年前投入內視鏡乳房重建領域，至今已幫助超過1000多名失去乳房的女性重建乳房、找回自信。乳房重建手術就像「移花接木」，雖然手術繁瑣，但看到患者術後人生從黑白變彩色，成就感難以言喻。 1998年，受時任長庚大學醫學院長魏福全教授指派，到美國安德森癌症中心專研乳房重建，行前還叮嚀：「務必成為亞洲頂尖的乳房重建權威！」經過1年2個月的研習帶回許多新觀念、技術，不負期待，更首創獨步全球的「深下腹動脈穿通枝皮瓣術」，拿取患者的腹部脂肪用於乳房重建，改善傳統鹽水袋重建乳房的異物感，還有豐胸、對稱的效果，這項創新手術已發表在國際權威期刊《整形與重建外科手術》上。

Visiting Professorships Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery Godina Traveling Professor, Aesthetic & Plastic Surgery Institute University of California, Irvine, Orange, California, June 10, 2006. 2006 Godina Traveling Fellow and Flap Course Faculty, Duke University. Visiting Professor, Duke University Medical Center, Durham, Nort Carolina, August 4, 2006. Visiting Lecturer, M.D. Anderson Cancer Center Department of Plastic Surgery, Houston, Texas, November 13-15, 2006. Visiting Professor in Plastic Surgery, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania, November 16-19, 2006. Visiting Professor in Plastic Surgery, Southern Illinois University School of Medicine, Springfield, Illinois, November 20-22, 2006. Visiting Professor in Institute of Reconstructive Plastic Surgery, New York University Lang one Medical Center, New York, October 25-29, 2008. Visiting Professor in Division of Plastic Surgery, Mayo Clinic, Rochester, Minnesota, October 29-31, 2008. Visiting Professor in Department of Plastic Surgery, The University of Texas MD Anderson Cancer, Houston, Texas, July 13-14, 2009 Visiting Professor in Division of Plastic Surgery, University of South California, Los Angeles, California, July 16-17, 2009. Visiting Professor in Division of Plastic Surgery, Mayo Clinic Phoenix, Arizona, October 27-29, 2009. Visiting Professor in Division of Plastic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, July 17-21,2010. Visiting Professor in Division of Plastic Surgery, Singapore General Hospital, Singapore, Singapore, July 13-17, 2011. Visiting Professor in Division of Plastic Surgery, the Ohio State University, July 10-14, 2012. Visiting Professor in Department of Plastic Surgery, MedStar Georgetown University Hospital, February 5, 2014. Visiting Professor in Department of Plastic Surgery, Brussels University Hospital, March 2-4, 2014. Visiting Professor in Department of Plastic Surgery, NYU Langone Medical Center, October 7-8, 2014. Visiting Professor in Department of Plastic Surgery, Asan Medical Center, University of Ulsan, March 26, 2015. Visiting Professor in Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University, March 27, 2015. Visiting Professor in Department of Plastic Surgery, University of Michigan, September 22-25, 2015. Visiting Professor in Department of Plastic Surgery, the Keck School of Medicine of the University of Southern California, January 14 - 15. 2016 Visiting Professor in Department of Plastic Surgery, Duke University Medical Center, Durham, North Carolina, February 22, 2016. ASRM William A. Zamboni Visiting Professor in Department of Plastic Surgery, University of California, San Diego, May 16-17, 2016. ASRM William A. Zamboni Visiting Professor in Department of Plastic Surgery, The University of Chicago Medicine & Biological Sciences,Chicago, September 18-19, 2016. ASRM William A. Zamboni Visiting Professor in Department of Plastic Surgery, University of California, Irvine, November 7-8, 2016. Visiting Professor in Department of Plastic Surgery, Memorial Sloan Kettering Cancer Center, New York, August 21, 2017. Visiting Professor in Department of Plastic Surgery, University of Michigan, Detroit, August 28 to 30, 2017. Visiting Professor in Department of Plastic Surgery, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, November 3 to 4,2017. International Visiting Professor in Plastics Division, Stanford University, February 16-21, 2018. Visiting Professor in Department of Plastic Surgery, University of Michigan, Detroit, July 29 to August 1, 2018. Visiting Professor in the Department of Plastic Surgery, University of Michigan, Ann Arbor, Michigan, August 8 to 10, 2019. Buncke Clinic Virtual Visiting Professor, Webinar, May 9, 2020. Visiting Professor in the Department of Plastic Surgery, University of Michigan, Ann Arbor, Michigan, May 2 to 6, 2022.

Advanced Diagnostic Technology 淋巴管攝影檢查： 循血綠 Indocyanine Green（ICG）淋巴管攝影、ADRONIC ICG 螢光攝影機、Mitaka顯微鏡 Advanced Diagnostic Technology Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery Indocyanine Green (ICG) Lymphography Indocyanine green (ICG) is a green colored dye. It binds to albumin (a kind of protein), which is transported within the lymph fluid. ICG has been used to test blood flow after being injected intravenously and has also been used to show lymphatics after low dose injection to the subcutaneous tissue. ICG lymphography uses a specialist infra-red camera to detect low dose injected ICG dye in the subcutaneous tissue with the depth of 10 mm. The lymphatic function can be checked on a screen during the scan. What does ICG lymphography image look like? Normal function of lymphatic system: After ICG is injected, it will quickly be taken by the lymphatics and transported in the lymphatic tubular duct as a linear lymphatic vessel (linear fluorescence). When functioning normally, the fluid and dye will rhythmically push up the lymph proximally. In lymphedema limb: In lymphedema limb, the one-way perfusion may be stuck. The lymphatic fluid remains in lymphatics, and the structure of the lymphatic duct will gradually be dilated, fibrotic then obstructed. As lymphedema progresses, the fluid will leak into subcutaneous tissue, causing dermal backflow (star-like fluorescence). ”ADRONIC” ICG “ADRONIC” Fluorescence Imaging System is a fluorescent image photography device, so that the surgeon can shoot, review, store high-quality fluorescent image device. “ADRONIC” Fluorescence Imaging System is used with fluorescent developer “Indocyanine Green” (Indocyanine Green). Including lymphatic vessels and blood vessels, as well as related applications during a variety of surgical procedures. Infrared transmitter can be controlled by the professional staff to adjust the distance or set up in the top of the camera to facilitate the operation, video recording can be immediately after the completion of the replay to review. Model: Adronic ICG Independent imaging with 3.5 inch screen Able to snapshot and record video Provides doctors with accurate location of vessel and lymph Case Sharing Breast cancer is a very common malignant tumor that women often experience. The number of cases is increasing over the years. In addition, it can seriously threaten women’s physical and mental health. Surgery and operation are still the common treatment that doctors use. However, it can cause detrimental complications to the human body. For example, upper limb lymphedema, bring great pain to the patient and seriously affects the quality of life of the patient. Doctor Cheng Ming-Huei, authority in plastic surgeon and ex-director of A+ Surgery Clinic, metioned that the fluorescence spectrum lymphangiography of ICG Video Scope can be used in breast cancer, breast augmentation and breast reduction. It brings applications to future clinical studies and reduces the recovery time needed after surgery. It also avoids the waste of medical resources due to the lower possibility of relapse. Features of ICG Video Scope Monitors edema of lymph in flaps Monitors the Lymphatic reconstruction and the recanalization Distinguishes different lymph drainage of breast and upper limb to decrease the possibility of Lymphedema after surgery Monitors the different pathological changes of muscle by the patients with Lymphedema The Fluorescence Imagining system is highly sensitive and provides reliability to the examination of Vessel Lymphedema Mitaka Microscope & Zeiss Pentero 900-Microscope The Mitaka Surgical Microscope is high resolution at 160 line-pairs per millimeter and 42x, making it ideal for working in the sub-1mm environment. Spy Elite SPY Elite, a fluorescent imaging system, may be used by surgeons to help determine whether certain tissues in the body have a strong enough blood supply for transplant purposes. Analyzing the blood circulation of tissues throughout the body may help our surgeons identify healthy donor tissue that may be harvested for such purposes, or compare the viability of various donor sites they are considering.

揮別壓力衣！鄭教授的獨門顯微手術，改善淋巴水腫帶來的不適，了解不同淋巴水腫治療方式的比較及安德森的專業

了解更多有關術後照顧的重點，患者不再需要穿戴壓力袖套、襪，但建議患者在術後接受3~6個月的復健，需要積極治療。 Post-Operative Care Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery Post-Operative Rehabilitation The A+ Surgery Clinic provides comprehensive and extensive medical services before and after surgery. It is recommended that lymphedema patients receive post-operative rehabilitation for a period of 3- 6 months. It is most noteworthy that patients no longer need to wear compression garments after Dr. Cheng’s Side-to-End Lymphovenous anastomosis and vascularized submental lymph node flap transfer to distal recipient site for post-operative rehabilitation. It is recommended to massage from the proximal limb to the distal site for 15 minutes 3 times a day one month post-operatively for 3 to 6 months to further improve lymphatic drainage. Post-Operative Follow-Up The lymphedema of both upper and lower extremities can cause pain, discomfort, fibrosis, cosmetic problems, and mobility restraints for patients. It is common that lymphedema patients develop various degrees of depression due to physical discomfort, disfiguration, and emotional distress. With an average of a 2-year follow up after undergoing microsurgical microsurgery including Side-to-End Lymphovenous anastomosis and vascularized lymph node flap transfer to distal recipient site, the affected limb become softer overtime. 90% of lymphedema patients have seen size improvement with a mean circumferential difference of 50%. With the physical improvement, patients are subjectively pleased to resume daily activities and life styles they used to have. After vascularized submental lymph node flap transfer, you are asked to comply with the rehabilitation program, which includes progressive lower limb muscle strength training and reverse manual proximal (groin) to distal (ankle) lymphatic drainage. You are encouraged to gradually massage the flap, scar, and control body weight control starting after discharge. Reverse manual lymph drainage and flap massage are performed for 15 minutes/time, 3 times daily. You are advised to return to normal activity gradually as tolerated, and all other physiotherapy and compression wrapping are discontinued. Vascularized submental lymph node flap is placed on the wrist in accordance with the “pump” mechanism and effects of gravity. You do not need to wear a compression garment or bandaging after surgery but are allowed to wear a wrist brace or wrist support to hide the scar on the wrist after the wound complete healed. Another revision surgery to remove the skin paddle and superficial fat of the transferred flap to improve the cosmetic appearance and simultaneous liposuction of the thigh to decrease the production of lymph is recommended after 1 year of vascularized submental lymph node flap transfer. 1. Reverse manual lymph drainage: Time: Performed for 15 minutes/time, 3 times a day, from groin to flap. Method: Medium strength massage that compresses the skin, subcutaneous, fat and muscle in proximal (groin) to distal (flap) direction. This helps encourage drainage of the lymph drainage through the lymph flap and appropriate channels. 2. Flap massage: For increasing the venous drainage of lymph node flap pumping Time: Performed for 15 minutes/time, each 3 times daily. Method: Medium strength massage to pump lymph node flap and the scar around flap. 3. Body weight control: Time: Check body weight every day. Lighten your weight if your Body Mass Index(BMI) over 25. 4. Infection/cellulitis prevention and control: Most healthcare-associated infections are preventable through good hand hygiene. It’s important to identify and treat cellulitis early because the condition can spread rapidly throughout your body. Red area or “New red spots” of skin that tends to extend from distal to proximal Swelling Tenderness Pain Fever over 38.5℃ After the initial postoperative period, you are seen on a monthly basis by sending images. You may use any communication apps, such as Line, WhatsApp, Skype, e-mail or WhatsApp. Surgical outcomes are evaluated by your subjective improvement, circumferential measurements, the frequency of cellulitis, and via patient reported health-related quality of life outcome metrics. We will arrange ultrasonography, CT, and lymphoscintigraphy for checking the number of the lymph node on the flap, lymph node function and volume of the arm after one year.

安德森整形外科診所的醫師們的最新熱門影片，專業的和你分享醫療資訊及回答你可能對整形和重建的各式問題！ Our Video Play Video Play Video 08:02 想改善淋巴水腫又不想穿壓力衣? 讓世界權威告訴你什麼是淋巴靜脈吻合術｜安德森整形外科 鄭明輝教授 鄭在開講 Play Video Play Video 04:27 Lymphedema Treatment Testimony:In addition to excellent medical care, also enjoys Taiwanese cuisine Play Video Play Video 05:50 Mr. William from Australia Play Video Play Video 03:04 Ms.Vicki Ferg from Canada Play Video Play Video 07:58 Brenda Journey 200214a Play Video Play Video 04:18 Aza Journey 200213b Play Video Play Video 09:51 Lymphedema Treatment Testimony: Canadian Patient at A+ Surgery Clinic, Taipei, Taiwan"Video Content: Play Video Play Video 08:01 隆乳材質大比拼！按摩？莢膜？水波紋？妳想知道的都在這｜安德森整形外科 鄭明輝教授 鄭在開講 Play Video Play Video 03:06 醫美界新星！「外泌體」3分鐘懶人包看這裡！｜安德森整形外科 鄭明輝教授 鄭在開講 Load More Watch more...