In Neibulowitz surgery what is done?: (A) Skin bridge, (B) Lymph node with vein anastomosis, (C) Ileal mucosal patch, (D) All of the above
Answer is B. Neibulowitz is a reconstructive surgical procedure to treat lymphedema refractory to medical management . Indicated in patients with proximal (either primary or secondary) obstruction of the extremity, lymphatic obstruction, dilated lymphatics distal to obstruction. It is a bypass procedure anastomosing lymph nodes to veins .