This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Lymphatic System, Subject name: Surgery
In Neibulowitz surgery what is done? 
Select and explain. 
A. Skin bridge, B. Lymph node with vein anastomosis, C. Ileal mucosal patch, D. All of the above
B: Lymph node with vein anastomosis
Answer: B: Lymph node with vein anastomosis 
Explanation: 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 .