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Hosomi et al. Plast Aesthet Res 2023;10:60 https://dx.doi.org/10.20517/2347-9264.2023.77 Page 7 of 8

In conclusion, this is the first report of lymphatic flow reconstruction using free SCIP vascularized
lymphatic and vascularized lymph node flap with efferent lymphatic to lymphatic anastomosis. This method
has the potential to become one option for improving extremity lymphedema treatment. Further studies are
needed to establish the optimal clinical application and effectiveness of this method.

DECLARATIONS
Authors’ contributions
Conceptualization: Narushima M
Investigation, writing, original draft preparation: Hosomi K
Writing, review and editing: Banda CH
Data curation, review: Shiraishi M, Mitsui K, Ishiura R, Danno K

Availability of data and materials
Not applicable.

Financial support and sponsorship
None.

Conflicts of interest
All authors declared that there are no conflicts of interest.

Ethical approval and consent to participate
The institutional ethics committee of The University of Tokyo Hospital approved the study (approval
number: #1616) and consent to participate was obtained from patient.

Consent for publication
Written informed consent was obtained from patient.

Copyright
© The Author(s) 2023.

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