Secondary lymphedema, mainly due to an iatrogen or traumatic blockage of lymph vessels at the axilla or at the groin, is caused by a deficiency of the lymph-transporting capacity. 1 Attempts to solve this problem by creating peripheral lympho-nodulo and lymphovenous anastomoses 2,3 risk failure because of at least partly, a higher pressure in the venous system compared to the lymphatic system. 4 Additionally, the higher clotting ability of blood compared to that of lymph 5 leads to a remarkable thrombosing rate of the artificial anastomoses between the lymphatic and the venous system at peripheral sites.