LYMPHATIC RECONSTRUCTION & LYMPH NODE TRANSFER
ABOUT
Lymphedema
Lymphedema is a condition where lymphatic fluid accumulates—usually in the arms or legs—due to inadequate return of lymphatic fluid into the circulation. It may occur due to:
- Congenital absence of lymphatic vessels
- Damage from infections
- Effects of cancer surgery
- Radiation treatment
Common types treated include:
- Upper limb lymphedema after breast cancer surgery
- Lower limb lymphedema after pelvic surgery or groin dissections
PROCEDURES
Lymphedema Procedures
Lymphatico-Venous Anastomosis (LVA)
Often treated with direct closure or local/pedicle flaps due to abundant soft tissue.
Lymph Node Transfer (LNT)
Pedicle flaps from the thigh or calf may be used. Common reasons include post‑knee reconstruction infections and open injuries.
Other Procedures
Although non-physiological, these methods help reduce limb size and symptoms. Ongoing maintenance with massage or pressure garments is required.
Liposuction
Removes adipose and fibrous tissue associated with lymphedema using specialised cannulas.
Charles Procedure
Excision of subcutaneous tissue around the limb, followed by reapplication of harvested skin. Though more disfiguring, it may provide significant benefit in advanced cases.
INDICATIONS
Good Candidate for Lymphatic Reconstruction
- You are motivated to undergo physiotherapy before and after surgery
- You can comply with long-term pressure garment use
- You understand the need for lifestyle and rehabilitation commitment
Reconstruction is performed in close collaboration with physiotherapists to optimise outcomes.
SAFETY
Risks & Considerations
Risks of Lymphatic Reconstruction
- Bleeding, haematoma, bruising
- Infection or wound breakdown
- Scarring
- Donor-site complications
- Persistent lymphedema
- Deep venous thrombosis (from prolonged bed rest)
- Risks related to general anaesthesia
General Risks of Liposuction
- Bruising, swelling, numbness
- Asymmetry or scarring
- Potential need for revision
- Rare but serious complications: pulmonary embolism, fat embolism, skin necrosis, excessive fluid loss
HOW TO START
Arrange a Consultation
If you are considering the treatment with our experienced surgeons, you may book a consultation to discuss suitability, options, and the treatment process based on your medical history and goals.
FAQ
Frequently Asked Questions
How do we know if LVA or LNT is successful?
ICG dye can be used during surgery to confirm lymphatic flow. Post-surgery, limb measurements and perometry track improvement. Patients often report a lighter feeling in the limb.
🩺 A full evaluation with an MOH-accredited doctor is required to determine suitability for the procedure.
*Disclaimer: Results vary according to individual.
GET IN TOUCH
Book Your Consultation
