Surgery for lymphoedema
Developments in plastic and reconstructive surgery have led to 3 different surgical techniques that all have an important role in lymphoedema. These are lymphovenous anastomosis (LVA), vascularized lymphnode transfer (VLNT) and liposuction for lymphoedema (SAPL). Each operation has a role in the different stages of lymphoedema.
Surgical treatment of lymphoedema
Lymphovenous anastomosis (LVA)
This microsurgical bypass operation connects lymphatics to small veins in the skin allowing excess fluid to drain from the affected area. Whilst it is a very technical procedure it can restore the function of the lymphatic system and remove excess fluid from the limb. We have pioneered this operation under local anasthetic as a day case. It is suitable for patients with early disease.
Liposuction for lymphoedema (SAPL)
This surgery can produce a massive and permanent volume reduction in an arm or leg affected by lymphoedema. It is particulary successful in advanced longstanding disease where most of the swelling has turned to fat and protein. It is carried out with specialist training for assessment, surgical techniques and rehabilitation following surgery. It must be emphasised that this is very different from standard cosmetic liposuction. It can produce a long term and predictable volume reduction that is maintained by a special compression garment use.
Vascularized lymphnode transfer (VLNT)
We can transfer spare lymphatics from a healthy area of your body to the arm or leg with lymphoedema. We also join the healthy lymphatics to nearby blood vessels so the tissue remains healthy and can begin to regenerate lymphatics. The transferred lymphatic tissue can then restore the conduit and filter for lymph fluid. This operation may take some time to become fully effective as the new lymphatic system grows but is suitable for a range of stages of the disease.
Testimonials
Surgery address:
Nuffield Health, The Manor Hospital, Beech Road, Oxford, OX3 7RP
Oxford Lymphoedema Practice, PO Box 1138, Oxford, OX1 9UN
© Oxford Lymphoedema Practice Ltd 2018