There are multiple options for patients with swelling and lymphedema, including surgery. Our practice uses the latest methods to evaluate patients and design individualized treatment plans. Possible surgical options include:
Vascularized Lymph Node Transfer
Vascularized Lymph Node Transfer (VLNT) is an innovative treatment option for patients who have already developed lymphedema. If the traditional treatment option for lymphedema (physical therapy) is not providing symptom relief, VLNT can offer new hope to patients living with lymphedema. During this procedure, our plastic surgeons will relocate healthy lymph nodes to an area of swelling, often developed because of lymph nodes removed due to previous cancer surgery.
Lymphaticovenous anastomosis (LVA) is a microsurgical treatment for patients with lymphedema. In this technique, lymphatic channels are identified using fluorescent dyes in the affected, swollen limb. These lymphatic channels are then re-routed into an adjacent vein. The LVA allows for drainage of fluid through new pathways.
In patients with chronic swelling, some patients are candidates for a debulking technique where liposuction is performed of the affected limb. Specialized compression garments are then used after surgery to decompress the swelling and provide symptomatic relief.