Surgical interventions for lymphedema are typically considered when other treatments, such as compression therapy, exercise, and manual lymphatic drainage, have not been effective in reducing swelling and other symptoms. There are several types of surgical interventions available for lymphedema, each with its own benefits and risks.
- Lymphovenous Anastomosis (LVA): LVA involves connecting small lymphatic vessels to nearby veins, which can improve lymphatic drainage and reduce swelling. This procedure is typically performed under local anesthesia and does not require an overnight hospital stay.
- Vascularized Lymph Node Transfer (VLNT): VLNT involves transplanting healthy lymph nodes from another part of the body to the affected area, which can improve lymphatic flow and reduce swelling. This procedure is typically performed under general anesthesia and requires an overnight hospital stay.
- Liposuction: Liposuction can be used to remove excess fatty tissue in the affected area, which can reduce swelling and improve mobility. This procedure is typically performed under general anesthesia and may require a short hospital stay.
- Excisional Procedures: Excisional procedures involve removing the affected tissue, such as the excess skin and fat, in the affected area. This procedure can be effective in reducing swelling and improving mobility, but may require a longer recovery period and carry a higher risk of complications.
It is important to work with a healthcare professional who has experience in lymphedema care to determine the most appropriate surgical intervention for the individual’s specific needs and goals. Surgery may not be suitable for everyone with lymphedema, and the risks and benefits should be carefully considered before making a decision. In addition, surgical interventions may be performed in conjunction with other lymphedema treatments, such as compression therapy and exercise.
