Lymphatic reconstruction is a surgical procedure designed to restore the natural flow of lymphatic fluid, reducing the symptoms of lymphedema. Lymphedema often occurs after lymph node removal or radiation therapy related to breast cancer treatment and can cause patients chronic swelling and discomfort and holds a risk of infection. Lymphatic reconstruction surgery helps to address these issues, leading to better health and vitality.
A Personalized Approach
After thoroughly assessing your physical condition and health, Dr. Cohen will establish a personalized surgery plan. There are two primary techniques used in lymphatic reconstruction depending on your unique needs:
- For early-stage lymphedema: The microsurgical procedure used, called Lymphaticovenous Anastomosis (LVA) or lymphaticovenous bypass (LVB), connects tiny lymphatic vessels to nearby veins, allowing lymphatic fluid to drain directly into the venous system.
- For advanced lymphedema: A highly specialized microsurgery called Vascularized Lymph Node Transfer (VLNT), is used to transplant healthy lymph nodes from one part of the body to the affected area. The transplanted nodes help re-establish lymphatic drainage, reducing swelling and discomfort.
The procedure itself varies depending on the chosen technique. Preferentially, LVA/B is performed in the immediate setting at the time of lymph node and cancer removal. It can also be performed later on an outpatient basis. This approach is minimally invasive, and may take 2 to 4 hours. VLNT is a more complex surgery that can take 4 to 6 hours and may require a short stay under clinical supervision.