Restoring Lymphatic

A Physiological Solution for Lymphedema Management

For carefully selected patients with lymphedema, our reconstructive surgery unit in Antalya offers highly advanced microsurgical procedures designed to physiologically restore lymphatic flow. Unlike debulking procedures that remove excess tissue, these techniques aim to repair or bypass the damaged lymphatic system itself. Lymphovenous Bypass (LVB/LVA) and Vascularised Lymph Node Transfer (VLNT) are pioneering options that can offer sustained improvement for this chronic condition.

Advanced Microsurgical Techniques Explained

These intricate procedures require exceptional skill and are performed using a high-powered operating microscope.

• Lymphovenous Bypass (LVB or LVA): This supermicrosurgical technique creates a new drainage route for lymphatic fluid. Our surgeons meticulously identify and isolate remaining functional lymphatic vessels in the affected limb and connect them to nearby tiny veins (venules). This "bypass" allows the trapped lymph fluid to flow directly into the bloodstream, reducing limb volume and pressure.

• Vascularised Lymph Node Transfer (VLNT): This is a more complex reconstructive procedure where a group of healthy, functioning lymph nodes, along with their own blood supply (a "flap"), are harvested from a donor site on your body (such as the groin, neck, or abdomen). This living tissue is then transplanted into the affected limb. The transferred lymph nodes act as a natural "pump" and "filter," helping to absorb excess fluid and restore a more active lymphatic circulation.

The Key Physiological Benefits

The primary goal of these procedures is to improve the underlying problem, leading to:

• Sustained Volume Reduction: A lasting decrease in the size and weight of the affected limb.

• Better Limb Function: Improved range of motion, reduced feelings of heaviness, and increased comfort.

• Fewer Cellulitis Episodes: A crucial medical benefit, helping to lower the frequency of painful and dangerous infections.

Your Microsurgery Journey

This is an advanced treatment path, and we are committed to providing you with clear expectations.

• Procedure Duration: These are intricate operations, typically lasting from 3 to 6 hours.

• Recovery and Ongoing Care: Initial recovery takes between 2 to 4 weeks. It is crucial to understand that lifelong compression therapy and specialised physiotherapy continue to be essential components of your management plan to support and maintain the results of the surgery.

• Expected Longevity: In carefully selected and suitable patients, these procedures can offer significant and lasting benefits.

• Specific Risks: As complex microsurgeries, they carry specific risks, including the potential for flap failure (in VLNT), thrombosis (clotting in the tiny reconnected vessels), and donor-site issues (such as fluid collection at the harvest site).

Disclaimer: The information provided on this website is for general educational purposes only and is not medical advice or a diagnosis. Lymphedema is a serious medical condition. A personal consultation with our qualified reconstructive microsurgery team in Antalya is essential to determine your suitability for these advanced procedures.