Free vascularised lymph node transfer (fVLNT) is a complex microsurgical procedure involving the transplant of a small group of lymph nodes from one regional drainage basin to the limb affected with lymphoedema.
In patients with stage 1 and 2 lymphoedema, 98% have a positive response to this procedure with about 50% having a significantly good outcom
Free vascularised lymph node transfer (fVLNT) is a complex microsurgical procedure involving the transplant of a small group of lymph nodes from one regional drainage basin to the limb affected with lymphoedema.<span style=”font-weight: 400;”>In patients with stage 1 and 2 lymphoedema, 98% have a positive response to this procedure with about 50% having a significantly good outcome</span>In patients with stage 1 and 2 lymphoedema, 98% have a positive response to this procedure with about 50% having a significantly good outcome.
The mainstay of lymphedema treatment remains conservative physical therapy.However, when this fails then a surgical technique is indicated.
Patients with clinically pitting lymphoedema would be suitable for this procedure.The presence of mostly lymphatic fluid and the predominant absence of fatty deposition can be confirmed by a Magnetic Resonance Scan (MRI).
A lymphoscintigraphy is also a useful technique to map the lymphatic drainage of the limb and also useful in the reverse mapping of the lymph nodes to be harvested from the donor site.
The procedure is performed under general anaesthesia and lasts for 4-6 hours.The inpatient stay in hospital is 4-5 days.
The site where the lymph nodes are to be placed is carefully prepared by meticulous dissection and removal of the scar tissue. Tiny recipient blood vessels are identified and meticulously dissected using microsurgical techniques. The small group of lymph nodes to be harvested is carefully mapped and harvested with tiny blood vessels (artery and vein). These are then, micro surgically transplanted to the recipient site by anastomosing the tiny blood vessels.
Post-operatively, the patient is managed in a warm environment. After a week or so, the patient is fitted with a compression garment. Measurements are carefully done in a standardised manner and recorded for audit purposes at every visit post-operatively.
I was treated by Dr Nalluri who is a highly qualified and experienced consultant dermatologist. My treatment experience and outcome were excellent. Friendly, helpful staff, lovely clean environment, highly recommended. Useful Share
Great staff, attentive and always able to answer my questions. Dr Oudit really listened and gave good advice to make sure I knew everything before the surgery. Highly recommend it – was worth the travel!
I felt comfortable with Mr Oudit right from the start. He was extremely thorough and went through all the information I needed right from the first consultation. The staff are great and on hand anytime you need to speak to anyone, especially Abna. I had no doubt in my mind Mr Oudit was the right surgeon for my procedure after our first conversation. I am only 5 days post-op and just received a lovely bouquet of flowers from the team. Thank you all so much, My Cosmetic Clinic. I will definitely recommend to family and friends.