LIPOSUCTION FOR LYMPHODEMA

LIPOSUCTION FOR LYMPHODEMA

Swelling of the limbs in patients with longstanding lymphoedema is not always due to increased fluid build-up. Long-standing lymphatic fluid stasis in the tissues can result in the deposition of fat. There are many postulated theories for why this occurs.In these patients, surgical techniques which address the re-routing of lymphatic fluid, are not appropriate. This fact must be appreciated.In these patients, surgical techniques which address the re-routing of lymphatic fluid, are not appropriate. This fact must be appreciated.

Description

In these patients, surgical techniques which address the re-routing of lymphatic fluid, are not appropriate. This fact must be appreciated. These patients need to be treated appropriately with an aggressive form of liposuction to address the lymphoedema.

Clinically, this may be suspected in patients who have failed to progress with conservative techniques such as complete decongestion therapy and controlled compression therapy and who have non-pitting swelling of the limbs.

Radiologically investigating using Magnetic Resonance Scanning (MRI) is essential to verify this. Also, in these patients a lymphoscintigraphy would be useful as a baseline investigation in mapping the lymphatic draining and studying the lymphatic function.

This operation was pioneered by Professor Hakan Brorson in Sweden. It is carried out under general anaesthetic with an in-patient hospital stay of 4-5 days. The operation lasts for 3-4 hours depending on the excess volume of the limb.

Preoperatively, the patients are seen by the lymphoedema physiotherapist and assessed again and measured for a post-operative compression garment. The procedure is done with a limb tourniquet and is carried out with a power-assisted liposuction machine through multiple tiny stabs wounds on the skin.The procedure is carried out in a controlled manner on segments of the limb from distally to proximally. Frequent measurements are taken during the operation to ensure a satisfactory result. Once the liposuction is completed to a satisfactory result, the compression garment is fitted on the patient by the lymphoedema physiotherapist whilst still under the anaesthetic.

The garment is removed on day 2 post-op and a new one fitted. The patient is discharged after day 4 post-op.

All the measurements pre- and post-op are done in a strict and standardised manner and recorded for audit purposes.

This technique is the most successful in treating lymphoedema with the potential to result in near-complete reduction of the excess volume. However, patients who have had this procedure would need to wear the compression garments for life.

Gisela L

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

Satya L

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!

Loretta

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.