LYMPH NODE TRANSPLANTATION (TRANSFER)

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lymphatic flap with vascular pedicle and number of lymph nodes

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lymph node transfer for lower limb lymphoedema

preoperative left upper limb breast cancer treatment-related lymphoedema

Improve the quality of life

Vascularized lymph node transfer (lymph node transplant) is at the forefront of surgical treatment for lymphedema and is the treatment of choice for patients with stages II and III  of Lymphoedema, without significant skin changes or multiple episodes of cellulitis. Technique involves harvest of lymph nodes with their blood supply and their transfer into Lymphoedema affected upper or lower limb. In order for the transplanted flap of tissue to survive, a blood supply will be reconnected under high-resolution microscope using special microsurgical instruments and skills. Technique is often combined with breast reconstruction for breast cancer patients to treat upper limb lymphoedema. Mr Kosutic is one of the very few UK plastic surgeons with many years of experience in these techniques and excellent results presented worldwide. Once transplanted, lymph nodes will act as a sponge to collect excess fluid and will reduce the volume of Lymphoedema-affected extremity permanently-without the need to wear compressive garments any more. Patient selection and preoperative work up are key for success of these complex surgeries.

breast cancer related upper limb lymphoedema in patient planned for mastectomy to opposite breast and bilateral DIEP with lymph node transfers

6 months post bilateral DIEP flap breast reconstruction and lymph node transfers-significant improvement – reduction of upper limb lymphoedema

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