Improve the quality of life

Lymphoedema is a chronic debilitating condition which can be the result of previous surgery for cancer where lymph nodes have been removed (breast cancer, melanoma, gynecological or urological cancers) or can develop from early age for unknown reasons (primary or congenital lymphoedema). Recent advances in microsurgery and new technologies have resulted in improved understanding of this disease process which has guided development of new surgical treatments for lymphoedema. Patients who otherwise may have long-term disability and functional impairment may now have several options to significantly improve their quality of lives with revolutionary microsurgical and supermicrosurgical techniques.


DIEP FLAP (Deep inferior epigastric artery perforator flap) is the mainstay procedure today to reconstruct the breast with patients’ own tissue. This complex technique, developed by dr Allen (New York, USA) has recently been upgraded with adding vascularised lymph node transplant  to prevent lymphoedema in patients undergoing mastectomy and DIEP flap breast reconstruction by prof Masia (Barcelona, Spain). Same technique can be used for patients in need of breast reconstruction with already established lymphedema to their upper limb to treat it. Mr Kosutic is the only plastic surgeon in UK currently offering this technique of ‘total natural breast reconstruction’ with lymphoedema treatment or prevention, as he has been trained by both prof. Masia (completed Fellowship in breast reconstruction, perforator flaps and microsurgery) and dr Allen in New York. Patients requiring mastectomy can now benefit from both natural tissue breast reconstruction and prevention of lymphedema in the same procedure. Patients who previously had mastectomy, can now get their surgical lymphoedema treatment at the same time with  DIEP surgery natural tissue breast reconstruction. Mr Kosutic provides breast reconstruction in Manchester, United Kingdom, as well as latest techniques of immediate lymph node transfer for lymphoedema treatment or prevention.

Revolutionary Techniques

Mr Damir Kosutic is internationally acclaimed expert in Lymphoedema Microsurgery. He is the only UK-practicing Consultant Plastic and Reconstructive Surgeon, who is fully trained and experienced in both vascularized free lymph-node transfer and lymphatico-venous anastomosis-super-microsurgery for treatment of lymphoedema. Mr Kosutic has been trained in these revolutionary techniques by prof. Ming-Huei Cheng, a pioneer in lymphoedeama yocan evolve plus xl cewki zamienne microsurgery from Taiwan. These pioneering techniques now mean that most patients with lymphoedema can have significant reduction in swelling to their lymphoedema affected extremity, reduced risk of cellulitis and objective improvement in the quality of their lives.


CT scan


Forefront of Advances

A published authority on complex reconstruction and microsurgery, Mr Damir Kosutic has developed and improved many new techniques and protocols to help his patients, which he presented worldwide. He is a full-time Consultant Plastic and Reconstructive Surgeon at prestigious Christie NHS Foundation Trust in Manchester, where he is responsible for the development of complex microsurgical reconstruction. Mr Kosutic is at the forefront of advances in Lymphoedema Microsurgery and Lymph-Node transplantation developing protocols for preoperative planning of these complex procedures using MRI (magnetic resonance imaging) and CT-scan to clearly identify the blood supply to lymph nodes used for transfer. This clinical breakthrough optimizes donor-site selection for the surgeon and significantly improves outcomes for patients.

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