Lymphedema Surgical Treatment – Current And Future
Restoring and improving your quality of life is our passion
VASCULARIZED LYMPH NODE TRANSFER (VLNT)
Vascularized Lymph Node Transfer (VLNT) surgery is effective for the treatment of the arm or leg lymphedema. Dr. Granzow uses excess lymph nodes from a healthy area with their supporting blood vessels and moves them to the affected area to replace the lymph nodes previously lost. He then uses specialized microsurgical techniques to reconnect the blood vessels to new vessels, providing vital support to the transferred lymph nodes while they heal in the new area.
The transferred lymph nodes then serve as a filter or conduit to remove the excess lymphatic fluid from the arm or leg and return it to the body’s natural circulation.
Lymphaticovenous anastomosis (LVA) surgery involves the use of superfine microsurgery, or “supermicrosurgery” to join lymphatic channels in the affected area directly to nearby veins. This creates additional outflow pathways to drain the excess lymph fluid. The lymphatics are quite small, typically approximately 0.1 mm to 0.3 mm in diameter. The procedure employs specialized techniques and superfine surgical sutures sewn with the aid of an adapted high power microscope.
LVA surgery can be an effective and long-term solution for arms or legs. Patients must have swelling that is mostly excess fluid to be good candidates for this procedure. Published studies by Dr. Granzow and others have shown that LVA surgery has significantly decreased or eliminated the use of their compression garments.
LVA surgery is the least invasive when compared to other lymphedema surgeries with the fastest recovery process.
SAPL surgery can produce massive, permanent reductions in arms or legs of patients with even longstanding, chronic, solid-predominant lymphedema. It must be emphasized that the surgical technique used in SAPL surgery is NOT the standard cosmetic liposuction technique. The surgery must be performed using parameters, methods, and protocols before, during and after surgery. Specific training in this method is required. Patients are good candidates if the swelling in the limb is due to deposition of fat, protein, and fibrotic tissue with non-pitting edema.
SAPL surgery also reduces the risk of dangerous infections, such as cellulitis, by over 80%. Dr. Granzow’s published studies and other studies throughout the medical literature have repeatedly confirmed the long-term and reproducible reduction in the size and also infections of the affected arm or leg.
This procedure does not damage lymphatics. In fact, it is Dr. Granzow’s experience lymphatic drainage appears to improve following the procedure and care of the affected arm or leg becomes easier. Published studies in the medical literature have specifically looked at the lymphatic system before and after SAPL, and no decrease in function has been found.
Please be aware that this is not a secure email network under HIPAA guidelines. Do not submit any personal or private information unless you are authorized and have voluntarily consented to do so. We are not liable for any HIPAA violations. Understand that if you email us, you are agreeing to the use of an unsecured method and understand that all replies will be sent in the same fashion, which you are hereby authorizing.
By checking this box you hereby agree to hold Joachim W. Granzow, MD, Inc., including its doctors and affiliates, harmless from any hacking or any other unauthorized use of your personal information by outside parties. By checking this box, you also agree to receive email communication from Joachim, W. Granzow, MD, Inc.