Vascularised free lymph node transfer – a procedure for secondary lymphoedema management in South Africa

  • Dimitri Liakos University of the Witwatersrand
  • Chrysis Sofianos University of the Witwatersrand
  • Himal Navin Sooka University of the Witwatersrand
  • Rizwan Sheikh University of the Witwatersrand
Keywords: Lymphoedema, upper extremity, lymph node transfer, microsurgery

Abstract

Lymphoedema is a condition in which impaired function of lymphatics results in poor lymphatic drainage and an accumulation of proteinaceous fluid in the interstitium. Lymphoedema has a broad clinical spectrum, and treatment options must be tailored to individual patients. Microsurgery is becoming popular as a surgical tool to manage refractory lymphoedema, and techniques include lymphaticovenous anastomosis(LVA) and vascularised lymph node transfer (VLNT). VLNT for treatment of lymphoedema has had promising outcomes thus far. We present a case report detailing the use of VLNT for treating post-surgical lymphoedema in the upper extremity.

Author Biographies

Dimitri Liakos, University of the Witwatersrand

Department of Plastic and Reconstructive Surgery, University of the Witwatersrand; and Wits Donald Gordon Medical Centre, Eton Road, Johannesburg, South Africa

Chrysis Sofianos, University of the Witwatersrand

Department of Plastic and Reconstructive Surgery

Rank- Registrar

Himal Navin Sooka, University of the Witwatersrand

Department of Plastic and Reconstructive Surgery

Rank- Registrar

Rizwan Sheikh, University of the Witwatersrand

Department of Plastic and Reconstructive Surgery

 Rank- Specialist Plastic Surgeon
Published
2019-02-14
How to Cite
Liakos, D., Sofianos, C., Sooka, H., & Sheikh, R. (2019). Vascularised free lymph node transfer – a procedure for secondary lymphoedema management in South Africa. South African Journal of Surgery, 57(1). Retrieved from http://sajs.redbricklibrary.com/index.php/sajs/article/view/2785
Section
Case Reports