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