Lymphatic Surgery

When dealing with lymphatic surgery, a set of procedures that target lymph vessels and nodes to restore fluid balance or remove disease. Also known as lymphatic microsurgery, it often includes lymph node removal, the excision of affected nodes and microsurgical techniques, precision methods using a microscope and fine instruments to treat conditions such as lymphedema, swelling caused by lymphatic fluid buildup. The lymphatic system, a network of vessels, nodes, and trunks that moves immune cells and excess fluid is the core focus of these operations.

Key Aspects of Lymphatic Surgery

One of the biggest reasons patients end up on the table is cancer‑related node involvement. Surgeons use sentinel‑node biopsy to pinpoint the first draining nodes and decide if a full lymph node removal is needed. When the disease spreads, complete dissection may be required, but the trade‑off is a higher risk of post‑op lymphedema. That’s why many centers combine removal with immediate lymphatic‑oven reconstruction, reconnecting cut vessels to prevent fluid accumulation. Imaging tools like lymphoscintigraphy or indocyanine green fluorescence guide the surgeon, showing real‑time flow and helping map out the best incision sites.

Post‑operative care is just as critical. Physical therapists teach manual lymphatic drainage, compression garment fitting, and specific exercises that keep the remaining vessels working. Nutrition advice focuses on low‑salt diets and adequate protein to support healing. For patients with chronic lymphedema, newer options like vascularized‑lymph node transfer or suction‑assisted lipectomy can complement the original surgery. All these steps—pre‑op imaging, intra‑op microsurgery, and post‑op rehabilitation—show how lymphatic surgery, requires a multidisciplinary approach that spans oncology, plastic surgery, and physiotherapy.

Below you’ll find articles that break down each of these pieces: from how to choose the right microsurgical tools, to real‑world recovery timelines, and the latest research on preventing lymphedema after node removal. Dive in to get practical tips, expert opinions, and up‑to‑date guidelines that can help you or a loved one navigate the world of lymphatic surgery with confidence.