Lymphoedema surgery: A comprehensive guide

Lymphoedema can have a profound impact on an individual's quality of life, with symptoms including swelling and discomfort in the limbs. For those affected, surgery is one of a number of treatment options that can improve these symptoms and patient wellbeing as a result. To learn more about what lymphoedema surgery entails, we invited revered consultant plastic surgeon Mr Deemesh Oudit to share his expertise in this informative article. The leading specialist discusses what makes a suitable candidate this procedure, as well as the associated risks and success rates of lymphoedema surgery.

What is lymphoedema?

Lymphoedema is a chronic condition characterised by the swelling of limbs, most commonly the arms or legs. It occurs when the lymphatic vessels are damaged or blocked, hindering the proper drainage of lymphatic fluid. This can result in discomfort, reduced mobility, and the risk of infections.

How can surgery be used to treat lymphoedema?

Lymphoedema surgery aims to reduce the swelling of the limb, allowing patients a better quality of life and decreasing the frequency of infections and cellulitis. There are different types of surgical procedures employing microsurgery (such as vascularised lymph node transfer) and liposuction. By far the technique with the most reliable and satisfactory results is liposuction (first described by Haken Brorson in Sweden). This procedure can alleviate swelling and improve symptoms.

Who is a good candidate for this type of procedure?

Lymphoedema surgery is typically considered for individuals with advanced or severe lymphoedema that has not responded well to conservative treatments, such as compression therapy or manual lymphatic drainage. I make a thorough evaluation to determine if surgery is an appropriate option in your individual case.

What are the risks associated with lymphoedema surgery?

Like any surgical procedure, lymphoedema surgery carries risks, including infection, bleeding, or adverse reactions to anaesthesia. Additionally, there is a possibility of scarring and, in rare cases, failure to achieve the desired outcome. Patients should discuss these risks with their surgeon before proceeding with the procedure.

How successful is lymphoedema surgery?

Success rates for lymphoedema surgery vary, but many patients experience significant improvements in symptoms and quality of life. Success is often measured by reductions in limb volume and improved mobility. However, the degree of improvement can vary, and some individuals may require additional treatments or maintenance.

What is the recovery period like following lymphoedema surgery?

Recovery from lymphoedema surgery can vary depending on the individual and the extent of the procedure. Patients can expect some discomfort, swelling, and bruising in the treated area. Following surgery, diligent care and adherence to post-operative instructions are crucial to ensuring a successful outcome. It may take several weeks or months to see the full benefits of the surgery.




If you are considering lymphoedema surgery and wish to learn more, you can schedule a consultation with Mr Oudit by visiting his Top Doctors profile.