Lymphoedema surgery: A comprehensive guide

Written by: Mr Deemesh Oudit
Published:
Edited by: Sophie Kennedy

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.

By Mr Deemesh Oudit
Plastic surgery

Mr Deemesh Oudit is a distinguished consultant plastic surgeon with over 25 years of experience, who is based in Manchester. He specialises in VASER liposuction, face and neck lift and tummy tuck, and is also renowned for his expertise in lymphoedema surgery, mummy makeover, and breast augmentation, amongst a range of other procedures.

After qualifying in medicine in 1996, Mr Oudit undertook extensive training in various surgical specialties, including general surgery and neurosurgery. He attained membership of the Royal College of Surgeons of Edinburgh in 2002 and subsequently fellowship in the College’s Plastic Surgery section in 2010. That same year, he was appointed as a consultant plastic surgeon at Manchester’s prestigious Christie Hospital NHS Foundation Trust, where he continues to serve as clinical lead in the department of plastic surgery. Mr Oudit is recognised as one of the foremost onco-plastic surgeons in the UK and a pioneer in lymphoedema surgery, having established one of the few dedicated services in the country. He is also the founder and director of My Cosmetic Clinic, a highly respected cosmetic and reconstructive clinic for private patients in the North West. Mr Oudit sees private patients at Circle Beaumont Hospital in Bolton, HCA The Wilmslow Hospital in Cheshire, The Christie Clinic in Manchester and at his own practice, My Cosmetic Clinic in Manchester city centre.

Mr Oudit's contributions to his field extend far beyond his clinical practice. He leads research efforts within the Skin Cancer Pathway Board of Manchester Cancer and has also organised and chaired the Manchester Melanoma Surgery Meeting, a national conference of fellow specialists. Mr Oudit is also an honorary senior lecturer at the University of Manchester and is actively involved in teaching junior doctors and plastic surgery trainees.

Throughout his esteemed career, Mr Oudit has published more than 65 academic papers, as well as three medical textbooks. He is also the founder of an App which allows trainee plastic surgeons to practice designing and performing flap techniques. Mr Oudit is fully accredited by the British Association of Plastic, Aesthetic, and Reconstructive Surgeons and is also a member of the British Medical Association.

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