Lymphaticovenous anastomosis
Lymphaticovenous anastomosis is a supermicrosurgical procedure used to treat chronic lymphatic edema of the hand resulting from trauma, surgery, or postmastectomy syndrome. During the procedure, lymphatic vessels in the back or palm of the hand are connected to venules that drain excess lymph directly into the venous system. This reduces edema severity and slows lymphedema progression.
Before the procedure, an examination of the lymphatic system is performed (e.g., ICG lymphography). Prior to the examination, any swelling in the limb should be reduced as much as possible using nonsurgical treatment methods. ICG lymphography is contraindicated in cases of iodine allergy. Custom-made compression garments for the hand and forearm must also be prepared in advance.
The procedure is performed under local anesthesia and takes two to three hours. Lymphatic vessels and venules are isolated through micro-access points (less than 2 cm). These vessels are then connected with ultra-thin monofilament sutures using an advanced surgical microscope. The number of anastomoses on one hand can range from two to six, depending on the patient's anatomical features and the stage of the disease.
The procedure requires an advanced microscope, ultra-thin smooth sutures, and super-microsurgical instruments.
After surgery, patients are monitored for two hours. If their condition is stable, they are discharged home. A custom-made compression garment is fitted immediately after surgery. It is important to follow all medical recommendations during the rehabilitation period.
Benefits
Minimally invasive
Performed under local anesthesia on an outpatient basis
Highly accurate
Uses microinstruments and a microscope with up to 40x magnification
Quick recovery
The patient returns to their normal life within 2 hours, with minimal risk of complications
Compatible with other methods
Can be combined with subsequent lymph node transfer or liposuction in cases of progressive lymphedema
Frequently Asked Questions
Are there any contraindications to surgery?
How is it determined whether lymphaticovenous anastomosis is necessary?
Why is this procedure called "supportive"?
Can compression therapy be stopped after surgery?
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Врачи
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Plastic surgeon, reconstructive surgeon, microsurgeon. Member of the Association of Lymphologists of Russia.
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How to reach
How to get
From the Belorusskaya metro station of the Zamoskvoretskaya line - exit 4 After exiting the subway, walk through the pedestrian tunnel and climb the stairs. Move towards the railway tracks, go down the stairs immediately after them and walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS.
Travel time
9 minutes
Landmark
Olympus Clinic MARS sign
How to get
From the Belorusskaya metro station of the Ring line - exit 2. After exiting the subway, turn left and walk to the pedestrian crossing. Cross the road through two pedestrian crossings and move along the Tverskoy overpass. Go down the stairs immediately after the railway tracks, walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS
Travel time
11 minutes
Landmark
Olympus Clinic MARS sign
From the metro station "Tsvetnoy Bulvar"
1 exit to the city, then left to the Garden Ring, at the crossing to the right, crossing the boulevard, one more crossing and at the traffic light to the left. The Olymp Clinic building is located overlooking the Garden Ring to the right of the crossing. Travel time is approximately 9 minutes. Landmark - sign Olymp Clini
From the metro station "Sukharevskaya"
Exit 3 from the metro and 640 meters straight ahead, the clinic will be on the right. Landmark - sign Olymp Clinic
Parking lot map
Exit 3 from the metro and 640 meters straight ahead, the clinic will be on the right. Landmark - sign Olymp Clinic
From Sokol metro station
The last car from the center: follow the signs for Exit 5. From the glass doors to the right and go to the end of the passage. Exit to the city by the steps to the left. After exiting the crossing to the street, go straight along Leningradsky Prospekt to the intersection with Chapaevsky Lane. Next, turn right (onto Chapaevsky Lane) and walk to the Triumph Palace residential complex. Entrance to the territory: through checkpoint No. 1, opposite the Vkusville store, you will need to present your passport. After passing through the checkpoint, go up the stairs to the fountain, opposite it you will see our clinic.
Travel time
10-12 minutes
From the Airport metro station
The first car from the center: follow the Exit 2-3 signs. Turn left out of the glass doors and walk to the end of the passage. After exiting the crossing to the street, go straight along Leningradsky Prospekt to the intersection with Chapaevsky Lane. Next, turn left (onto Chapaevsky Lane) and walk to the Triumph Palace residential complex. Entrance to the territory: through checkpoint No. 1, opposite the Vkusville store, you will need to present your passport. After passing through the checkpoint, go up the stairs to the fountain, opposite it you will see our clinic.
Travel time
12-15 minutes
How to get
Entry to the territory is prohibited, but there are free city parking lots around the Triumph Palace residential complex, where you can easily find a place for your car. Free parking area:
How to get
From the Belorusskaya metro station of the Zamoskvoretskaya line - exit 4 After exiting the subway, walk through the pedestrian tunnel and climb the stairs. Move towards the railway tracks, go down the stairs immediately after them and walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS.
Travel time
9 minutes
Landmark
Olympus Clinic MARS sign
How to get
From the Belorusskaya metro station of the Ring line - exit 2. After exiting the subway, turn left and walk to the pedestrian crossing. Cross the road through two pedestrian crossings and move along the Tverskoy overpass. Go down the stairs immediately after the railway tracks, walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS
Travel time
11 minutes
Landmark
Olympus Clinic MARS sign