Vascularized Lymph Node Transfer
Vascularized lymph node transfer is a surgical treatment method for chronic lymphatic edema of the upper extremities, including the hand. This procedure involves creating new pathways for lymph drainage from the affected area using functioning transplanted lymph nodes.
Before the procedure, you will meet with the attending physician. The appointment will include a medical history review, an examination, and additional lymphatic system tests. These tests are necessary to determine if surgery is indicated. The selection of compression stockings according to individual measurements will be discussed before the surgery. If surgery is recommended, the plastic surgeon will discuss options for donor flap sites (supraclavicular, inguinal, axillary, etc.). As much as possible, swelling in the area of intervention should be eliminated before the procedure with nonsurgical treatment under the supervision of a lymphologist, specializing in complete decongestive therapy (CDT).
The transfer is performed under general anesthesia. A section of tissue with lymph nodes and vessels is taken from the donor area and moved to the forearm or hand area, where it is connected to the blood supply. The patient is required to restrict limb movement in the area where the flap was transplanted while it heals.
The surgery requires microsurgical equipment, ultra-thin suture material, and microsurgical instruments.
During the healing period, it is important to restrict arm movement where the lymph nodes have been relocated. Hospitalization for this type of surgery lasts about five days. For the first two weeks, avoid lifting or straining your arm. Limit your range of motion. Do not wear compression garments or perform manual lymphatic drainage in the surgical area until completely healed. After eight weeks, you may resume normal physical activity.
Benefits
Long-term effect
Improvements are maintained for months after the procedure
Progressive lymphedema indication
Recommended when nonsurgical treatment is ineffective
No risk of rejection
The patient's own tissues are used
Optional combination with other methods
May be combined with other procedures, such as liposuction
Frequently Asked Questions
When will I see results?
How long is the hospital stay?
Is liposuction suitable for all patients with lymphedema?
Will lymphedema disappear after liposuction?
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Врачи
Смотреть всех врачей
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