Diagnosis and treatment of lymphoedema

Lymphedema results from a blockage in your lymphatic system, which is part of your immune system. The blockage prevents lymph fluid from draining well, and the fluid buildup leads to swelling. It can be caused by congenital or acquired damage to the lymph vessels. The lymph is an element of the immune system. As a [...]

ARM – are we able to reduce the risk of lymphoedema?

Our patients often ask whether we can reduce the risk of upper limb lymphoedema on the operated side in the group of patients in whom we have to remove the sentinel node or "all" lymph nodes of the axillary fossa. This risk is actually 13-77% with lymphadenectomy and 0-13% with sentinel lymph node removal. To [...]

L.Y.M.P.H.A – prevention of lymphedema

In January 2020 in Slupsk we started the LYMPHA by Boccardo programme, i.e. prevention of lymphoedema during the removal of axillary lymph nodes in patients with breast cancer. Following the example of lymphological centres in Genoa and Barcelona, we perform LVA (lymphatic-venous anastomoses) of identified and damaged lymph vessels as early as during the surgery. [...]

Lymphovenous anastomosis (LVA)

Lymphovenous anastomosis (LVA) Lymphovenous anastomosis (LVA) is a precisie supermicrosurgical technique (surgery on vessels less than 1 mm in diameter) aimed at decompressing a partially failing lymphatic system in patients with clinical signs of lymphoedema. During the surgery, working lymph vessels are found, which are then anastomosed under a microscope with selected venous vessels. As [...]

LNT – Free lymph node transplant

LNT (lymph node transfer) or free lymph node transplant is a supermicrosurgical technique aimed at clinical improvement in patients with advanced lymphoedema. The main point of the procedure is to harvest lymph nodes from an unoperated area and then transfer and implant them into the area of greatest lymphoedema. The new lymph nodes act as […]

The TLAR Approach – a new solution to old problems

Lymphedema Risk-Reduction Surgery: the TLAR Approach – what is it? A new technique, initiated and described by Jaume Masià, MD, Barcelona in 2014, of surgical prevention and risk reduction of lymphedema. It is a kind of improvement of the LYMPHA by Boccardo technique. For whom? It can be applied to patients qualified for axillary lymphadenectomy […]


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