Vascularized Lymph Node Transfer
Vascularized Lymph Node Transfer
Vascularized lymph node transfers can be an effective method for the treatment of lymphedema of the arm and upper extremity. Lymph nodes are harvested from the groin area with their supporting artery and vein and moved to the axilla (armpit). Dr. Granzow then uses specialized microsurgical techniques to reconnect the artery and vein to new blood vessels in the axilla to provide vital support to the lymph nodes while they develop their own blood supply over the first few weeks after surgery.
The newly transferred lymph nodes then serve as a conduit or filter to remove the excess lymphatic fluid from the arm and return it to the body's natural circulation.
This technique of lymph node transfer usually is performed together with a DIEP flap breast reconstruction. This allows for both the simultaneous treatment of the arm lymphedema and the creation of a breast in one surgery. The DIEP flap provides the opportunity for a beautiful and natural appearing breast reconstruction combined with the abdominal contouring very similar to a tummy tuck. The lymph node transfer removes the excess lymphatic fluid to return form and function to the arm.
In selected cases, the lymph nodes may be transferred as a group with their supporting artery and vein but without the associated abdominal tissue for breast reconstruction.
Lymph nodes from the groin can be taken together with skin and fat from the abdomen to both treat the lymphedema of the arm and also create the look and feel of a natural breast with a DIEP flap.
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