Presenting the paper is dr. Aditya Wicaksana

Lymphedema is a crippling, persistent disease that affects up to 250 million individuals globally, causing physical and significant impact on a patient's everyday quality of life and, in addition to aesthetic considerations. Secondary lymphedema itself is a complex and devastating disease including chronic inflammation and reduced immune function, lymphatic fluid and protein buildup due to misdirected lymphatic transport as well as secondary fat deposition followed by fibrosis. While the field of treatment still is lifetime complex decongestive therapy, it is now more common to treat the disease with a surgical emphasis on physiologic, reconstructive strategies or debulking surgery. Lymphovenous anastomosis (LVA) and vascularized lymph node transplantation (VLNT) are the choices of reconstructive techniques which address restoration or improvement of physiologic lymph clearance. Increased limb girth, fibrosis, inflammation, pathological fat accumulation, and eventually marked cutaneous pathology characterize the natural history of cancer-associated lymphedema, which raises the likelihood of chronic skin infections. Microsurgical operations, such as LVA and VLNT, have increasingly gained popularity as a way to help alleviate lymphedema severity. We report a 53-year-old female who presented with chief complaint of a progressive swelling in her bilateral lower extremities whom underwent LVA and bilateral VLNT.

Copyright of dr. Aditya Wicaksana

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