LymphoedemaSurgery Centre
Vascularised lymph node transfer
Vascularised lymph node transfer introduces healthy lymphatic tissue to an area where normal drainage has been damaged.
The procedure
What is lymph node transfer?
Vascularised lymph node transfer (VLNT) is a microsurgical reconstruction. A small group of healthy lymph nodes is taken from a carefully selected donor site together with the artery and vein that keep the tissue alive.
The lymph-node flap is transferred to the affected area and its blood vessels are joined to local vessels under a microscope.
Purpose
How may it help?
The transferred nodes may act as a local drainage pathway and may encourage the development of new lymphatic connections over time.
VLNT can be considered when lymphatic damage is more advanced, when suitable channels for LVA are limited, or as part of a combined reconstructive procedure. The decision depends on clinical findings, imaging, previous treatment and the pattern of disease.
Planning and safety
Protecting normal drainage matters.
Donor-site selection is individualised. A key consideration is protecting normal lymphatic drainage at the donor site; careful anatomical planning and appropriate imaging may be used to reduce the risk of donor-site lymphoedema.
Risks can include bleeding, infection, wound problems, fluid collection, altered sensation, scarring, flap failure and no or limited improvement. These are discussed fully during consultation and consent.
Hospital care
Where is the operation performed?
VLNT requires general anaesthesia, microsurgical facilities and hospital-based postoperative care. It is therefore performed at an established private hospital in South Wales rather than at the Penarth clinic.
Consultations, multidisciplinary planning and follow-up can take place through the Lymphoedema Surgery Centre.
A considered recommendation
A detailed multidisciplinary assessment is essential before lymph node transfer is recommended.
Arrange an assessment
Discuss whether VLNT may fit your plan.
A consultation is the starting point for understanding suitability, alternatives, risks and likely recovery.
Start your enquiry