New Surgical Options for Lymphoedema – What You Should Know

In recent years, medical research and surgery have made exciting progress in the treatment of lymphoedema. While the condition can’t yet be completely cured, new surgical techniques are helping many people experience real relief, reduced swelling, and a better quality of life.

Two of the most promising approaches are called lymphatic–venous anastomosis (LVA) and vascularised lymph node transfer (VLNT). These are advanced microsurgical procedures that focus on improving or restoring the natural drainage of lymph fluid in the body.

What is LVA?

Lymphatic–venous anastomosis (LVA) is a super-microsurgery performed under a microscope. During the procedure, tiny lymph vessels are gently connected to nearby small veins.
This creates a new pathway that allows lymph fluid to drain into the venous system, helping to reduce swelling and prevent fluid from building up in the affected area.

LVA is usually done under local or light general anaesthetic and is considered minimally invasive. Many people experience gradual improvement in symptoms such as heaviness, tightness, and swelling in the months after surgery.

What is VLNT?

Vascularised lymph node transfer (VLNT) is another innovative surgical technique. In this procedure, healthy lymph nodes from one area of the body (such as the neck, groin, or abdomen) are carefully transplanted to the area affected by lymphoedema.

These transferred nodes help create new drainage routes and stimulate the growth of lymphatic vessels over time. This can improve fluid movement and help reduce the size and discomfort of the swollen limb.

What these procedures mean for you:

It’s important to remember that not everyone with lymphoedema will need or benefit from surgery. These techniques are typically considered when conservative treatments, such as Manual Lymph Drainage (MLD), compression therapy, exercise, and skin care don’t provide enough relief.

For many clients, surgery works best as part of a holistic care plan that includes ongoing lymphatic support and self-care. Even after surgery, continuing good lymphatic habits, like gentle exercise, massage, and wearing appropriate compression garments remain essential.

A message of hope:

For a long time, lymphoedema was seen as something that could only be managed, not improved. But thanks to medical innovation and greater awareness, new pathways for treatment are opening up.
If you or someone you know is living with lymphoedema, it’s encouraging to know that research and care options are moving forward, offering hope for more comfortable days ahead.