Lymphatic By-pass

Lymphatic By-Pass Surgery

Is a surgical application in which the orientation of the lymphatic vessels to the superficial veins is achieved by using microsurgery techniques. 

How Is It Performed?

The surgery is performed under the general anesthesia. It lasts for two to four hours. The lymphatic vessels are found through the three-to four-centimeter incisions done to the skin via this method by help of the microscope and bypass (bridging) is done by applying the microsurgery procedures. The return of the lymphatic fluid to the body is ensured again.    

Preparation for Surgery 

The presence of the infection in the area in which the surgery will be applied will influence unfavorably the result. Anti-coagulant (Blood-thinning) drugs should not be used before the surgery. The procedure to be applied should be performed after the preliminary preparation (sepsis and anti-sepsis) and care after the surgery is required.  

Who are the candidates?

It is an influential method applied in the patients with the lymphedema in initial stage and in mid-stage. To have an intact lymphatic structure is the necessary precondition for the success of the procedure to be applied. Its effectivity has been demonstrated in either primary lymphedema or secondary lymphedema patients. It is possible to have a suggestion about the lymphatic vessels via the imaging methods applied before the surgery and during the surgery. Microsurgery procedure is applied on the lymphatic vessels which are intact and healthy.       

What is its effectivity in the Lymphedema Disease?

It is a procedure intended to improve the impaired physiologic mechanism in the lymphedema. It is an effective method for orienting the insufficient drainage of the lymphatic fluid. The scientific studies conducted in medicine in recent years reveal the effectivity of the method and its late-stage permanent favorable results.       

Does the Applied Surgery Affect the Progress of the Lymphedema Unfavorably?

It does not create unfavorableness, on the contrary, since it forms a path to the return of the lymphatic fluid to the body it has an effectivity in the control of the disease. 

Has Operating the leg or the arm with lymphedema any Risk?

The limb with lymphedema can be operated. Surgical procedure can be applied in this region.

In Which Period Should the Surgery Performed?

The success that will be obtained from the procedure which will be performed in the early period is higher compared to that performed in the late period. Waiting for the surgery and the infection attacks lead to structural impairments in the lymphatic vessels and several permanent changes in the tissues. So, this affects unfavorably the success of the surgery to be applied.

What should be cared for after the Surgery?

Manual lymphatic massage application and complex decongestive treatment should be begun one week later. When it is applied with the physiotherapy that will be performed in the early period by the trained people the success that will be obtained in the surgery will be higher. The application of both methods all together will ensure the benefit that will be obtained to reach to maximum level. In this process, a pressure cloth is determined in convenient measures. The pressure cloth should be used in the six-month process. General precautions should be respected.   

Is the Surgery Difficult?

The surgery does not constitute a difficulty for the patient. It is a procedure that requires technical refinement and fastidiousness for the surgery team. In the procedures performed completely under the microscope, it requires the manipulation by finding the lymphatic vessels with very thin and transparent structures.   

Recovery after the Surgery

The first twenty four hours following the surgery should spent in the hospital.  In this period, daily activity is allowed in condition that this should not be very intense. The sutures are taken one week to ten days later and the process of physical treatment begins.  

What should be cared in the process following the surgery? 

The physiotherapy (manual lymphatic massage application and complex decongestive treatment) that will be performed in the early period by the trained people increases the success. Nowadays, lymphedema is in the characteristic of a disease with the preventable, diminishable, and restrainable disease by the application of the surgery and the physiotherapy all together. The application of both methods together will ensure the benefit that will be obtained to reach to most upper level. In this process, pressure cloth in convenient measures is determined. Pressure cloth should be used in the six-month process. General precautions should be respected fastidiously.  

 

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