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Lymphedema
Lymphovenous anastomosis (LVA)
Letting congested lymph drain again. Through incisions of approx. 1–2 cm.
Suitable for
- Lymphedema, for example after cancer surgery
- Build-up of lymphatic fluid in the arms or legs
Background
What is lymphedema?
In lymphedema, lymphatic fluid builds up in the tissue because the lymphatic system can no longer drain it adequately. The arm or leg swells and feels heavy and tight, and over time the tissue can harden.
Lymphedema most often develops after cancer treatment, when lymph nodes have been removed or irradiated (secondary lymphedema). Less often, the lymphatic system has developed differently from birth (primary lymphedema).
The basis of treatment is lymphatic drainage and compression. Surgery may be considered if this treatment is not sufficient. Whether a procedure is suitable, and which one, depends on factors such as the stage and is clarified in the consultation.
Supermicrosurgery
The finest vessels, precisely connected.
Lymphatic vessels and small veins often measure less than one millimeter. In LVA, Prof. Aung connects them under the operating microscope using the finest sutures.
Operationsmikroskop
Gefäße ab 0,3 mm- Feinste Fäden
Your path
From your inquiry to aftercare
The same steps for every procedure. What applies specifically to this procedure is highlighted.
- Schritt 01
Your inquiry
Via the contact form, for your individual inquiry. Prof. Aung will get back to you as soon as possible.
- Schritt 02
Personal consultation
Individual consultation without time pressure. It starts with your wishes and questions.
- Schritt 03
Individual planning
The procedure is tailored to your personal circumstances, not to a standard template.
Lymphovenous anastomosis (LVA) - Schritt 04
Information & decision
The process, risks and alternatives are discussed calmly. You make the decision.
- Schritt 05
Your procedure
At one of the three surgery locations, minimally invasive wherever possible.
Lymphovenous anastomosis (LVA)- The lymphatic vessels are stained blue with a solution, which makes them visible.
- Through small incisions just below the skin, they are carefully exposed.
- Under the operating microscope, they are connected to neighboring veins.
- The procedure is minimally invasive and performed as an inpatient.
- Schritt 06
Aftercare
Scheduled check-ups, tailored to your procedure.
Lymphovenous anastomosis (LVA)
I use a wide range of different operations […]. This allows me to respond individually to the needs of my patients […].
Patient story
What patients say
Questions
Frequently asked questionsGood to know
What is the difference from lymph node transfer?
With LVA, the lymphatic fluid is diverted into the veins. With lymph node transfer, healthy lymph nodes are transplanted into the affected area. It is used more often in later stages of lymphedema.
What do I need to watch out for after the operation?
No pressure may be applied to the operated areas.
Wer meldet sich nach meiner Anfrage?
Prof. Aung will get back to you as soon as possible.
Übernimmt die Krankenkasse die Kosten?
That depends on the type of procedure. During the consultation we always discuss what kind of procedure it is and whether it can be covered by health insurance.
Wo wird operiert?
At three hospitals: Kliniken Am Goldenen Steig in Freyung, Klinik am Isar Park in Plattling and Klinikum Weiden.
Wie lange falle ich nach der Operation aus?
That depends on the procedure. Each procedure page lists the operating time and length of stay.
Request a
Questions about this procedure?
Personal replyAs soon as possible
Individual consultationNo time pressure
Open, honest and without pressureIn a calm and respectful setting
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