Treatment of Mild to Moderate Lymphedema

Say Goodbye to Compression Garments after Dr. Cheng’s Lymphedema Microsurgery

               

Lymphaticovenous Anastomosis (LVA) - Upper Limbs

Case 1
Lymphaticovenous Anastomosis - Before Treatment photo, 57-year-old female with left upper limb lymphedema
Preop
This is a 57-year-old female with left upper limb lymphedema for 12- months after left mastectomy and radiation.
Before
Lymphaticovenous Anastomosis - After 6 mounths, photo 57-year-old female with left upper limb lymphedema
6 Months
At a 6- months of follow-up, the circumferential reduction rates of the affected limb without the use of compression garments were 30% and 25% above the elbow and below the elbow, respectively.
After
Lymphaticovenous Anastomosis - After 12 mounths, photo 57-year-old female with left upper limb lymphedema
12 Months
At a 12- months of follow-up, the circumferential reduction rates of the affected limb without the use of compression garments were 71% and 100% above the elbow and below the elbow, respectively.
After
Lymphaticovenous Anastomosis - After 15 mounths, photo 57-year-old female with left upper limb lymphedema
15 Months
At a 15- months of follow-up, the circumferential reduction rates of the affected limb without the use of compression garments were 86% and 100% above the elbow and below the elbow, respectively.
After
Case 2
Lymphaticovenous Anastomosis - Before Treatment photo, 56-year-old female with right upper limb lymphedema
Preop
This is a 56-year-old female with right upper limb lymphedema for 10- months after right mastectomy and axillary 31 lymph nodes dissection and radiation.
Before
Lymphaticovenous Anastomosis - After 3 mounths, 56-year-old female with right upper limb lymphedema
3 Months
At a 3- months of follow-up, the circumferential reduction rates of the affected limb without the use of compression garments were 100% and 100% above the elbow and below the elbow, respectively.
After
Lymphaticovenous Anastomosis - After 6 mounths, 56-year-old female with right upper limb lymphedema
6 Months
At a 6- months of follow-up, the circumferential reduction rates of the affected limb without the use of compression garments were 100% and 100% above the elbow and below the elbow, respectively.
After
Lymphaticovenous Anastomosis - After 12 mounths, 56-year-old female with right upper limb lymphedema
12 Months
At a 12- months of follow-up, the circumferential reduction rates of the affected limb without the use of compression garments were 100% and 100% above the elbow and below the elbow, respectively.
After
Lymphaticovenous Anastomosis - After 24 mounths, 56-year-old female with right upper limb lymphedema
24 Months
At a 24- months of follow-up, the circumferential reduction rates of the affected limb without the use of compression garments were 100% and 100% above the elbow and below the elbow, respectively.
After
Lymphaticovenous Anastomosis - After 36 mounths, 56-year-old female with right upper limb lymphedema
36 Months
At a 36- months of follow-up, the circumferential reduction rates of the affected limb without the use of compression garments were 100% and 100% above the elbow and below the elbow, respectively.
After
Case 3
Lymphaticovenous Anastomosis - Before Treatment photo, 64-year-old female with left upper limb lymphedema
Preop
This is a 64-year-old female with left upper limb lymphedema for 12- months after right mastectomy and axillary lymph nodes dissection and radiation.
Before
Lymphaticovenous Anastomosis - After 11 mounths, 64-year-old female with left upper limb lymphedema
11 Months
At a 11- months of follow-up, the circumferential reduction rates of the affected limb without the use of compression garments were 65% and 70% above the elbow and below the elbow, respectively.
After
Lymphaticovenous Anastomosis - After 18 mounths, 64-year-old female with left upper limb lymphedema
18 Months
At a 18- months of follow-up, the circumferential reduction rates of the affected limb without the use of compression garments were 55% and 40% above the elbow and below the elbow, respectively.
After
Lymphaticovenous Anastomosis - After 24 mounths, 64-year-old female with left upper limb lymphedema
24 Months
At a 24- months of follow-up, the circumferential reduction rates of the affected limb without the use of compression garments were 90% and 50% above the elbow and below the elbow, respectively.
After
Lymphaticovenous Anastomosis - After 36 mounths, 64-year-old female with left upper limb lymphedema
36 Months
At a 36- months of follow-up, the circumferential reduction rates of the affected limb without the use of compression garments were 100% and 100% above the elbow and below the elbow, respectively.
After
Case 4
Lymphaticovenous Anastomosis - Before Treatment photo, 39-year-old female with left upper limb lymphedema
Preop
This is a 39-year-old female with left upper limb lymphedema for 6- months after left mastectomy and axillary 31 lymph nodes dissection and radiation.
Before
Lymphaticovenous Anastomosis - After 3 mounths, 39-year-old female with left upper limb lymphedemalymphedema
3 Months
At a 3- months of follow-up, the circumferential reduction rates of the affected limb without the use of compression garments were 35% and 60% above the elbow and below the elbow, respectively.
After
Case 5
Lymphaticovenous Anastomosis - Before Treatment photo, 49-year-old female with right upper limb lymphedema
Preop
This is a 49-year-old female with right upper limb lymphedema for 6- months after right mastectomy and axillary lymph nodes dissection and radiation.
Before
Lymphaticovenous Anastomosis - After 6 mounths, 49-year-old female with right upper limb lymphedema
6 Months
At a 6- months of follow-up, the circumferential reduction rates of the affected limb without the use of compression garments were 80% and 50% above the elbow and below the elbow, respectively.
After
Lymphaticovenous Anastomosis - After 20 mounths, 49-year-old female with right upper limb lymphedema
20 Months
At a 20- months of follow-up, the circumferential reduction rates of the affected limb without the use of compression garments were 85% and 60% above the elbow and below the elbow, respectively.
After
               

Lymphaticovenous Anastomosis (LVA) - Lower Limbs

Case 1
Preop
This is a 50-year-old female with right lower limb lymphedema for 14 years after cervical cancer and radiation.
Before
1 Months
At a 1 month of follow-up, the circumferential reduction rates of the affected limb without the use of compression garments were 40% and 30% above the knee and below the knee, respectively.
After
7 Months
At a 7-months of follow-up, the circumferential reduction rates of the affected limb without the use of compression garments were 30% and 25% above the knee and below the knee, respectively.
After
Case 2
Preop
This is a 36-year-old female with left lower limb congenital lymphedema for 12 years.
Before
1 Months
At a 1 month of follow-up, the circumferential reduction rates of the affected limb without the use of compression garments were 60% and 30% above the knee and below the knee, respectively.
After
12 Months
At a 12-month of follow-up, the circumferential reduction rates of the affected limb without the use of compression garments were 60% and 40% above the knee and below the knee, respectively.
After
Case 3 - After cervical cancer
Preop
This is a 62-year-old female with bilateral lower limb lymphedema for 24-months after cervical cancer and radiation.
Before
1 Months
At a 1 month of follow-up, the circumferential reduction rates of the affected limb without the use of compression garments were 30% and 20% above the knee and below the knee, respectively.
After
Case 4 - After cervical cancer
Preop
This is a 67-year-old female with grade I left lower limb lymphedema and grade IV right lower limb lymphedema for 14 years after cervical cancer and radiation.
Before
16 days
At the 16 days of follow-up, vascularized submental lymph node flap transfer to the right ankle had significantly improved the symptoms and extremity tightness. Left lower limb was received.
After
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