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A Surgical Path to Lymphedema Relief Lymphovenous Anastomosis at Athenaa

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What is Lymphovenous Anastomosis
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Lymphovenous Anastomosis (LVA) is an advanced supermicrosurgical technique used to treat early-stage lymphedema by restoring lymphatic drainage. By connecting functioning lymphatic vessels directly to nearby venules, LVA allows lymph fluid to bypass damaged areas and re-enter the venous circulation — offering relief from swelling, heaviness, and discomfort.

Lymphedema occurs after cancer surgery when there is disruption or damage to the lymphatic system, which normally helps drain lymph fluid from tissues. It’s a common complication after surgeries involving lymph node removal or radiation therapy, especially in breast, gynecological, or pelvic cancers.  

At Apollo Athenaa, LVA is performed by a highly skilled team of plastic and reconstructive surgeons, using state-of-the-art imaging and surgical precision to deliver safe, effective, and lasting results. LVA is best suited for patients who have early-stage lymphedema and are experiencing limb swelling, heaviness, or discomfort due to lymphatic obstruction.

How the Procedure
 is Performed
At Apollo Athenaa, every surgical step is carefully planned and performed by experienced surgeons with a focus on safety, precision, and recovery.
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  • Indocyanine Green (ICG) lymphography is used to identify functioning lymphatic channels and plan precise incision sites.
  • Under a high-powered operating microscope, tiny lymphatic vessels (as small as 0.3 mm) are carefully identified.
  • These lymphatic vessels are delicately connected to nearby venules, creating new pathways for lymph drainage.
  • The minimally invasive nature of the procedure allows patients to resume light daily activities within a few days.
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Recovery 
Healing at Apollo Athenaa is supported through structured post-operative care,
counselling, and rehabilitation support.
Hospital Stay

Most patients are discharged the same day or within 24 hours after surgery.

Early Mobility

Light daily activities can usually be resumed within a few days, with care to avoid strain on the operated area.

Symptom Relief

Reduction in swelling and heaviness occurs progressively as new lymphatic drainage pathways begin to function.

Follow-up Care

Regular reviews help monitor healing, assess limb volume changes, and guide continued lymphedema management if needed.

Key 
Advantages
At Apollo Athenaa, surgery is thoughtfully planned with a personalized approach, ensuring safety, precision, and optimal outcomes.
Minimally Invasive
Performed through tiny incisions using high-magnification techniques, LVA results in minimal scarring and faster healing.
Outpatient Procedure
Most patients can return home the same day, with little to no disruption to daily life.
Early Symptom Relief
Many patients experience a noticeable reduction in limb swelling and heaviness within days of the procedure.
Long-Term Solution
By addressing the underlying cause of lymphatic obstruction, LVA can provide sustainable, long-term improvement in lymphatic flow.
Continuum of Care
At Apollo Athenaa, our teams remain involved at every stage, ensuring that recovery is not only physical, but also emotional and empowering. Each woman is supported through:
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Detailed assessment, lymphatic imaging, and patient education to set realistic expectations and plan optimal surgical outcomes.

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Early follow-up to assess incision healing, limb swelling, and effectiveness of the lymphatic bypass.

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Guidance on compression therapy, physiotherapy, skincare, and lifestyle measures to support lymphatic health.

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Ongoing reviews to monitor symptom improvement, prevent complications, and optimize long-term limb function and quality of life.

Frequently Asked Questions
Who is an ideal candidate for LVA?
01

LVA is best suited for patients with early to moderate lymphedema who still have functional lymphatic vessels, as identified through imaging such as ICG lymphography.

Is LVA a major surgery?
02

No. LVA is a minimally invasive microsurgical procedure performed through very small incisions, often as a day-care surgery.

Will LVA cure lymphedema completely?
03

LVA is not a cure, but it can significantly reduce swelling, heaviness, and discomfort, and slow or prevent progression of lymphedema when combined with ongoing care.

How soon will I see improvement after surgery?
04

Many patients notice symptom relief within days to weeks, though improvement continues gradually over several months.

Will I still need compression garments after LVA?
05

In most cases, yes, especially in the early recovery period. Over time, some patients may reduce their dependence on compression based on clinical improvement and medical advice.

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