Lymphoedema can be a very uncomfortable and frustrating condition to live with. The swelling and inflammation can make it difficult to move around and do the things you love.
Dr. Nilesh Satbhai has years of experience in managing lymphoedema. Dr. Nilesh offers a variety of treatment options that have been proven to improve the flow of lymph fluid and reduce swelling. Book an appointment today!
Lymphoedema is a swelling that can develop when there is damage to the lymphatic system or disruption in lymphatic drainage. It is caused when excess lymphatic fluid collects in the body’s soft tissues, mainly in the arms or legs. It is a chronic (ongoing) condition seen mostly in people who have undergone cancer interventions, including surgery, chemotherapy, and radiation.
Some of the symptoms of lymphoedema include:
Lymphoedema management is the process of managing and treating the symptoms of lymphoedema. The goal of treatment is to improve the flow of lymph fluid in the affected areas which will help in reducing swelling and improve the health of swollen tissue. Reducing swelling will minimize the risk of infection so that you can move your affected areas easily and more comfortably.
Anyone who suffers from lymphoedema can benefit from the management of the condition. Other criteria for a candidate for lymphoedema management are:
If you fit the above criteria, you may be a good candidate for lymphoedema management.
Request AppointmentDuring the consultation for lymphoedema management Dr. Nilesh Satbhai might ask you to get imaging tests done to look at your lymph system. Tests may include:
VLND is the procedure that involves microvascular transportation of functional lymph nodes into an extremity to store the physiological lymphatic function. There are several VLND options available which include flaps harvested from within the axillary, inguinal, or cervical lymph node basins and lymph node flaps from within the abdominal cavity.
Benefits:
Vascularised lymph node transfer has the following benefits:
Risks:
The potential risks of vascularised lymph node transfer include:
These risks are rare and Dr. Nilesh Satbhai will treat them if they appear.
Lymphaticovenous anastomosis helps redirect excess lymphatic fluid into the venous system to prevent its recurrence and reduce the appearance of lymphoedema. During the procedure, the lymphatic vessels in the affected limb are connected to nearby veins, allowing the lymph to drain into the veins and circulate back into the rest of the body.
Benefits:
The main goal of lymphaticovenous anastomosis is to:
Risks:
The potential risks of lymphaticovenous anastomosis include:
Risks such as these are uncommon, and Dr. Nilesh Satbhai will deal with them if they appear.
When lymphatic fluid leaks into the surrounding tissues, it can cause inflammation and make fat stem cells grow. Dr. Nilesh Satbhai removes this extra fat that’s caused by lymphedema with liposuction .
Benefits:
The benefits of liposuction for lymphoedema management include:
The results after liposuction are usually permanent as long as your weight remains stable.
Risks:
Some potential risks associated with liposuction for lymphoedema management include:
However, these complications are rarely seen and can be easily treated by Board-certified surgeon Dr. Nilesh Satbhai .
Debulking procedure involves removing all the damaged skin and fat down to the muscle and resurfacing the area with a thin shaving of skin from another area of the body, called a skin graft. This is an extreme measure used only for the most advanced cases of lymphoedema.
Persistent accumulation of lymphatic tissue in the subcutaneous tissues causes hypercellularity, increased fat deposition, thickening of the skin, progressive fibrosis, and irreversible damage to the lymphatic vessels. If you have end-stage lymphatic disease, excisional surgical procedures will be the best for you. Large folds of skin and subcutaneous tissue can be excised, leading to improved outcomes.
Benefits:
The benefits of skin reduction/debulking procedures for lymphoedema management include:
Risks:
The possible risks of skin reduction/debulking procedures for lymphoedema management include:
These complications are rare and can be safely treated by Dr. Nilesh Satbhai .
A very light form of skin stretching massage that helps promote the lymphatic fluid out of the swollen limb. It is mainly focused on the lymph vessels to help the flow of lymphatic fluid.
Benefits of MLD:
Short stretch bandages help in reducing the swelling of soft tissue. They’re applied with adequate levels of pressure to assist in re-routing the fluid from swollen areas. When the lymph fluid is moved out of a swollen limb, it’s a good time to wear compression garments to prevent swelling from returning.
The cost of lymphoedema management in Mumbai will depend on the type of procedure you need and whether or not you have insurance. During the consultation, Dr. Nilesh Satbhai will go over the expected costs with you.
Request AppointmentHealing will take several weeks while the swelling decreases. You will be given some specific instructions about:
MBBS, MS, MCh