Surgical Solutions: Lymphaticovenular Anastomosis Surgery

Surgical Solutions: Lymphaticovenular Anastomosis Surgery

Following the detailed ICG and Lymphoscintigraphy scans, it was confirmed that the most suitable and effective treatment for my current lymphoedema is Lymphaticovenular Anastomosis (LVA) surgery at the Oxford Lymphoedema Practice.

My surgery day began promptly at 10am, after completing necessary documentation and consent forms. The team started with another ICG test, injecting infra-red dye to map the functional lymphatic vessels accurately. Then I was taken into the operating room, where local anesthesia was administered in four key areas on my leg, as previously described.

Throughout the five-hour procedure, I remained fully awake and aware. I chose not to use a catheter and was able to stay hydrated and listen to music to help pass the time. Although the anesthesia numbed the surgical sites, I could still feel gentle tugging and pressure as the surgeons skillfully connected my lymphatic channels to nearby veins.

In total, seven anastomoses were made: two at my ankle, two below my knee, one above the knee, and two in my upper thigh. Each incision was carefully closed with multiple stitches, ranging from 5 to 10 per site with each wound approximately 2-3 inches long.

The surgery cost £16,200, excluding the £350 cost of the Lymphoscintigraphy scan required beforehand.

Though LVA surgery is relatively new with only about five years since its introduction. I believe choosing this path is a forward-thinking decision. By addressing my lymphoedema while I’m young, fit and healthy, I’m investing in a better quality of life and a stronger foundation to support my future, both personally and professionally.

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