Microsurgical lymph node transfer is an advanced and highly specialized surgical technique that can provide meaningful and lasting improvement, even in patients with long-standing or advanced lymphedema.
In this procedure, healthy lymph nodes are carefully harvested from donor sites such as the groin or laparoscopically from the gastric curve. These lymph nodes are transferred together with their own blood vessels as a so-called free tissue transfer. Using state-of-the-art microsurgical techniques, the vessels are reconnected at the recipient site to ensure proper blood supply and long-term viability of the transplanted tissue.
Once transplanted, the lymph nodes support lymphatic drainage through several complementary mechanisms. Over time, they can stimulate the growth of new lymphatic vessels (lymphangiogenesis), helping to rebuild a functional lymphatic network in the affected area. In addition, the transferred lymph nodes act as a biological “filter” or “sponge,” absorbing excess lymphatic fluid and proteins from the surrounding tissue.
These effects can lead to a measurable reduction in swelling, improvement of tissue quality, and relief of symptoms such as heaviness, tightness, and discomfort. Many patients also experience a decreased frequency of infections and an overall improvement in quality of life.
Patient Information: Surgical Treatment of Lymphedema
The surgical treatment of lymphedema aims to restore or improve lymphatic drainage and to prevent further progression of the disease.
The choice of procedure depends on several factors, including:
- the stage and duration of lymphedema
- the condition of the lymphatic vessels
- the degree of tissue changes and fibrosis
- previous treatments such as surgery or radiation
Modern lymphatic surgery includes techniques such as lymphovenous anastomosis and lymph node transfer, which can be used individually or in combination.
A thorough clinical evaluation and individualized consultation are essential to determine the most appropriate treatment strategy. The goal is always to achieve sustainable symptom relief, reduce limb volume, and improve long-term quality of life.
