Her Fight is Our Mission

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, gynaecological, or pelvic cancers. 

At Apollo Athenaa Women’s Cancer Centre, 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 with identifiable functional lymphatic vessels
• Are seeking a minimally invasive, outpatient-based solution
• Experience limb swelling, heaviness, or discomfort due to lymphatic obstruction
• Have not yet developed severe fibrotic changes in the affected area

How the Procedure is Performed 

• Preoperative Imaging: Using advanced techniques such as Indocyanine Green (ICG) lymphography, our team maps functional lymphatic channels to guide precise surgical planning.
• Supermicrosurgical Connection: Under an operating microscope, lymphatic vessels (as small as 0.3 mm) are delicately connected to nearby venules, creating new drainage pathways.
• Recovery: Patients typically resume light daily activities within a few days. 
• Ongoing Support: Follow-up care includes physiotherapy, compression therapy, and regular assessments to ensure optimal outcomes and manage any residual swelling.

Key Advantages

• 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.
• Low Risk of Complications: Since only superficial lymphatic vessels and veins are involved, the procedure carries a low risk of surgical complications.

At Apollo Athenaa, we combine cutting-edge surgical expertise with holistic rehabilitation to treat lymphedema at its root. Through LVA and our broader lymphedema management program, we empower you to regain comfort, mobility, and control over your health.