A long search for a competent surgeon. Accepting that lymphedema and wearing compression garments are lifelong. Massage and bandaging sessions that provided only short-term relief, with the swelling returning afterward. This is because such treatments target symptoms rather than the underlying cause.
I am glad you are reading this. Because now you know how you can truly help yourself.
The first step is diagnosis.
Indocyanine Green (ICG) Fluorescent Lymphography
Lymphedema cannot be diagnosed by sight alone.
To confirm lymphedema and determine its stage, Indocyanine Green (ICG) Fluorescent Lymphography is essential.
A difference in limb volume does not always indicate lymphedema. Sometimes, variations in limb size can be due to individual physical characteristics or other conditions.
If lymphedema developed from birth or appeared suddenly, understanding its cause is crucial for proper treatment. This may be due to genetic mutations affecting normal lymphatic vessel formation, absence of a thoracic duct, lymphedema-distichiasis syndrome, among other reasons.
The stage of lymphedema depends not only on the difference in limb volume but also on whether the lymphatic vessels in the affected limb are intact. This can only be seen by introducing a special contrast agent that spreads through the lymphatic system, showing the lymph flow in the body.
Based on lymphography results, the doctor can see the anatomy of each patient's lymphatic system and individually select the most effective treatment plan. It also allows precise selection of the vessel suturing site, ensuring a positive surgical outcome.
Neither ultrasound, lymphoscintigraphy, nor MRI provide sufficient information about the condition of the patient's lymphatic system. Whether the lymphatic system is damaged and the exact cause of lymphedema can only be determined with fluorescent lymphography.
Fluorescent lymphography allows for the early diagnosis of lymphedema, even before any external symptoms, such as differences in limb volume, appear, while the lymphatic system has already begun to deteriorate.
A difference in limb volume does not always indicate lymphedema. Sometimes, variations in limb size can be due to individual physical characteristics or other conditions.
If lymphedema developed from birth or appeared suddenly, understanding its cause is crucial for proper treatment. This may be due to genetic mutations affecting normal lymphatic vessel formation, absence of a thoracic duct, lymphedema-distichiasis syndrome, among other reasons.
The stage of lymphedema depends not only on the difference in limb volume but also on whether the lymphatic vessels in the affected limb are intact. This can only be seen by introducing a special contrast agent that spreads through the lymphatic system, showing the lymph flow in the body.
Based on lymphography results, the doctor can see the anatomy of each patient's lymphatic system and individually select the most effective treatment plan. It also allows precise selection of the vessel suturing site, ensuring a positive surgical outcome.
Neither ultrasound, lymphoscintigraphy, nor MRI provide sufficient information about the condition of the patient's lymphatic system. Whether the lymphatic system is damaged and the exact cause of lymphedema can only be determined with fluorescent lymphography.
Fluorescent lymphography allows for the early diagnosis of lymphedema, even before any external symptoms, such as differences in limb volume, appear, while the lymphatic system has already begun to deteriorate.
The physician injects a special contrast agent, indocyanine green, with a very fine needle. The agent is non-radioactive, non-allergenic, and does not increase the risk of edema.
The patient spends 40 minutes in a waiting room while the contrast agent distributes throughout the lymphatic system.
Using a special photodynamic camera resembling an ultrasound machine, the physician observes the condition of the patient’s lymphatic system in real time.
The procedure is painless and requires no special preparation.
Congratulations! You have completed the diagnosis and can now proceed to the most effective treatment for your specific case.
At the baseline of the disease, it can be cured completely.
Most of the patients cease wearing compression after surgery
In 90% of cases procedure is performed once in a lifetime.
The risk of erysipelas is significantly decreasing
Can be used as prophylaxis for lymphostasis in patients who underwent lymph nodes removal.
Can be suitable for even long-lasting swelling (5-10-15-20 years)
oncologist | lymphologist | reconstructive surgeon
Moscow, Bolshaya Ochakovskaya street, 31
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OGRN: 1197746735009
REVITALIFE LLC
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