Lymphedema surgery

stands the test of time and improves quality of life

A bold idea about lymphedema surgery from an orthopedic doctor at Skåne University Hospital in the south of Sweden has proven to be the only long-lasting surgical intervention for patient suffering from arm and leg lymphedema, and the statistic talk for itself.

For 25 years, liposuction combined with lifelong compression treatment, has proven to give a complete reduction without recurrence for more than 300 patients and we are now able to accept international patients in close collaboration with centre of excellence, Art Clinic.

Lymphedema can either be congenital (primary) or a result of treatment (secondary). Secondary course is the most common and may occur after cancer treatment of mainly breast cancer, gynecological cancer, prostate cancer, malignant melanoma, or tumors in the head/throat. Lymphedema is a chronic and complex condition that has major physical, psychological and social implications for the quality of life of patients suffering from it.

The standard lymphedema treatment is conservative, and involves draining the lymph fluid through compression using a compression sleeve, but many patients continue to have problems. The reason is that compression cannot further remove the excess limb volume if the lymphoedematous limb has changed from a pitting state to a non-pitting state. This means a change from lymph to fatty tissue.

Using liposuction for lymphedema surgery began more than 25 years ago at Skåne University Hospital in Malmö, Sweden. Dr Håkan Brorson, the man behind this technique and his team with physiotherapist occupational therapist has since then treated over 300 patients.

To be cured from lymphedema is not possible with techniques known today. A combination of lifelong compression treatment and lymphedema surgery is the only guaranteed way. Previous research, done at Lund University was presented in 2018 and shows that only three months after liposuction treatment, the patients’ level of pain and fatigue was reduced and the patients’ perceived physical and mental health increased.

ARE THERE ANY OTHER OPTIONS?

No! you can not, with any surgical techniques known today, cure lymphedema.

You might have read about microsurgical reconstruction of lymphatic system through lymphatico-venous anastomoses, transplantation of lymphatic vessels or transplantation of lymph nodes. Although attractive as a concept there microsurgical techniques are not proven to give any long term effects on lymphedema, can´t achieve complete reduction or long lasting results and in addition many patients need to continue wearing compression garment even after these very expensive surgeries.

We have proven for the last 25 years, that if you combine liposuction with life long compression treatment with support from our specialists, you will have a full reduction of your lymphedema limb that last. But you need to use compression or it won´t work.

If you want to read the thesis behind or offer please follow this link: 6th Nord Congr Ly_Brorson.pdf

Listen to professor Håkan Brorson when he presents his results here: https://youtu.be/XOFEhnQxocY

Teresa

The quality of my life has improved – my leg is lighter and is practically the same size as my right leg. Most important for me I can wear jeans and trousers my own size and not two sizes bigger as I had been doing. I can also wear long boots which I was unable to do prior to the operation.

I would recommend this treatment for anyone with lymphodema – it has made such a difference to me.

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SCIENTIFIC PUBLICATIONS

Lymphedema – Presentation, Diagnosis, and Treatment
Author: ArinK. Greene, SumnerA. Slavin, Håkan Brorson
Publication year: 2015

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Surgical Treatment of Postmastectomy Lymphedema – Liposuction
Author: Håkan Brorson
Publication year: 2011

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Annals of Surgical Oncology
Author: S. Vignes & H. Brorson
Publication year: 2017

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Liposuction Gives Complete Reduction ofArm Lymphedema following Breast Cancer Treatment—A 5-year Prospective Study in105 Patients without Recurrence
Author: Hoffner et al. Brorson
Publication year: 2018

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Complete reduction of chronic non-pittinglymphedema – 22 years’ follow-up
Author: Håkan Brorson
Publication year: 2016

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Controlled Compression Therapy after Liposuction of Leg Lymphedema – How to keep control over time: The story continues
Author: K. Ohlin, B. Svensson, H. Brorson
Publication year: 2016

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Liposuction in Lymphedema Treatment
Author: Håkan Brorson
Publication year: 2016

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Liposuction in Arm Lymphedema Treatment
Author: Håkan Brorson
Publication year: 2007

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Liposuction of post mastectomy arm lymphedema decreases the incidence of erysipelas
Author: D. Lee, N. Piller, M. Hoffner, J. Manjer, H. Brorson
Publication year: 2016

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Liposuction Treatment of Lymphedema
Author: Mark V. Schaverien, Alex Munnoch, 2Håkan Brorson
Publication year: 2018

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Liposuction in Lymphedema Treatment
Author: Håkan Brorson
Publication year: 2016

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