Post-cancer lymphedema is a chronic condition resulting from damage to the lymphatic system after cancer treatment, leading to swelling in various body parts. It commonly affects:

• Arms and Hands: Often after breast cancer treatment.
• Legs and Feet: Typically following pelvic cancer treatment.
• Neck and Face: After head and neck cancer treatment.
• Trunk and Chest
• Genitals: Especially after pelvic cancer procedures.

Causes:

• Surgical removal of lymph nodes.
• Radiation therapy damaging lymphatic vessels.
• Cancer obstructing lymphatic flow.
• Infections or injuries post-treatment.

Symptoms:

• Persistent swelling in the affected area.
• Heaviness or tightness.
• Reduced flexibility or movement.
• Aching or discomfort.
• Recurrent infections (e.g., cellulitis).
• Skin changes like hardening or thickening.

Diagnosis involves:

• Detailed medical history and physical examination.
• Imaging studies (MRI, CT scans, lymphoscintigraphy).
• Bioimpedance spectroscopy for fluid measurement.
• Volume measurement techniques like perometry.

Medical Treatment includes:

• Compression garments or bandaging.
• Skin care to prevent infections.
• Exercise programs to promote lymphatic flow.
• Manual Lymphatic Drainage (MLD): A specialized massage technique.

• Surgical Options when medical management is insufficient:

  • Lymphaticovenous Anastomosis (LVA): Connecting lymphatic vessels to veins.
  • Vascularized Lymph Node Transfer (VLNT): Transferring healthy lymph nodes to the affected area.
  • Liposuction for Lymphedema: Removing excess fatty tissue.

  Advanced Lymphatic Microsurgery:

  • Pioneered by Dr. Ram Chilgar at Elrevo Clinic.
  • Dr. Chilgar performed the first VLNT in India in 2014.
  • These techniques have revolutionized treatment outcomes for patients.

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Aftercare involves:

• Regular follow-ups with healthcare providers.
• Adherence to compression therapy.
• Continuous skin care routines.
• Maintaining an active lifestyle with prescribed exercises.
• Monitoring for signs of infection or worsening symptoms.

Prognosis:

• With early and appropriate intervention, patients can effectively manage symptoms.
• Advances in surgical techniques have significantly improved long-term outcomes.
• Quality of life can be greatly enhanced through proper management.

Dr. Ram Chilgar: A Pioneer in Lymphatic Microsurgery
Dr. Ram Chilgar is a leading expert in lymphatic microsurgery in India. By introducing advanced techniques like VLNT at Elrevo Clinic, he has set new standards in the treatment of post-cancer lymphedema. Patients choosing Elrevo Clinic benefit from cutting-edge technology, personalized care, and Dr. Chilgar’s expertise, ensuring the best possible outcomes.