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Pillar 13 · 15 pages

Lymphedema Surgery

Swollen limbs after cancer treatment, infection or from birth, managed with compression and, in selected cases, microsurgery.

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Lymphedema Surgery, Elegance Clinic Surat
Who this is for

Anyone with persistent limb swelling, most often after breast or pelvic cancer treatment, or long standing filarial swelling.

First visit

Limb measurement, staging and a compression review, before any discussion of surgery.

Where surgery happens

Microscope equipped theatre for lymphovenous anastomosis and lymph node transfer in selected patients.

Cover

Conservative care and staged surgery are quoted in writing; some cover is case based.

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The pathway

How treatment is planned, step by step

Nothing here is improvised. The sequence below is how care in this specialty is actually organised, and your own written plan follows it.

01
First Staging

The swelling is measured and staged, and reversible causes and infection are treated first.

02
Foundation Compression

Compression therapy and skin care are the foundation at every stage, surgery adds to them, never replaces them.

03
Selected Microsurgery

Lymphovenous anastomosis or node transfer for suitable earlier stage limbs, judged on assessment.

04
Advanced Reduction

Debulking and reduction surgery reshape advanced limbs and reduce infection episodes.

Why a plastic surgeon

Function first, appearance close behind

"Compression is the treatment. Surgery is the assistant, chosen carefully and honestly."

Lymphedema is managed, not cured, and honest staging decides who benefits from microsurgery and who from reduction.

Preventing cellulitis matters as much as size: every infection episode makes the swelling permanently worse.

Dr. Ashutosh Shah
Dr. Ashutosh Shah Plastic, Reconstructive & Cosmetic Surgeon (DNB)
Operating microscope
Limb measurement protocol
Compression garment fitting
Infection prevention plan
22+Years in practice
15Pages in this pillar
StagedHonest selection
Case gallery

Cases from this specialty, consented

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Before / After
Lymphovenous anastomosisMicrosurgery · 6 months
Before / After
Limb reduction surgeryStaged debulking · 6 months
Before / After
Recurrent cellulitis controlProgramme care · 1 year

Published with documented patient consent, generalised for age and sex, in line with advertising norms applicable to medical practitioners in India.

Costs & schemes

Costs & cover

Published bands are for Surat and include surgeon, anaesthesia, theatre and standard stay. Where a band is not published, a written estimate follows examination. Cover under mediclaim and schemes is confirmed before admission.

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Lymphovenous anastomosis (LVA)
₹1.2L to ₹2.6L
Case based
Reduction surgery
Written estimate
After assessment
Compression programme
Written estimate
After assessment
Questions patients ask

Straight answers, before you decide

These are the questions that come up in consultation most often. If yours is not here, send it on WhatsApp and the team will reply, usually the same day.

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No treatment cures lymphedema, and any promise of cure should raise doubt. It can be controlled well, with compression as the foundation and surgery helping selected limbs.

Earlier stage limbs where fluid, not fat and fibrosis, is the main problem. Suitability is decided by staging and assessment, and honest advice sometimes means recommending against surgery.

In most cases yes, in some form. Compression protects whatever surgery achieves and prevents progression, and garments are refitted as the limb changes.

Because each episode of cellulitis destroys more lymphatic channels and makes swelling permanently worse. Preventing infection is the single most protective habit.

Cover varies: surgery after cancer treatment is often admissible, while garments and therapy may not be. What applies to your policy is checked before treatment.

Limb measurements at fixed points, symptoms, skin condition and how often infections occur are recorded at each visit, and imaging of the lymphatic channels is used when surgery is being considered. Tracking over time shows whether treatment is working.

Trained decongestive therapy with compression is the foundation of treatment and is usually continued for a period before any operation is planned. It also shows how much of the swelling is fluid that can be moved.

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Bring the reports you have. We will tell you honestly what is needed, and when.

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