Successful treatment of lymphedema in a vasculopath and neuropathic patient

J Surg Oncol. 2020 Jan;121(1):182-186. doi: 10.1002/jso.25590. Epub 2019 Jun 22.


This is a case report of a 68-year-old male with stage III right lower extremity lymphedema following right inguinal lymph node dissection and adjuvant chemoradiotherapy for Hodgkin's lymphoma. He developed peripheral neuropathy and radiation-induced right femoral artery thrombosis, treated with saphenous vein graft. He underwent three vascularized lymph node transfers (VLNTs) to the upper medial thigh, posterior calf, and ankle with placement of nanofibrillar collagen scaffolds. Three months after surgery, he had volume reduction, less neuropathic pain, and improved ambulation.

Keywords: lymphedema surgery; nanofibrillar collagen scaffold; vascularized lymph node transfer.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Humans
  • Lymphedema / complications*
  • Lymphedema / diagnostic imaging
  • Lymphedema / pathology
  • Lymphedema / surgery*
  • Male
  • Peripheral Nervous System Diseases / complications*
  • Peripheral Nervous System Diseases / diagnostic imaging
  • Peripheral Nervous System Diseases / pathology
  • Peripheral Vascular Diseases / complications*
  • Peripheral Vascular Diseases / diagnostic imaging
  • Peripheral Vascular Diseases / pathology