Ramsay Newsroom

Specialist plastic surgeons Dr Matthew Cheng and Dr Andrew Lewandowski recently completed the state’s first lymphaticovenous anastomosis (LVA) in a private hospital setting, using intricate supermicrosurgery to help reroute a patient’s lymphatic system and reduce the risk of lifelong swelling and discomfort.

The breakthrough case involved a patient with aggressive skin cancer. Surgeons performed a prophylactic LVA during the procedure - connecting tiny lymphatic vessels directly to veins to bypass damaged pathways and help prevent lymphoedema from developing.

“Historically, people with lymphoedema have had very limited options, often relying on compression, massage or simply learning to live with the condition,” said Dr Cheng.

“With LVA, we’re offering patients a surgical solution that can ease symptoms or even prevent lymphoedema altogether.”

Lymphoedema affects an estimated 70,000 Australians and is commonly seen after cancer surgery involving lymph node removal. It can cause chronic swelling, pain, recurrent infections and significant physical and emotional distress.

Dr Lewandowski said the new procedure represents a shift in how hospitals care for people during and beyond cancer treatment.

“While we excel at treating cancers and saving lives, we have fallen short on managing the long-term consequences of invasive surgery,” Dr Lewandowski said.

“Lymphoedema can impact a person’s ability to perform everyday tasks and put them at greater risk of higher risk of skin infections such as cellulitis. Being able to prevent or treat this condition is a huge step forward.”

Greenslopes Private Hospital is one of the largest private cancer centres in Queensland and is now leading the way in offering comprehensive, whole-of-journey care—including innovative options for managing cancer-related side effects.

“This is not only an exciting advancement for our surgical team, but for the many Queenslanders who deserve better access to modern, evidence-based treatments for lymphoedema,” Dr Cheng said.