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Billrothstrasse 78
Vienna 1190
Austria

+43.1.36036.5900

Plastische und Rekonstruktive Chirurgie

Plastischer Chirurg

Professor Dr. Chieh-Han John Tzou was trained at the Medical University of Vienna, Austria (MUW) and at the Chang Gung Medical University Taipei-Linkou, Taiwan. He was a visitor at the Asan Medical Center, Seoul, South Korea and the Medical University of Tokyo, Japan. He is specialist in Plastic, Aesthetic and Reconstructive Surgery and his research focus is in facial palsy, lymphedema and the peripheral nerve.
He has been invited to numerous international conferences; moreover as a mentor and teacher he has trained plastic reconstructive surgeons, medical students and medical nurses at the Medical University Hospital of Vienna, Austria.

PD. Dr. Tzou Lymphsurgery Lymphedema LVA VLNT Rekonstructive Lymphedemasurgery Supermicrosurgery

Surgery Lymphedema Supermicrosurgery diameter LVA LVAs VLNTs Lymphflap Flap compression Mikrosurgery Mikropscope lymphovenous anastomosis super lymphatic vessel vessels microscope surgery restoration lymphatic flow suture of lymphatic tissue transplantation lymphnodeflap lymph node vessel duct

Liposuction
Liposuction is used to treat severe, non-pitting lymphedema when the swollen extremities do not indent when pressed with a finger. When these patients contain large volume of fat tissue, it can be significantly reduced by liposuction. This technique is a symptomatic treatment and does not cure the lymphedema. Conservative therapy, as bandaging and wearing compression garments, needs to be carried on after liposuction.

 

LVA
LVA (Lympho-Venous-Anastomosis) is a supermicrosurgical procedure, in which shortcuts between lymphatic ducts and veins are performed (diameter between 0.2 and 0.8mm). Patients with lymphedema of extremities and genitals at stage I and II are suitable for this therapy. LVAs are performed under the microscope. These shortcuts provide the lymph fluid a new pathway to flow out of the arm, leg or genitals and may permanently reduce the lymphedema of the extremities significantly.

 

VLNT
VLNT (Vascularized Lymph Node Flap Transfer) is a microsurgical technique to replace lymph nodes from an area of the body not affected by previous surgery, cancer, or trauma and place them where they are missing. This technique can be utilized in combination with LVA. In this approach, lymph nodes from the submental, supraclavicular, thoracica lateralis, or groin region are harvested and transplanted. This VLNT can offer relief from severe swelling. The mechanism behind this procedure suggests that the lymph nodes in the flap can induce lymphangiogenesis and effectively pump lymph fluid from the interstitial space to the venous system.

 

CDT
CDT (Complete Decongestive Therapy), also called complex decongestive therapy, is an intensive program that combines many various conservative treatments, such as bandaging, compression garments, manual lymphatic drainage, exercise, and self-care,… to improve lymphedema symptoms.
Institute for Physical Medicine and Rehabilitation at Hanusch Krankenhaus Vienna

 

LYMPHEDEMA

 

Liposuction

Liposuction is used to treat severe, non-pitting lymphedema when the swollen extremities do not indent when pressed with a finger. When these patients contain large volume of fat tissue, it can be significantly reduced by liposuction. This technique is a symptomatic treatment and does not cure the lymphedema. Conservative therapy, as bandaging and wearing compression garments, needs to be carried on after liposuction.

 

LVA

LVA (Lympho-Venous-Anastomosis) is a supermicrosurgical procedure, in which shortcuts between lymphatic ducts and veins are performed (diameter between 0.2 and 0.8mm). Patients with lymphedema of extremities and genitals at stage I and II are suitable for this therapy. LVAs are performed under the microscope. These shortcuts provide the lymph fluid a new pathway to flow out of the arm, leg or genitals and may permanently reduce the lymphedema of the extremities significantly.

 

VLNT

VLNT (Vascularized Lymph Node Flap Transfer) is a microsurgical technique to replace lymph nodes from an area of the body not affected by previous surgery, cancer, or trauma and place them where they are missing. This technique can be utilized in combination with LVA. In this approach, lymph nodes from the submental, supraclavicular, thoracic wall, or groin region are harvested and transplanted. This VLNT can offer relief from severe swelling. The mechanism behind this procedure suggests that the lymph nodes in the flap can induce lymphangiogenesis and effectively pump lymph fluid from the interstitial space to the venous system.

 

CDT

CDT (Complete Decongestive Therapy), also called complex decongestive therapy, is an intensive program that combines many various conservative treatments, such as bandaging, compression garments, manual lymphatic drainage, exercise, and self-care,… to improve lymphedema symptoms.
Institute for Physical Medicine and Rehabilitation at Hanusch Krankenhaus Vienna