Lymphagiography and lymphatic Interventions

Managing Lymphatic Leaks with Lymphangiography & Lymphatic Interventions

The lymphatic system is responsible for draining excess fluid from the body and supporting immune function. When this system becomes damaged or blocked, patients may develop fluid leaks, persistent swelling, or collections that do not improve on their own. These problems can occur after surgery, trauma, cancer treatment, or due to underlying lymphatic disorders. Modern lymphangiography and lymphatic interventions offer precise, minimally invasive ways to diagnose and treat these conditions.
Lymphangiography is an imaging procedure that helps identify the exact site of a lymphatic leak or blockage. Under ultrasound guidance, a tiny needle is inserted into a lymph node, and a special contrast material is gently injected. As the contrast moves through the lymphatic channels, detailed images are captured to locate the leak or obstruction. This step is crucial for planning targeted treatment and avoiding unnecessary surgery.
Once the leak or abnormality is identified, lymphatic interventions can be performed through the same minimally invasive approach. Depending on the condition, the doctor may seal the leaking lymphatic channels using medical glue or embolisation materials. In cases of chylothorax, lymphatic ascites, or postoperative lymphatic leaks, sealing the leak helps the fluid collection resolve quickly and prevents recurrence. These treatments are precise, safe, and protect the surrounding organs.
Many patients benefit from lymphatic embolisation, which blocks the damaged vessels causing the leak. Others may require thoracic duct embolisation or stenting when the main lymphatic channel is involved. All procedures are performed through pinhole access under imaging guidance, without any major incisions, and with minimal discomfort.
Recovery after lymphatic intervention is usually smooth. Most patients go home the same day or after a short observation period. As the leak seals, symptoms such as breathlessness, abdominal distension, or persistent drainage begin to improve. Early treatment prevents complications, reduces hospital stays, and restores comfort much faster than conservative measures alone.
If you are experiencing ongoing fluid leakage, recurrent chyle collections, or swelling that is not improving with routine care, meet an Interventional Radiologist nearby for detailed evaluation and treatment. Lymphangiography and lymphatic interventions offer accurate diagnosis and effective, minimally invasive treatment to help restore normal lymphatic function and relieve symptoms safely.

Uterine fibroids are common benign growths in the uterus that can cause a wide range of symptoms — from heavy menstrual bleeding and pelvic pain to bloating and pressure on the bladder or bowel. Many women are told surgery is the only answer, but that’s not always the case. Uterine Fibroid Embolisation (UFE) is a safe, effective, and uterus-preserving option that treats fibroids without the need for hysterectomy or myomectomy.

This procedure is performed through a tiny puncture in the groin or wrist. Using real-time imaging, a thin catheter is guided into the uterine arteries that supply the fibroids. Once in position, small particles are delivered to block blood flow to the fibroids. Without a blood supply, the fibroids gradually shrink, and symptoms begin to improve in the weeks and months that follow.

UFE is ideal for women who wish to avoid major surgery, retain their uterus, or need a faster recovery. It can also be considered for patients who are not suitable for surgery due to medical conditions or personal preferences. Most procedures are done under local anaesthesia with sedation, and patients usually return home the same day or after an overnight stay. Compared to surgical options, UFE involves less pain, fewer complications, and a significantly shorter recovery period.

Patients often report a noticeable improvement in symptoms within the first two to three menstrual cycles. The fibroids continue to shrink over time, and in most cases, the results are long-lasting. UFE does not involve any surgical cuts or stitches, and the uterus remains structurally intact. While fertility after UFE is possible, it is a topic best discussed during consultation, based on individual goals and medical factors.

If you’ve been advised to undergo surgery for fibroids, or are seeking a second opinion, UFE may offer the clarity and comfort you’re looking for. With the right guidance, you can make an informed decision that prioritises both your health and your preferences.

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