Leg swelling after cervical cancer surgery is a condition that should not be overlooked, especially if it persists or worsens over time. This can occur because cervical cancer surgery often involves removing lymph nodes in the pelvic area, which play an important role in the lymphatic system. When lymphatic fluid flow is disrupted, the risk of developing lymphedema—or swelling in the legs—increases.
To help manage this condition effectively, RS Mandaya Puri offers a Lymphedema Center that provides modern medical approaches and integrated care for patients.
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Why Does Leg Swelling Occur After Cervical Cancer Treatment or Surgery?
Several factors can contribute to lymphedema or leg swelling after cervical cancer treatment or surgery, including:
- Body Mass Index (BMI): A high Body Mass Index (BMI) is a known risk factor for lymphedema, particularly secondary lymphedema. Obesity (BMI above 30) can directly impair lymphatic function, leading to chronic swelling.
- Radiation Therapy: Radiotherapy used in cervical cancer treatment can damage or scar lymph nodes and vessels, reducing the body’s ability to drain lymphatic fluid and increasing the risk of swelling.
- Lymph Node Removal: The removal of lymph nodes, as well as the number of nodes removed, is a major risk factor for developing secondary lymphedema.
- Tumor Size: In some cases, large tumors may block the lymphatic system, leading to swelling in affected areas.
Symptoms of Lymphedema to Watch For After Cervical Cancer Surgery
Leg swelling is not the only symptom of lymphedema. Other signs to be aware of include:
- Veins or tendons in the hands and feet become difficult to see or feel
- Arms or legs appear to be different sizes
- Joints feel stiff or less flexible
- Skin appears swollen or reddish
- Swelling in the arms, legs, or other parts of the body
- A feeling of heaviness or fullness in the affected area
- Clothes or jewelry feel tighter than usual
- A burning or itching sensation
- Skin becomes noticeably thicker
Management of Leg Swelling After Cervical Cancer Surgery at RS Mandaya Puri
Treatment for leg swelling after cervical cancer surgery at the Lymphedema Center of RS Mandaya Royal Puri is carried out comprehensively through a multidisciplinary approach. The team includes plastic reconstructive and aesthetic surgeons with subspecialty training in microsurgical reconstruction and oncoplastic surgery, working alongside physical medicine and rehabilitation specialists to provide integrated care tailored to each patient.
1. Lymphatic Bypass Procedure
One of the main treatments for lymphedema at the Lymphedema Center is the lymphatic bypass procedure. This treatment is intended for patients experiencing swelling due to impaired lymphatic flow, with the goal of creating a new pathway for fluid drainage.
According to dr. Sara Ester Triatmoko, Sp.B.P.R.E., Subsp.M.O. (K), a plastic reconstructive and aesthetic surgeon with subspecialty in microsurgical reconstruction and oncoplastic surgery at RS Mandaya Puri, patients who begin to notice swelling symptoms are advised to seek medical attention early. The procedure involves connecting lymphatic vessels to small blood vessels (venules), allowing lymphatic fluid to flow more freely.
This procedure uses supermicrosurgery techniques that require a high level of precision. It is supported by the advanced Kinevo 900 microscope, which enables surgeons to visualize extremely small vessels in great detail.
Before surgery, lymphatic vessels are mapped using contrast agents to identify problematic areas. These findings guide the surgeon in determining the optimal location for the bypass.
The affected lymphatic vessels are then connected to venules, creating a new pathway that allows lymph fluid to drain directly into the venous system. This can significantly reduce swelling.
This procedure is known as Lymphaticovenular Anastomosis (LVA), a minimally invasive technique designed to treat lymphedema by redirecting lymphatic flow into nearby small veins.
2. Rehabilitation
After undergoing the lymphatic bypass procedure, patients typically continue therapy with the rehabilitation team to optimize treatment outcomes. One commonly used method is compression devices, which are pneumatic pumps that apply alternating pressure to swollen areas.
These devices are used with special sleeves placed on the arms or legs. The pressure helps maintain proper lymphatic and venous circulation while preventing fluid buildup.
In addition to reducing swelling, compression therapy also helps lower the risk of lymphedema complications and supports overall recovery.
Medical Team at the Lymphedema Center, RS Mandaya Royal Puri
Lymphedema care at RS Mandaya Royal Puri is supported by a team of experienced specialists from various fields, including:
1. dr. Sara Ester Triatmoko, Sp.B.P.R.E., Subsp.M.O. (K)
A plastic reconstructive and aesthetic surgeon with subspecialty in microsurgical reconstruction and oncoplastic surgery. Her expertise includes post-cancer reconstruction, trauma repair, burn treatment, and correction of congenital abnormalities. Using precise microsurgical techniques, she helps restore both function and form, improving patients’ overall quality of life.
Schedule:
- Tuesday & Thursday: 17:00 – 19:30 WIB
2. dr. Andre Sugiyono, Sp.KFR
A Physical Medicine and Rehabilitation specialist trained at Atma Jaya Catholic University and the University of Indonesia. His expertise includes electrotherapy, physiotherapy, hydrotherapy, and post-stroke rehabilitation, focusing on restoring function and improving quality of life.
Schedule:
- Monday – Friday: 08:30 – 15:30 WIB
- Saturday: 14:30 – 19:00 WIB
3. dr. Eugene Nathania, Sp.KFR
A Physical Medicine and Rehabilitation specialist from the University of Indonesia. She is skilled in obstetric rehabilitation, taping, manual therapy, and dry needling, and has experience managing musculoskeletal pain and restoring mobility.
Schedule:
- Monday – Saturday: 08:00 – 14:00 WIB
4. dr. Johanes Putra, Sp.KFR
A Physical Medicine and Rehabilitation specialist trained at Atma Jaya University and the University of Indonesia. He specializes in musculoskeletal rehabilitation and interventional pain management.
Schedule:
- Monday – Friday: 14:30 – 20:00 WIB
- Saturday: 08:00 – 14:00 WIB
In addition to specialist doctors, lymphedema care at RS Mandaya Royal Puri is supported by trained and experienced nursing staff, ensuring patients receive optimal, comprehensive, and integrated care.
To make your visit more convenient, patients can use WhatsApp Chat, Book Appointment, or the Care Dokter app available on Google Play and the App Store. These services allow patients to schedule consultations, check queue numbers, and access important hospital information.
The information provided on this page is for educational purposes and general reference only. It does not represent the full range of medical services available. For personalized medical advice and treatment, please consult directly with a qualified doctor.
If you have questions, suggestions, or need further information, please contact our call center at 0811-1900-2000.
