Swelling in certain parts of the body after surgery is a common issue that can disrupt the recovery process. This condition is often caused by impaired lymphatic fluid flow, known as lymphedema, which frequently occurs after medical procedures such as breast cancer surgery or orthopedic operations. If not properly treated, lymphedema can affect a patient’s quality of life, causing discomfort and limiting daily activities.
To address the need for more comprehensive care, Mandaya Puri Hospital has established a Lymphedema Center dedicated to patients experiencing post-surgical swelling. This service is designed to provide accurate diagnosis and appropriate treatment, helping reduce swelling and support optimal recovery.
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Management of Post-Surgical Swelling at the Lymphedema Center, Mandaya Royal Puri Hospital
Treatment for patients experiencing post-surgical swelling at the Lymphedema Center is handled by a multidisciplinary team, including plastic reconstructive and aesthetic surgeons with subspecialties in microsurgery and oncoplastic surgery, as well as medical rehabilitation specialists.
1. Lymphatic Bypass Procedure
Lymphedema treatment at the Lymphedema Center of Mandaya Royal Puri Hospital utilizes modern medical approaches, one of which is the lymphatic bypass procedure. This treatment is intended for patients who have developed swelling due to impaired lymphatic flow, aiming to create an alternative pathway so that lymph fluid can circulate more smoothly.
According to dr. Sara, patients who begin to notice swelling are encouraged to seek medical attention promptly. The procedure involves redirecting lymphatic vessels to small blood vessels called venules, allowing lymphatic fluid to drain more effectively.
This procedure is performed using highly precise supermicrosurgery techniques. Prior to surgery, doctors map the lymphatic vessels using contrast agents to identify affected areas. This mapping helps determine the exact points where the bypass will be created.
The surgeon then connects the affected lymphatic vessels to venules, forming a new pathway for lymphatic drainage. With this alternative route, lymph fluid can flow directly into the venous system, significantly reducing swelling.
This procedure is known as Lymphaticovenular Anastomosis (LVA), a minimally invasive technique that treats lymphedema by connecting damaged lymphatic vessels to nearby small veins.
2. Rehabilitation
After undergoing lymphatic bypass surgery, patients can continue treatment with the medical rehabilitation team to optimize outcomes. One commonly used method is compression devices, which are pneumatic pumps that apply alternating pressure to the swollen area.
These devices are used with special sleeves placed on the patient’s arm or leg. The pressure helps stimulate lymphatic fluid movement through the lymphatic and venous systems while preventing fluid buildup.
In addition to reducing swelling, compression pump therapy also helps lower the risk of lymphedema-related complications and supports overall recovery.
Lymphedema Center Medical Team at Mandaya Royal Puri Hospital
The Lymphedema Center at Mandaya Royal Puri Hospital is supported by a team of experienced doctors, including:
1. dr. Sara Ester Triatmoko, Sp.B.P.R.E., Subsp.M.O. (K)
As a plastic reconstructive and aesthetic surgeon with subspecialties in microsurgical reconstruction and oncoplastic surgery, dr. Sara plays an important role in restoring both function and body form. This field goes beyond aesthetics, addressing various medical conditions such as post-cancer reconstruction, tissue repair due to trauma, burn treatment, and correction of congenital abnormalities. With precise microsurgical techniques, she helps improve patients’ overall quality of life.
Schedule:
- Tuesday: 17:00 – 19:30 WIB
- Thursday: 17:00 – 19:30 WIB
2. dr. Andre Sugiyono, Sp.KFR
dr. Andre Sugiyono is a Physical Medicine and Rehabilitation specialist practicing at Mandaya Royal Puri Hospital. He completed his medical degree at Atma Jaya Catholic University and his specialization at the University of Indonesia.
He is skilled in various therapies, including electrotherapy, physiotherapy, hydrotherapy, and post-stroke rehabilitation. His treatments aim to restore body function and enhance patients’ quality of life after medical conditions.
Schedule:
- Monday: 08:30 – 15:30 WIB
- Tuesday: 08:30 – 15:30 WIB
- Wednesday: 08:30 – 15:30 WIB
- Thursday: 08:30 – 15:30 WIB
- Friday: 08:30 – 15:30 WIB
- Saturday: 14:30 – 19:00 WIB
3. dr. Eugene Nathania, Sp.KFR
dr. Eugene Nathania is a Physical Medicine and Rehabilitation specialist who completed both her general medical and specialist training at the University of Indonesia. She has expertise in various therapy techniques such as obstetric rehabilitation, taping, manual therapy, and dry needling.
She is also experienced in managing musculoskeletal pain and helping patients restore mobility and function after injury or medical conditions.
Schedule:
- Monday: 08:00 – 14:00 WIB
- Tuesday: 08:00 – 14:00 WIB
- Wednesday: 08:00 – 14:00 WIB
- Thursday: 08:00 – 14:00 WIB
- Friday: 08:00 – 14:00 WIB
- Saturday: 08:00 – 14:00 WIB
4. dr. Johanes Putra, Sp.KFR
dr. Johanes Putra is a Physical Medicine and Rehabilitation specialist who completed his medical degree at Atma Jaya University and his specialization at the University of Indonesia.
He specializes in musculoskeletal rehabilitation, including conditions affecting muscles, bones, and joints. He is also experienced in interventional pain management to help reduce patient discomfort more effectively.
Schedule:
- Monday: 14:30 – 20:00 WIB
- Tuesday: 14:30 – 20:00 WIB
- Wednesday: 14:30 – 20:00 WIB
- Thursday: 14:30 – 20:00 WIB
- Friday: 14:30 – 20:00 WIB
- Saturday: 08:00 – 14:00 WIB
At Mandaya Royal Puri Hospital, lymphedema treatment is supported not only by specialist doctors but also by a team of trained and experienced nurses who provide optimal patient care.
To make hospital visits more convenient, patients can use the Chat via WhatsApp feature, Book Appointment service, or the Care Dokter application available on Google Play and the App Store. These services allow patients to schedule consultations, check queue numbers, and access important information about hospital services.
The information provided on this page is intended for educational purposes and general overview only, and does not represent the full scope of medical services offered by each doctor. To ensure appropriate treatment based on your condition, it is recommended to consult directly with the respective doctor. For further inquiries or assistance, please contact our call center at 0811-1900-2000.
