We noted you are experiencing viewing problems
-
Check with your IT department that JWPlatform, JWPlayer and Amazon AWS & CloudFront are not being blocked by your network. The relevant domains are *.jwplatform.com, *.jwpsrv.com, *.jwpcdn.com, jwpltx.com, jwpsrv.a.ssl.fastly.net, *.amazonaws.com and *.cloudfront.net. The relevant ports are 80 and 443.
-
Check the following talk links to see which ones work correctly:
Auto Mode
HTTP Progressive Download Send us your results from the above test links at access@hstalks.com and we will contact you with further advice on troubleshooting your viewing problems. -
No luck yet? More tips for troubleshooting viewing issues
-
Contact HST Support access@hstalks.com
-
Please review our troubleshooting guide for tips and advice on resolving your viewing problems.
-
For additional help, please don't hesitate to contact HST support access@hstalks.com
We hope you have enjoyed this limited-length demo
This is a limited length demo talk; you may
login or
review methods of
obtaining more access.
Printable Handouts
Navigable Slide Index
- Introduction
- Financial disclosures
- Outline (1)
- Boston Lymphatic Center
- Our team
- Our surveillance program
- Weekly review
- Post COVID meetings
- Outline (2)
- The train station analogy
- Outline (3)
- Lymphatic surgery evaluation
- Physiologic procedures
- Physiologic procedures: Lymph node transplant
- Working of a lymph node transplant
- Lymph node transplant: Omental flap from the abdomen
- Omental lymph node transplant in the forearm
- Nuclear lymphoscintigraphy of the forearm
- Omental flap harvest
- Lymph node transplant in the lower extremity
- Nuclear lymphoscintigraphy of the lower extremity
- Physiologic procedures: Lymphovenous bypass
- ICG lymphography of the upper extremity
- Intraoperative view
- Lymphatic surgery evaluation: Debulking procedure
- Excisional procedures
- Excisional procedures: Train analogy
- Case example: Severe left upper extremity lymphedema
- Fat hyperplasia in extremity with lymphedema
- Liposuction
- Power-assisted liposuction with specialized cannulas
- Post-operative outcomes: Case 1
- Post-operative outcomes: Case 2
- Early outcomes: Published results from the Boston Lymphatic Center
- Outline (4)
- Our surveillance program: Prevention
- Axillary reverse mapping (ARM): Benefit vs. risk
- LYMPHA: Lymphatic microsurgical preventive healing approach
- Rerouting the green train before it comes off track
- Immediate lymphatic reconstruction
- Four-year institutional experience of immediate lymphatic reconstruction
- Collaborators in advancing lymphatic surgery
- Outline (5)
- The million dollar question
- Predisposition to lymphedema
- Insights from the 19th century
- Mascagni-Sappey pathway
- Substitution lymphatic pathways of the upper limb
- Visualizing the Mascagni-Sappey pathway with ICG
- Axillary and cephalic pathways
- Long vs. short bundle
- Variable anatomy of the lateral upper arm lymphatic channel
- Bundle pattern: Postoperative risk
- Compensatory pathways
- Variable anatomy & function of the arm’s alternate lymphatic pathway
- Diverse drainage patterns in long bundle scenarios
- Variable number and location of lymph nodes
- Multiscale spatial mapping of the human lymphatic vessels
- Mapping the lymphatic system: Gross anatomy to single cells
- Outline (6)
- Conclusions
- Clinical team
- Research team
- Thank you
Topics Covered
- The train station analogy
- Lymph node transplant
- Lymphovenous bypass
- Excisional procedure
- Axillary reverse mapping (ARM)
- Lymphatic microsurgical preventive healing approach (LYMPHA)
- Immediate lymphatic reconstruction
- Predisposition to lymphedema
- Mascagni Sappey pathway
- Axillary and cephalic pathways
- Long vs. short bundle
- Mapping the lymphatic system
Links
Series:
Categories:
Therapeutic Areas:
External Links
Talk Citation
Singhal, D. (2026, August 31). Surgical treatment of lymphedema: current approaches & future directions [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved August 31, 2026, from https://doi.org/10.69645/CXRT8661.Export Citation (RIS)
Publication History
- Published on August 31, 2026
Financial Disclosures
- Dr. Dhruv Singhal is the founder of 501c3 – Boston Lymphatic Symposium, Inc.
Other Talks in the Series: The Lymphatic System in Health and Disease
Transcript
Please wait while the transcript is being prepared...
0:00
Hi. My name is
Dhruv Singhal and I am an
Associate Professor at
Harvard Medical School
and Co-Director
of the Boston Emphatic Center.
It is my honor to be a part
of the Henry Stewart Talks.
Thank you for this invitation.
Today, I'm going to
be speaking to you
about the surgical
treatment of lymphedema,
current approaches,
and future directions.
0:25
My only disclosure
is that I do run
the Boston Lymphatic Symposium
and I do work with industry
to fund the symposium.
But I do not accept
any personal payments.
0:37
The outline of my talk
is that I will be
talking to you about the
Boston Lymphatic Center.
I will then talk to you about
how I talk to patients about
lymphedema and that will
be about understanding
lymphedema,
keeping the train on track.
Then, we'll talk about
surgical options
for the treatment of lymphedema
and the surgical
prevention of lymphedema.
Then, I'll talk to you about
what I think the future is.
Then, I'll make some
concluding remarks.
Let's begin with the
Boston Lymphatic Center.
Boston Lymphatic Center was
1:08
established almost a decade ago.
We are patient-oriented
and multidisciplinary.
The patient-oriented portion
of it is really important.
You will see the
multidisciplinary portion
of this in the coming slides.
But being patient-oriented
is critical when you have
a lymphatic center and that is
because there is no cure
for lymphedema today.
When a patient comes to see you,
it's very important that
you understand what they're
trying to achieve short
of a cure and you ensure
that what you offer
them will hit their goals
or if it's not going
to hit their goals,
you have a very thoughtful
discussion with them
about why you're recommending
what you recommend.
We have now seen actually
over 3,000 new patients for
the treatment or prevention of
lymphedema in our
program in a short time,
and that really speaks to
the tremendous need for
centers that specialize
in lymphatic care.