Vascularized Lymph Node Transfer from the Groin | Dr. Daniel Gould

Dr. Daniel Gould co-authored the chapter “Vascularized Lymph Node Transfer from the Groin” in Principles and Practice of Lymphedema Surgery, a comprehensive surgical reference focused on the evaluation and treatment of lymphedema. The chapter was written alongside Jeff Chang and Ketan M. Patel.

Vascularized lymph node transfer is a microsurgical approach used to treat lymphedema by transferring healthy lymph nodes, together with their supporting blood supply, to an area where normal lymphatic drainage has been compromised.

The chapter focuses specifically on the groin as a donor site for lymph node transfer. Groin-based flaps can provide suitable lymphatic tissue for transplantation, either as an independent treatment or in combination with other surgical approaches for lymphedema.

A central consideration is preserving the anatomy and lymphatic function of the donor region. Dr. Gould and his co-authors emphasize the importance of detailed anatomical knowledge and careful navigational strategies when harvesting lymph nodes from the groin to help minimize complications.

The chapter contributes to the evolving field of physiologic lymphedema surgery, where treatment is increasingly focused on restoring or improving lymphatic drainage rather than addressing swelling through tissue reduction alone.