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What is LVA Surgery?.

Advanced Microsurgical Technique

Deep Cervical Lymphaticovenous Anastomosis (LVA) is an avant-garde surgical methodology conceived by Professor Qingping Xie of Hangzhou Qiushi Hospital. Its pioneering objective is the establishment of a tangible conduit that expedites the removal of toxic proteins, effectively expelling protein accumulations from the brain. The breakthrough point for his method is the fact that the surgical site is on the side of the neck area which is extracranial (outside skull), which provides a significant control over the safety of the procedure and is considered a much less invasive method. According to the anatomy of the lymphatic’s distribution, the first exit of brain lymphatic vessel happens at V subdivision on the neck.

Technique of LVA surgery visualizedTechnique of LVA surgery visualized

Technique of LVA surgery visualized

The impairment of this circulation system might lead to the accumulation of substances like tau proteins within brain tissue regions. The neurotoxicity of these proteins can cause synaptic damage and neuronal cell death, contributing to the onset of Alzheimer's disease.

State-of-the-art microsurgical equipment to be used in LVA procedures in the near future

State-of-the-art microsurgical equipment to be used in LVA procedures in the near future

Using state of the art microsurgical techniques, we create precise connections between lymphatic vessels and veins in the deep cervical region. This innovative procedure helps improve cerebral fluid drainage and has shown promising results in slowing AD progression. To do this, we will use precise machine-controlled microsurgical instruments and a microscope to perform the surgery in the near future.

Questions and Answers.

WHAT IS LVA?

LVA, a time-tested surgical technique, has garnered global acclaim for its unparalleled effectiveness in mitigating lymphedema within the limbs. It has unequivocally demonstrated its safety and efficacy over two decades.

WHAT ARE THE SURGICAL PROCEDURES AND HOSPITAL ARRANGEMENTS?

CT scans and other necessary tests will be conducted 2 days prior to surgery. We can schedule immediate tests right after arrival. Additionally, accommodation will be free of charge for family members. It is complimentary in our hospital. We have guest suites for up to 3 additional guests. It is recommended you stay in the hospital for 14 days after the surgery.

IS THE LVA EFFECTIVE AND SUITABLE?

Both MMSE and MoCA will show numeric differences 1M, 3M, 6M 1Y, 2Y, PET-CT scans will show changes in brain environment (you will do the pre-examination PET-CT scan here and you may do a second PET-CT scan at your institution after 3 months), you will see definite changes in her CT Results for better (see papers). Also, as caretaker, you will be able to directly observe the improvement such as improving daily communication, improvement of urinary continence, fecal continence, etc. You can watch the YouTube videos to see our case's physical change.

WHAT HAVE BEEN THE RESULTS?

For the patient's recovery, the most effective patient will be the early-stage AD patient who has just started memory loss. After surgery, the recovery is back to normal status without any rapid declines other than general aging. Mid to late-stage AD is what I treated most; it is also a paradox that people tend to treat their disease only when it is a bit severe. However, changes are still optimistic, mid stage AD patients who experience rage and illumination will see a much calmer state after surgery, memory loss may not come back as a whole but long-term memory is coming back step by step. Confusion may not disappear altogether, but it seems less frequent. I will say nearly all patients will require a lower level of personal care because of the mood change and also, they are able to make commands to the caretaker (ie: washroom, ask for food, etc).

WHAT ARE THE RISKS AND SIDE EFFECTS?

We do not have any report of these issues being reported to keep worsening from our patients or new complications other than general aging. We also do not have any patient that is deceased due to the surgery. Surgery is a very precise supermicrosurgical procedure and Prof. Xie's experience with lymphatic surgery has been over 30 years.

Blog Posts.

The AD-LVA Surgery