Bariatric Lymphedema One-Stage Operative Management (BLOOM)

BackgroundObesity and lymphedema pose serious public healthcare problems. Though there are clear links between both chronic conditions, they are rarely treated together.MethodsWe describe the successful management of secondary lower limb lymphedema by the combination of obesity and lymphedema treatment in a 44-year-old patient with a body mass index of 35. She underwent simultaneous a vascularized lymph node transfer by repurposing the gastroepiploic lymph nodes from the sleeve gastrectomy.ResultsThe patient recovered uneventfully with significant improvement in her BMI and lymphedema.ConclusionWe present a novel and effective double-pronged treatment method for patients with both lymphedema and obesity.