This page summarises selected scientific publications, lymphatic surgery training and media features related to lymphedema diagnosis, prevention and surgery. It is intended as an educational reference for patients, therapists and referring clinicians.
Information on this site is for education only and is not a substitute for personalised medical advice.
Lymphatic surgery training
Dr Jeremy Sun completed an MOH Health Manpower Development Plan (HMDP) fellowship in Tokyo focused on comprehensive lymphedema management across all severities, training under Professor Takumi Yamamoto and Professor Akitatsu Hayashi.
The training focus included holistic multi-disciplinary lymphedema care, lymphatic imaging, conservative therapy pathways and lymphatic surgery, including supermicrosurgical lymphovenous anastomosis (LVA) and treatment planning for more advanced disease.
This background informs LymphedAsia’s approach: lymphedema is not treated as a single-operation problem, but as a staged condition requiring diagnosis, imaging, pressure-flow assessment, surgical selection, compression therapy and long-term follow-up.
Japan lymphatic surgery training
Peer-reviewed lymphatic surgery publications
- Lymphovenous shunts in the treatment of lymphedema. Journal of the Chinese Medical Association. 2024;87(1):5–11. DOI: 10.1097/JCMA.0000000000001016. Read the article.
- Primary surgical prevention of lymphedema. Journal of the Chinese Medical Association. 2024;87(6):561–571. DOI: 10.1097/JCMA.0000000000001101. Read the article.
- Genital elephantiasis: surgical treatment and reconstruction. Journal of the Chinese Medical Association. 2024;87(2):142–147. DOI: 10.1097/JCMA.0000000000001021. Read the article.
- The 1+X technique: A novel microsurgical approach for secondary lymphedema. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2025. View article page.
- Current Insights into Post-Traumatic Lymphedema. Trauma Care. 2025;5(4):24. Read the article.
Prevention and health-system research
In addition to peer-reviewed publications, Dr Sun has contributed to research on the health-economic evaluation of lymphedema prevention strategies. A Research Square preprint examines immediate lymphatic reconstruction versus structured surveillance for preventing breast cancer-related lymphedema after axillary surgery. As a preprint, it should be interpreted as work under review rather than a final peer-reviewed guideline.
Cost-Effectiveness of Immediate Lymphatic Reconstruction Versus Structured Surveillance for Preventing Breast Cancer–Related Lymphedema After Axillary Surgery. Research Square preprint. DOI: 10.21203/rs.3.rs-8722507/v1.
How this research informs patient care
- Patient selection: not every patient with lymphedema is best treated by the same operation.
- Imaging and mapping: ultrasound and ICG lymphography can help identify remaining lymphatic channels and guide bypass planning.
- LVA quality: in lymphovenous bypass surgery, leakage, pressure gradients and venous reflux can influence how well a bypass functions.
- Prevention: lymphedema prevention after cancer surgery requires weighing immediate reconstruction, structured surveillance, patient risk and local healthcare pathways.
- Advanced disease: severe lymphedema may require staged reconstructive planning rather than a single procedure.
Related patient education pages
- Dr Jeremy Sun — lymphedema specialist in Singapore
- LVA surgery in Singapore
- Lymphedema surgery options in Singapore
- Why LVA quality matters: leakage, pressure and venous reflux
- Genital lymphedema: symptoms, assessment and treatment options
Media appearances
Selected media and conference features related to lymphedema screening, diagnosis, lymphatic imaging and reconstructive surgery.
Channel NewsAsia (CNA)
Early screening able to provide relief for lymphoedema patients.
8world
樟宜综合医院设立淋巴水肿治疗服务处，引进新筛查技术。
Changi General Hospital — Caring
A leg-up in lymphoedema diagnosis and treatment.
Medical Channel Asia
Seeing the Invisible: ICG Fluorescence Imaging Detects Lymphoedema Early.
SingHealth Duke-NUS Conference
Programme listing related to breast cancer surgery.
NHK
Lymphedema documentary-related educational media.
Related: Ultrasound mapping for LVA surgery explains why high-frequency ultrasound can identify lymphatic targets even when ICG linear patterns are absent in selected patients.
Core guide: Lymphedema treatment in Singapore explains how diagnosis, compression therapy, ICG lymphography, ultrasound mapping, LVA and advanced-stage surgery fit into a complete treatment pathway.