We have added new service lines here at Nebraska Medicine. This past month, we completed the first of its kind in Nebraska with Targeted Muscle Reinnervation (TMR) for amputees. Initially developed for bio-integrated prosthetics, TMR was found to significantly decrease both phantom pain and chronic pain scores. It has also been shown to significantly decrease neuroma formation. TMR can be done both as a prophylactic treatment for patients undergoing amputation as well as for patients with existing amputations that have neuromas or phantom pains. We have been coordinating with both the vascular surgery teams and the orthopedic surgery teams to bring this ground breaking surgical technique to patients here in Nebraska.
We have also started working with Lymphedema patients. We plan on doing our first ICG Lymphangiogram this month and will hopefully be doing our first lymphatic surgeries in December. By mapping the lymphatics in an extremity, we can determine if fluid dominant lymphedema patients would benefit most from lymphovenous anastomoses versus lymph node transfers. We are partnering with the surrounding lymphedema therapists and surgical oncologists to both treat and prevent lymphedema by also offering Immediate Lymphatic Reconstruction for certain patients undergoing lymph node dissections as part of their cancer treatment.
