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Published in: Annals of Surgical Oncology 3/2021

01-03-2021 | Liposuction | ASO Author Reflections

ASO Author Reflections: Immediate Lymphatic Reconstruction: A Proactive Approach to Breast Cancer-Related Lymphedema

Authors: Julia A. Cook, MD, Aladdin H. Hassanein, MD, MMSc

Published in: Annals of Surgical Oncology | Issue 3/2021

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Excerpt

Lymphedema is a chronic, progressive, and incurable condition. The published incidence of breast cancer-related lymphedema after axillary lymph node dissection (ALND) and radiation therapy ranges from 13 to 52%.1,2 Historically, lymphedema has been treated reactively after it occurs, with compression garments, liposuction, and surgical debulking.3 The development of immediate lymphatic reconstruction (ILR) has had promising results in proactively decreasing lymphedema risk following ALND.14 This study assessed the efficacy of lymphaticovenous anastomosis (LVA) in reducing the incidence of breast cancer-related lymphedema at our institution.5
Literature
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go back to reference Feldman S, Bansil H, Ascherman J, et al. Single institution experience with lymphatic microsurgical preventive healing approach (LYMPHA) for the primary prevention of lymphedema. Ann Surg Oncol. 2015;22(10):3296–3301.CrossRef Feldman S, Bansil H, Ascherman J, et al. Single institution experience with lymphatic microsurgical preventive healing approach (LYMPHA) for the primary prevention of lymphedema. Ann Surg Oncol. 2015;22(10):3296–3301.CrossRef
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go back to reference Mehrara BJ, Zampell JC, Suami H, Chang DW. Surgical management of lymphedema: past, present, and future. Lymphat Res Biol. 2011;9(3):159–167.CrossRef Mehrara BJ, Zampell JC, Suami H, Chang DW. Surgical management of lymphedema: past, present, and future. Lymphat Res Biol. 2011;9(3):159–167.CrossRef
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go back to reference Johnson AR, Kimball S, Epstein S, et al. Lymphedema incidence after axillary lymph node dissection: quantifying the impact of radiation and the lymphatic microsurgical preventive healing approach. Ann Plast Surg. 2019;82(4S):S234–S241.CrossRef Johnson AR, Kimball S, Epstein S, et al. Lymphedema incidence after axillary lymph node dissection: quantifying the impact of radiation and the lymphatic microsurgical preventive healing approach. Ann Plast Surg. 2019;82(4S):S234–S241.CrossRef
Metadata
Title
ASO Author Reflections: Immediate Lymphatic Reconstruction: A Proactive Approach to Breast Cancer-Related Lymphedema
Authors
Julia A. Cook, MD
Aladdin H. Hassanein, MD, MMSc
Publication date
01-03-2021
Publisher
Springer International Publishing
Published in
Annals of Surgical Oncology / Issue 3/2021
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-020-09110-4

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