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Immediate lymphatic reconstruction: Outcomes of a single-institution pilot study

Published:January 17, 2022DOI:https://doi.org/10.1016/j.bjps.2022.01.006
      Interest in prophylactic surgical intervention to decrease the rate of breast cancer related lymphedema is growing. In Boccardo et al. introduced LVB at the time of axillary lymph node dissection (ALND). Their initial results demonstrated statistically significant differences in lymphedema development in the control arm (30.43%) compared to the treatment arm (4.34%).
      • Boccardo F.M.
      • Casabona F.
      • Friedman D.
      • et al.
      Surgical prevention of arm lymphedema after breast cancer treatment.
      ,
      • Boccardo F.
      • Casabona F.
      • De Cian F.
      • et al.
      Lymphedema microsurgical preventive healing approach: a new technique for primary prevention of arm lymphedema after mastectomy.
      A 4 year follow up by the same group demonstrated a 4% incidence of lymphedema after ILR.
      • Boccardo F.
      • Casabona F.
      • De Cian F.
      • et al.
      Lymphatic microsurgical preventing healing approach (LYMPHA) for primary surgical prevention of breast cancer-related lymphedema: over 4 years follow-up.
      Subsequent reports of ILR outcomes from other institutions show similarly promising results. However, these studies have low numbers of patients, ranging from 8 to 35, and short follow up, ranging on average from 6 to 15 months.
      • Jørgensen M.G.
      • Toyserkani N.M.
      • Sørensen J.A.
      The effect of prophylactic lymphovenous anastomosis and shunts for preventing cancer-related lymphedema: a systematic review and meta-analysis.
      The body of literature would benefit from additional publications on this topic with follow up of at least one year. Our study aims to add to the limited available data regarding ILR by describing our experience with our previously reported ILR technique.
      • Coriddi M.
      • Mehrara B.
      • Skoracki R.
      • Singhal D.
      • Dayan J.H.
      Immediate lymphatic reconstruction: technical points and literature review.
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      References

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