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One-fifth of breast cancer patients are affected by breast cancer-related lymphedema, and their risk will also increase due to axillary lymph node dissection and regional lymph node radiotherapy.
One-fifth of breast cancer patients are affected by breast cancer-related lymphedema, and their risk will also increase due to axillary lymph node dissection and regional lymph node radiotherapy.
The purpose of this study was to evaluate immediate reconstruction lymphatic or lymphatic microsurgery prevention of healing methods postoperative incidence of lymphedema.
The purpose of this study was to evaluate immediate reconstruction lymphatic or lymphatic microsurgery prevention of healing methods postoperative incidence of lymphedema.
The researchers conducted a retrospective study on all patients who underwent immediate lymphatic reconstruction at their institution from September 2016 to February 2019.
The researchers conducted a retrospective study on all patients who underwent immediate lymphatic reconstruction at their institution from September 2016 to February 2019.
Lymphedema is defined in this institution as having ① any positive quantitative measurement that meets the criteria for lymphedema, and ② the presence of symptoms consistent with lymphedema determined by a certified lymphedema therapist (ie tightness, heaviness, swelling).
The preoperative evaluation uses a variety of methods to measure lymphedema.
The preoperative evaluation uses a variety of methods to measure lymphedema.
After completing the axillary lymph node dissection, use the same exposure provided by the breast surgeon to evaluate the axillary bed and identify any major venous branches that drain to the axillary vein.
During the study period, a total of 97 patients with breast cancer with positive lymph nodes underwent axillary lymph node surgery and attempted immediate lymphatic reconstruction.
The median number of lymph node dissections was 14, and the median follow-up time was 11.
The median number of lymph node dissections was 14, and the median follow-up time was 11.
During the study period, 4 patients developed transient lymphedema, and 3 of them were relieved.
During the study period, 4 patients developed transient lymphedema, and 3 of them were relieved.
In the high-risk patient cohort with a total lymphedema rate of 3.
In the high-risk patient cohort with a total lymphedema rate of 3.
1%, immediate lymphatic reconstruction is effective.
The team’s empirical data shows that immediate lymphatic reconstruction at the time of axillary surgery has a significant prospect in reducing the incidence of postoperative lymphedema in a cohort of high-risk patients with at least 6 months of follow-up, and it is one of the ways to prevent lymphedema in high-risk groups.
A promising and safe method.
In the high-risk patient cohort with a total lymphedema rate of 3.
1%, immediate lymphatic reconstruction is effective.
Immediate lymphatic reconstruction at the time of axillary surgery In a cohort of high-risk patients with lymphedema followed up for at least 6 months, there is a significant prospect in reducing the incidence of postoperative lymphedema, and it is a promising and safe method to prevent lymphedema in high-risk populations .
In order to further study, researchers are also seeking a larger and more diverse patient cohort.
Original document:
Original document:Johnson Anna Rose,Fleishman Aaron,Granoff Melisa D et al.
Evaluating the Impact of Immediate Lymphatic Reconstruction for the Surgical Prevention of Lymphedema.
[J] .
Plast Reconstr Surg, 2021, 147: 373e-381e.
Evaluating the Impact of Immediate Lymphatic Reconstruction for the Surgical Prevention of Lymphedema.
[J] .
Plast Reconstr Surg, 2021, 147: 373e-381e.
DOI: 10.
1097/PRS.
0000000000007636
1097/PRS.
0000000000007636 leave a message here