Postoperative Outcomes in Lymphedema: Assessing the Impact of Supermicrosurgical Techniques Since 2012

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Authors: Celine Remvig, Hannah Trøstrup

Introduction: Lymphedema, a common complication following cancer surgeries like lymph node dissection in breast cancer, presents a significant rehabilitation challenge due to persistent limb swelling. Supermicrosurgery, a cutting-edge technique involving the manipulation of extremely small blood and lymphatic vessels, has emerged as a promising approach in lymphedema management. The 2012 study particularly highlighted the effectiveness of supermicrosurgical techniques in lymphaticovenular anastomosis (LVA) and vascularized lymph node transfer (VLNT), offering new avenues in post-cancer surgery lymphedema care. This research builds upon the 2012 study by Becker et al., focusing on patients who developed secondary lymphedema post-breast cancer surgery. We aim to compare these cases with those treated after 2012, emphasizing the advancements in supermicrosurgery and their impact on limb size reduction over time.

Objectives: To assess the long-term efficacy of LVAs and AVLNTs in reducing the difference in limb circumference between affected and unaffected limbs, comparing 6- and 12-month postoperative measurements from the 2012 cohort with those of patients treated post-2012.

Methods: A comparative analysis of limb circumference measurements pre-surgery, directly post surgically and at 6- and 12-months post-surgery, in patients undergoing lymphatic surgeries for secondary lymphedema post-breast cancer.

Results: As this is an ongoing study, the results are pending. The analysis will juxtapose the long-term data against the 3-year postoperative outcomes from 2012.

Conclusions: This study seeks to determine whether surgical interventions for lymphedema have become more effective post-2012, using limb size discrepancy measurements as a key indicator. The aim is to highlight any significant improvements in patient outcomes attributable to the integration of supermicrosurgery techniques.

StatusUdgivet - 10 maj 2024
BegivenhedEUROMICRO2024: Congress of the European Federation of Societies for Microsurgery - Milano, Italien
Varighed: 9 maj 202411 maj 2024




  • Mikrokirurgi
  • lymfødem


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