Evolution in Surgical Management of Breast Cancer-related Lymphedema: The MD Anderson Cancer Center Experience

Plastic and Reconstructive Surgery. Global Open
Edward I ChangMatthew M Hanasono

Abstract

Lymphedema is a lifelong, debilitating condition that plagues a large portion of patients who have undergone multimodality therapy for breast cancer. With the increasing experience in supermicrosurgical treatment of lymphedema, reconstructive surgeons have made a tremendous impact in improving the quality of life of patients suffering from breast cancer related lymphedema. Historical review of our evolution in treatment and management of breast cancer related lymphedema and implementation of our new algorithm. Retrospective review of patients who have undergone both the lymphovenous bypass and vascularized lymph node transfer with autologous breast reconstruction. The combined Breast Reconstruction Including Lymphovenous bypass and Inguinal to Axillary Node Transfer (BRILIANT) demonstrates promising outcomes. Thirty-eight patients (average age: 52.9 years, average BMI: 32.6 kg/m2) who have undergone the BRILIANT approach have all demonstrated improvements in their lymphedema. With an average follow-up of 19.1 months, no patients suffered a post-operative cellulitis, and 81.6% of patients also demonstrated a volume reduction. Our new algorithm combining breast reconstruction with lymphedema surgery represents an evolution in our...Continue Reading

References

Oct 30, 2013·Plastic and Reconstructive Surgery·David W ChangRoman Skoracki
Apr 12, 2016·Plastic and Reconstructive Surgery·Saam S TouraniMark W Ashton
Oct 5, 2017·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Maria S AsdourianAlphonse G Taghian
Nov 2, 2017·The New England Journal of Medicine·Arin K GreeneReid A Maclellan
Apr 11, 2018·Seminars in Plastic Surgery·Edward I ChangJesse C Selber
Apr 11, 2018·Seminars in Plastic Surgery·Mark V SchaverienHåkan Brorson
Aug 12, 2018·Journal of Surgical Oncology·Rebecca M Garza, David W Chang
Aug 22, 2018·Journal of Surgical Oncology·Daniel J GouldKetan M Patel
Nov 15, 2018·The New England Journal of Medicine·Stanley G Rockson
Jan 11, 2019·Annals of Plastic Surgery·Harm WintersDietmar J O Ulrich

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Citations

Nov 24, 2020·Wiener klinische Wochenschrift·Tonatiuh FloresKlaus F Schrögendorfer
Feb 11, 2021·Tissue Engineering. Part a·Malke Asaad, Summer E Hanson
Dec 22, 2020·Annals of Plastic Surgery·Kuo ChenPengwei Lu
Dec 1, 2021·Plastic and Reconstructive Surgery·Sahil K KapurCharles E Butler

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Methods Mentioned

BETA
dissection

Software Mentioned

BRILIANT

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Cellulitis

Cellulitis (erysipelas) is a recurring and debilitating bacterial infection of the skin and underlying tissue. Discover the latest research on cellulitis here.

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