Lymphovenous anastomosis (LVA) for treatment of secondary breast lymphedema: A case report and literature review.

Microsurgery
Mario F ScaglioniElmar Fritsche

Abstract

Breast lymphedema (BLE) is a rather common complication occurring after surgical breast cancer treatment. Microsurgical lymphovenous anastomosis (LVA) is a validated technique for the management of lymphedema in the extremities and it is gaining approval also for the breast one. Here, we report a case of breast lymphedema successfully treated with LVA. A 52 years old woman referred chronic erythema, diffuse swelling and pain after breast surgery, axillary lymphnode dissection and adjuvant radiotherapy. Conservative treatments had been performed for 14 months without improvement of symptoms. The patient was then referred for surgery and multiple LVAs were performed at the right breast. A total of 3 LVAs have been performed, two lymphatic vessels were anastomosed to a single Y-shaped vein and one additional vessel was linked to another nearby vein of similar caliber. All the LVAs were executed using 12-0 microsutures and their patency was confirmed with intraoperative ICG lymphography. Immediately after this intervention the swelling decreased in size and the erythema disappeared and a sensation of relief was reported by the patient. The postoperative course was uneventful and at the 6 and 12 months follow up no signs and symptom...Continue Reading

References

Sep 17, 2004·Acta Oncologica·Riitta H RönkäMarjut H K Leidenius
Nov 26, 2010·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Takumi YamamotoTakuya Iida
Mar 15, 2012·Breast Cancer Research and Treatment·Amy C DegnimAndrea L Cheville
Oct 30, 2013·Plastic and Reconstructive Surgery·David W ChangRoman Skoracki
Dec 18, 2013·Annals of Surgical Oncology·Judy C BougheyAmy C Degnim
Jan 15, 2014·International Journal of Radiation Oncology, Biology, Physics·Laura E G WarrenAlphonse G Taghian
Dec 30, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·E SuloA Saarikko
Oct 4, 2017·Microsurgery·Mario F ScaglioniPietro Giovanoli
Jul 12, 2018·Annals of Plastic Surgery·Benoit Ayestaray, Theodoros Chrelias

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