Objective improvement in upper limb lymphoedema following ipsilateral latissimus dorsi pedicled flap breast reconstruction--a case series and review of literature

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
Muhammad Adil Abbas KhanDaniel Prinsloo

Abstract

We present a series of three patients whose upper limb lymphoedema (following total oncologic mastectomy and level III axillary clearance) resolved significantly after ipsilateral pedicled latissimus dorsi (LD) flap breast reconstruction. A retrospective review of the medical records of patients who had undergone oncologic mastectomy and level III axillary clearance with subsequent LD pedicled flap reconstruction was carried out. Individuals who had undergone review and treatment by the lymphoedema service were identified and patients with incomplete pre- or post-operative records were excluded. A minimum follow-up period of 2 years of conservative therapy, as well as 2 years post-operatively was undertaken. The rate of improvement of lymphoedema following conservative therapy was, on average, 0.095 mL/week and reached a plateau at 2-year follow-up. Following latissimus dorsi flap breast reconstruction, the rate of improvement in lymphoedema increased in all three cases, with an average improvement of 2.55 mL/week and remained sustained in the follow-up period. Pedicled myocutaneous flap reconstruction of the ipsilateral breast proved to be a useful treatment for upper limb lymphoedema in our series. This adds an important dime...Continue Reading

References

Mar 1, 1997·Plastic and Reconstructive Surgery·S A SlavinA D Van den Abbeele
Mar 2, 2005·Journal of Reconstructive Microsurgery·Dale A Classen, Leanne Irvine
Aug 2, 2007·Annals of Plastic Surgery·Christopher J SalgadoHung-Chi Chen
Sep 29, 2007·Annals of Plastic Surgery·Anne G WarrenSumner A Slavin
Jan 6, 2010·Plastic and Reconstructive Surgery·David W Chang, Sugene Kim
Sep 3, 2010·Plastic and Reconstructive Surgery·Muhammad Adil A KhanSukhbir Rayatt

❮ Previous
Next ❯

Citations

Jan 29, 2014·Plastic and Reconstructive Surgery·Ming-Huei ChengLeila Kolios
Dec 30, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·E SuloA Saarikko
Nov 20, 2016·The British Journal of Surgery·K-T LeeG-H Mun
May 1, 2013·Plastic and Reconstructive Surgery. Global Open·Tiina P ViitanenAnne M Saaristo

❮ Previous
Next ❯

Related Concepts

Related Feeds

Ataxias (MDS)

Ataxia is a neurological condition characterized by lack of voluntary coordination of muscle movements including loss of coordination, balance, and speech. Discover the latest research on ataxia here.

Breast Invasive Carcinoma

Invasive breast cancers indicate a spread into breast tissues and lymph nodes. Here are the latest discoveries pertaining to breast invasive carcinomas.

Auditory Perception

Auditory perception is the ability to receive and interpret information attained by the ears. Here is the latest research on factors and underlying mechanisms that influence auditory perception.

Breast Invasive Carcinoma (Keystone)

Invasive breast cancers indicate a spread into breast tissues and lymph nodes. Here are the latest discoveries pertaining to breast invasive carcinomas.

Carcinoma, Ductal

Ductal carcinoma is a malignant neoplasm involving the ductal systems of any of a number of organs, such as the mammary glands, pancreas, prostate or lacrimal gland. Discover the latest research on ductal carcinoma here.

Ataxia

Ataxia is a neurological condition characterized by lack of voluntary coordination of muscle movements including loss of coordination, balance, and speech. Discover the latest research on ataxia here.

Related Papers

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
M BlanchardS Vignes
Plastic and Reconstructive Surgery
David W Chang, Sugene Kim
Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology
Sarah A McLaughlinKimberly J Van Zee
Plastic and Reconstructive Surgery
Melissa A CrosbyDavid W Chang
© 2021 Meta ULC. All rights reserved