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July 17, 2020Microsurgery

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

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Authors

MSMario F. ScaglioniUniversity of LucerneMMMatteo MeroniUniversity of LucerneEFElmar FritscheLuzerner Kantonsspital

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Overview

Case report reveals sustained symptom relief following microsurgical lymphovenous anastomosis in refractory secondary breast lymphedema, highlighting its efficacy when conservative therapy fails.

Key Points

  • Evaluate the clinical feasibility and therapeutic efficacy of microsurgical lymphovenous anastomosis for managing secondary breast lymphedema refractory to conservative treatment.
  • Treated a 52-year-old woman presenting with chronic erythema, diffuse swelling, and pain after breast cancer surgery, axillary lymph node dissection, and adjuvant radiotherapy that failed 14 months of conservative therapy.
  • Performed 3 microsurgical lymphovenous anastomoses using 12-0 microsutures, confirmed vessel patency via intraoperative indocyanine green lymphography, and evaluated outcomes at 6 and 12 months.
  • Achieved immediate postoperative resolution of erythema, rapid reduction of breast swelling, and substantial symptomatic pain relief.
  • Maintained complete symptom relief without signs of lymphedema recurrence or complications through the 6- and 12-month follow-up visits.

Cite This Study

Scaglioni et al. (2020) studied this question.

synapsesocial.com/papers/6a0ca7d8d48675e494239e01https://doi.org/10.1002/micr.30629
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