Combination of LVA and Liposuction Guarantees Long Lasting Results, Description of an Effective Surgical Strategy to Treat Cancer-related Lymphedema
Conditions
Brief summary
* cooperation of an International team with many years of experience in surgical management of lymphedema * description of an effective surgical strategy to treat cancer-related lymphedema, a high incidence pathology * the combination of LVA and liposuction guarantees long lasting results
Detailed description
Cancer-related lymphedema represents one of the major complications of cancer treatment, especially for breast and gynecologic cancers. Moreover, it has high impact on cancer survivors and healthcare systems. Lymphedema management still remains challenging. The better understanding of lymphedema physiopathology as well as the development of sophisticated surgical and diagnostic techniques have led to effective strategies to address lymphedema patients but, despite the considerable interest in international literature, no consensus exist. The combination of LVA and liposuction may represent an effective strategy in treating patients with cancer-related lymphedema, in order to reach a significant decrease in volume and reduction of lymphangitis rate as well as stable results in time. In addition, it has the aim of being minimally invasive and well tolerated by patients
Interventions
PROCEDUREcombination of lymphaticovenular anastomosis and liposuction
Surgeries were carried out under local anesthesia and light sedation.LVA was performed adopting supramicrosurgical technique.Liposuction was performed following completion of the LVA
Sponsors
University of Siena
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
patients affected by secondary lymphedema * free from cancer disease
Exclusion criteria
\- persistence of the neoplastic pathology \- patients affected by primary lymphedema
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change in volume | one year | change in volume of the limb affected by cancer-related lymphedema |
Countries
Italy
Contacts
Primary ContactGuido Gabriele, MD
Outcome results
None listed