DIEP flap BR lymphedema
Conditions
Interventions
DIEP-flap BR with or without an inguinal lymph node transplant.
Sponsors
Universitair Medisch Centrum Groningen
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: • All patients with complaints of lymphedema with an indication for secondary BR • Persistent volume excess of more than 5-10% of the affected arm (arm at side of mastectomy) in comparison to the contralateral arm measured by inverse water volumetry with pitting oedema • Persistent volume excess of the affected arm, patients are in maintenance phase of treatment for BCRL • Good patient coherence and willingness to wear therapeutic garments • Operability
Exclusion criteria
Exclusion criteria: • Recurrent malignancy • Lipoedema of the upper extremetiesextremities • Lymphedema of the lower extremetieextremity(s) • Patients with untreated lymphedema • Patients with bilateral upper arm lymphedema
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Degree of lymphedema at affected arm measured by Inverse water volumetry and difference in mobility and ROMrange of motion .: | — |
Secondary
| Measure | Time frame |
|---|---|
| Patient reported satisfaction and Quality of Life as measured by multiple questionnaires: - Range of motion of the shoulder joint in the following directions: abduction, ante flexion, retro flexion, medial and lateral rotation - Lymph-ICF questionnaire [Appendix C] - The Breast-Q reconstruction Module [Appendix D] | — |
Countries
Netherlands
Outcome results
None listed