Circumferential suction-assisted lipectomy for lymphoedema after surgery for breast cancer

Damstra, Robert J.; Voesten, H. G. J. M.; Klinkert, P.; Brorson, Håkan

doi:10.1002/bjs.6658

Cited by 96 publications

(59 citation statements)

References 30 publications

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“…This has been confirmed by Damstra et al's [21] study of 37 patients with end-stage breast cancer related lymphedema where the proportion of fat in the aspirate (when a tourniquet was used) was 93% (range 59-100%). The same outcome was shown in a study by Schaverien et al [22] in 12 patients with arm lymphedema following breast cancer treatment with 92 percent (range, 75-100) of fat in the aspirate.…”

Section: Excess Subcutaneous Adiposity and Chronic Lymphedemamentioning

confidence: 54%

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Liposuction Normalizes – in Contrast to Other Therapies – Lymphedema-Induced Adipose Tissue Hypertrophy

Brorson

2013

Handchir Mikrochir plast Chir

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The various types of treatment of lymphedema are under discussion and there has been some controversy regarding liposuction for lymphedema. Although it is clear that conservative therapies such as complex decongestive therapy (CDT) and controlled compression therapy (CCT) should be tried in the first instance, options for the treatment of late-stage lymphedema that is not responding to such treatment is not so clear. Improvements in technique, patient preparation, and patient follow-up have led to a greater and a wider acceptance of liposuction as a treatment for lymphedema. This paper outlines the benefits of using liposuction and presents the evidence to support its use.

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Section: Excess Subcutaneous Adiposity and Chronic Lymphedemamentioning

confidence: 54%

“…In 2009 Damstra et al [21] reproduced these results in a large study with 37 breast cancer-related lymphedema patients. A recent publication from 2012 with a 5-year follow-up in 12 patients with breast cancer related lymphedema confirmed no recurrence with this technique [22].…”

Section: Excess Subcutaneous Adiposity and Chronic Lymphedemamentioning

confidence: 84%

Liposuction Normalizes – in Contrast to Other Therapies – Lymphedema-Induced Adipose Tissue Hypertrophy

Brorson

2013

Handchir Mikrochir plast Chir

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“…This has led to the development of circumferential suction-assisted lipectomy as a treatment for lymphedema in cases in which fat hypertrophy dominates and fluid is minimal (37,38).…”

Section: Fat and Lymphaticsmentioning

confidence: 99%

New developments in clinical aspects of lymphatic disease

Mortimer¹,

Rockson²

2014

J. Clin. Invest.

288

232

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The lymphatic system is fundamentally important to cardiovascular disease, infection and immunity, cancer, and probably obesity -the four major challenges in healthcare in the 21st century. This Review will consider the manner in which new knowledge of lymphatic genes and molecular mechanisms has demonstrated that lymphatic dysfunction should no longer be considered a passive bystander in disease but rather an active player in many pathological processes and, therefore, a genuine target for future therapeutic developments. The specific roles of the lymphatic system in edema, genetic aspects of primary lymphedema, infection (cellulitis/erysipelas), Crohn's disease, obesity, cancer, and cancer-related lymphedema are highlighted.

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“…Continued reduction in volume has been attributed to the continued use of compression garments. Damstra et al show similar findings with a reduction in volume of 118% at 1 year in 37 patients [20].…”

Section: Discussionmentioning

confidence: 54%

“…Brorson's group as well as a few others document its successful use, however experience reported in the U.S. literature is scarce [17,19,20]. Our objective was to explore the feasibility of liposuction to reduce fat volume and thus arm lymphedema, restoring function and improving cosmesis of the limb in an American study population.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of liposuction for treatment of arm lymphedema from breast cancer: A prospective study and review of the literature

2015

Integr Cancer Sci Therap

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Lymphedema is a dreaded complication of breast cancer treatment affecting 20% of women having axillary node dissection. We explored the feasibility of liposuction to reduce volume and thus arm lymphedema. A prospective trial of women with unilateral arm lymphedema from breast cancer treatment was conducted. Arm measurements, volumes (water displacement and geometric calculation), muscle strength differences and quality of life/functionality were measured pre-operatively and post-operatively at 6 weeks, 6 months and yearly up to 5 years.Six patients had liposuction. Average age was 52.8 yrs. Average percent volume reductions at 6 weeks, 6 months and 1 year were 70%, 47%, 71% mls geometrically and 63%, 18%, 54% by water displacement. 1 patient had cellulitis at 4 months and had no other adverse events. Quality of life and functionality were not statistically significant. Pain decreased. Mean grip strength improved.Liposuction can safely reduce volume of arm lymphedema and may improve functionality/quality of life. Larger studies with longer follow-up are required to validate the durability of these early results.

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Circumferential suction-assisted lipectomy for lymphoedema after surgery for breast cancer

Abstract: Circumferential lipectomy combined with lifelong compression hose is an effective technique in end-stage lymphoedema after treatment for breast cancer.

Cited by 96 publications

References 30 publications

Liposuction Normalizes – in Contrast to Other Therapies – Lymphedema-Induced Adipose Tissue Hypertrophy

Liposuction Normalizes – in Contrast to Other Therapies – Lymphedema-Induced Adipose Tissue Hypertrophy

New developments in clinical aspects of lymphatic disease

Feasibility of liposuction for treatment of arm lymphedema from breast cancer: A prospective study and review of the literature

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