Liposuction Treatment of Lymphedema

Schaverien, Mark V.; Munnoch, D. Alex; Brorson, Håkan

doi:10.1055/s-0038-1635116

Cited by 92 publications

(62 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These characteristics significantly reduce the incidence of erysipelas and cellulitis (131). The complications from liposuction are limited, with a very low incidence rate; paresthesia of the skin is the most typical complication and fades away within 3-6 months (132), and fibrous tissue increases in some cases, specifically in women with a male distribution of body fat (132). The characteristics of current treatment scenarios for lymphedema are summarized in Table III.…”

Section: Treatmentmentioning

confidence: 99%

Lymphedema in survivors of breast cancer (Review)

et al. 2020

Oncol Lett

View full text Add to dashboard Cite

The tremendous improvement of survival in patients with breast cancer can be attributed to several treatment strategies, but these strategies also lead to the occurrence of breast cancer-related lymphedema (BCRL). BRCL is regularly associated with factors such as axillary lymph node dissection and local lymph node radiotherapy and manifests as an increase of >10% in the volume of affected limbs. Being overweight or having obesity (body mass index ≥25 kg/m 2 ), an excessive number of positive lymph nodes (>8) and capsular invasion by a tumor are additional risk factors for lymphedema. It is worth assessing the risk before surgery as this can prevent the occurrence of BCRL at the initial stage of breast cancer management. The clinical utility of many diagnostic tools and lymphedema surveillance allows early stage and even subclinical BCRL to be diagnosed, and allows real-time monitoring of the disease. The early diagnosis of BRCL allows treatment at an early stage, which is beneficial to the reduction of excess limb volume and the improvement of quality of life. At present, the major therapeutic methods of BCRL include complex decongestive therapy, pneumatic compression devices, participating in exercise, microsurgery and liposuction, each of which alleviates lymphedema effectively. No medications for treatment of BRCL have yet been developed. However, the recent findings on the success of molecular therapy in animal models may remedy this deficiency. Furthermore, the volume reduction of swollen limbs without swelling rebound by transplanting autologous stem cells has been successfully reported in some pilot studies, which may provide a new technique for treating BCRL. This review aimed to discuss the pathogenesis, clinical manifestation, risk factors, advantages and disadvantages of diagnostic tools, lymphedema surveillance and the characteristics of traditional and newly emerging BCRL treatments.

show abstract

Section: Treatmentmentioning

confidence: 99%

Lymphedema in survivors of breast cancer (Review)

et al. 2020

Oncol Lett

View full text Add to dashboard Cite

show abstract

“…Maximum reduction of limb size is usually achieved in the upper limb at 3 months and in the lower limb at 6 months, but it may take longer. For best results, it is advised to wear the garment lifelong [57] . Hoffner et al [58] have shown a mean 5-year postoperative reduction of 117% ± 26% in the limb with lymphoedema compared with the healthy arm.…”

Section: Liposuctionmentioning

confidence: 99%

Surgical debulking, lymphatico venous anastomosis, vascularised lymph node transfer in lower limb lymphoedema

Venkatramani¹,

Shanmugakrishnan²,

Kumaran³

et al. 2020

PAR

View full text Add to dashboard Cite

Lymphoedema is a chronic debilitating disease of the lymphatic system that occurs due to either abnormal development or damage of the lymphatics resulting from cancer or infection. The optimal treatment of lymphoedema is still elusive. Management is tailored according to clinical features, investigations and expectations of each patient. Lymphoedema patients should undergo a trial of conservative management with compression therapy, manual lymphatic drainage and external sequential compression devices. Early lymphoedema is treated by lymphovascular anastomosis, where the lymph vessels are connected to the subdermal veins by supermicrosurgery. In late cases when the limb is fibrotic, vascularised lymph node transfers are done, where lymph nodes are transferred from a healthy area to the affected area. In advanced cases, when the limb is fibrotic with cutaneous folds and skin changes, surgical debulking is done. In lymphoedema, along with accumulation of lymphatic tissue, there is also fat deposition, which can be removed by liposuction. One should be conversant with all treatment modalities to provide the lymphoedema patient with optimal care.

show abstract

“…However, because liposuction does not affect the disrupted fluid dynamics of the extremity, the fluid component of the disease is not addressed and a compression garment must be worn continuously following the procedure to control excess fluid accumulation and maintain volume reduction. 30 In properly selected patients, liposuction can provide excellent long-term results with both a decrease in limb volume and decreased infection rates (►Fig. 8).…”

Section: Ablative Surgical Techniquesmentioning

confidence: 99%

Lymphedema: Conventional to Cutting Edge Treatment

Wang

Lyons

Skoracki

2020

Semin intervent Radiol

View full text Add to dashboard Cite

Lymphedema of the extremities related to oncologic therapies such as cancer surgery, radiation therapy, and chemotherapy is a major long-term cause of morbidity for cancer patients. Both nonsurgical and surgical management strategies have been developed. The goals of these therapies are to achieve volume reduction of the affected extremity, a reduction in patient symptoms, and a reduction in associated morbidities such as recurrent soft-tissue infections. In this article, we review both nonsurgical and surgical management strategies. Traditional surgical therapy has focused on more ablative techniques such as the Charles procedure and suction-assisted lipectomy/liposuction. However, newer more physiologic surgical methods such as lymphovenous anastomoses and vascularized lymph node transfers have become a more common treatment modality for the management of this complex problem.

show abstract

Liposuction Treatment of Lymphedema

Cited by 92 publications

References 41 publications

Lymphedema in survivors of breast cancer (Review)

Lymphedema in survivors of breast cancer (Review)

Surgical debulking, lymphatico venous anastomosis, vascularised lymph node transfer in lower limb lymphoedema

Lymphedema: Conventional to Cutting Edge Treatment

Contact Info

Product

Resources

About