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

Damstra, R. J.; Voesten, H. G. J. M.; Klinkert, P. and Brorson, Håkan LU (2009) In British Journal of Surgery 96(8). p.859-864
Abstract
Background: The incidence of arm lymphoedema after treatment for breast cancer ranges from 1 to 49 percent. Although most women can be treated by non-operative means with satisfying results, end-stage lymphoedema is often non-responsive to compression, where hypertrophy of adipose tissue limits the outcome value of compression or massage. Methods: This was a prospective study of 37 women with unilateral non-pitting lymphoedema. After initial conservative treatment for 2-4 days, circumferential suction-assisted lipectomy,vas used to remove excess volume. Limb compression was resumed after surgery with short-stretch bandages, followed by flat-knit compression garments. Results: The mean preoperative excess arm volume was 1399 ml. The total... (More)
Background: The incidence of arm lymphoedema after treatment for breast cancer ranges from 1 to 49 percent. Although most women can be treated by non-operative means with satisfying results, end-stage lymphoedema is often non-responsive to compression, where hypertrophy of adipose tissue limits the outcome value of compression or massage. Methods: This was a prospective study of 37 women with unilateral non-pitting lymphoedema. After initial conservative treatment for 2-4 days, circumferential suction-assisted lipectomy,vas used to remove excess volume. Limb compression was resumed after surgery with short-stretch bandages, followed by flat-knit compression garments. Results: The mean preoperative excess arm volume was 1399 ml. The total aspirate volume was 2124 ml with 93 per cent aspirate adipose tissue content. After 12 months, the mean reduction in excess volume was 118 per cent. The percentage reduction in excess volume after 12 months was linearly related to the preoperative excess volume but showed no linear relationship with the duration of lymphoedema or surgeon experience. Conclusion: Circumferential lipectomy combined with lifelong compression hose is an effective technique in end-stage lymphoedema after treatment for breast cancer. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
British Journal of Surgery
volume
96
issue
8
pages
859 - 864
publisher
John Wiley & Sons
external identifiers
  • wos:000268364500005
  • scopus:68049094102
ISSN
1365-2168
DOI
10.1002/bjs.6658
language
English
LU publication?
yes
id
bfbbaea3-f8f9-414c-9336-5b9ef29562aa (old id 1460674)
date added to LUP
2009-08-31 10:42:42
date last changed
2017-11-05 03:34:10
@article{bfbbaea3-f8f9-414c-9336-5b9ef29562aa,
  abstract     = {Background: The incidence of arm lymphoedema after treatment for breast cancer ranges from 1 to 49 percent. Although most women can be treated by non-operative means with satisfying results, end-stage lymphoedema is often non-responsive to compression, where hypertrophy of adipose tissue limits the outcome value of compression or massage. Methods: This was a prospective study of 37 women with unilateral non-pitting lymphoedema. After initial conservative treatment for 2-4 days, circumferential suction-assisted lipectomy,vas used to remove excess volume. Limb compression was resumed after surgery with short-stretch bandages, followed by flat-knit compression garments. Results: The mean preoperative excess arm volume was 1399 ml. The total aspirate volume was 2124 ml with 93 per cent aspirate adipose tissue content. After 12 months, the mean reduction in excess volume was 118 per cent. The percentage reduction in excess volume after 12 months was linearly related to the preoperative excess volume but showed no linear relationship with the duration of lymphoedema or surgeon experience. Conclusion: Circumferential lipectomy combined with lifelong compression hose is an effective technique in end-stage lymphoedema after treatment for breast cancer.},
  author       = {Damstra, R. J. and Voesten, H. G. J. M. and Klinkert, P. and Brorson, Håkan},
  issn         = {1365-2168},
  language     = {eng},
  number       = {8},
  pages        = {859--864},
  publisher    = {John Wiley & Sons},
  series       = {British Journal of Surgery},
  title        = {Circumferential suction-assisted lipectomy for lymphoedema after surgery for breast cancer},
  url          = {http://dx.doi.org/10.1002/bjs.6658},
  volume       = {96},
  year         = {2009},
}