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Liposuction for Advanced Lymphedema in a Multidisciplinary Team Setting in Australia - Five-Year Follow-Up

Karlsson, Tobias LU orcid ; Mackie, Helen ; Koelmeyer, Louise A. ; Heydon-White, Asha ; Ricketts, Robyn ; Toyer, Kim ; Boyages, John ; Brorson, Håkan LU orcid and Lam, Thomas (2023) In Plastic and Reconstructive Surgery
Abstract
Background:
Liposuction for International Society of Lymphology (ISL) late stage II or III limb lymphedema is an established surgical option to remove excessive adipose tissue deposition and has been performed in Australia since 2012 at the Australian Lymphoedema Education, Research and Treatment (ALERT) Program, Macquarie University.

Patients and methods:
Between May 2012 and May 2017, 72 patients with unilateral primary or secondary lymphedema of the arm or leg underwent suction-assisted lipectomy using the Brorson protocol. This prospective study presents 59 of these patients who had consented to research with a five-year follow-up.

Results:
Of the 59 patients, 54 (92%) were women, 30 (51%) had leg... (More)
Background:
Liposuction for International Society of Lymphology (ISL) late stage II or III limb lymphedema is an established surgical option to remove excessive adipose tissue deposition and has been performed in Australia since 2012 at the Australian Lymphoedema Education, Research and Treatment (ALERT) Program, Macquarie University.

Patients and methods:
Between May 2012 and May 2017, 72 patients with unilateral primary or secondary lymphedema of the arm or leg underwent suction-assisted lipectomy using the Brorson protocol. This prospective study presents 59 of these patients who had consented to research with a five-year follow-up.

Results:
Of the 59 patients, 54 (92%) were women, 30 (51%) had leg lymphedema and 29 (49%) had arm lymphedema. For arm patients, the median preoperative volume difference between the lymphedematous and the contralateral arm was 1061 mL, which reduced to 79 mL one year after surgery and to 22 mL five years after surgery. For leg patients, the median preoperative volume difference was 3447 mL, which reduced to 263 mL one year after surgery but increased to 669 mL five years after surgery.

Conclusions:
Suction-assisted lipectomy is a long-term option for the management of selected patients with ISL late stage II or III limb lymphedema when conservative management can offer no further improvement.a (Less)
Abstract (Swedish)
Background: Liposuction for International Society of Lymphology (ISL) late stage II or III limb lymphedema is an established surgical option to remove excessive adipose tissue deposition and has been performed in Australia since 2012 at the Australian Lymphoedema Education, Research and Treatment (ALERT) Program, Macquarie University.

Patients and methods: Between May 2012 and May 2017, 72 patients with unilateral primary or secondary lymphedema of the arm or leg underwent suction-assisted lipectomy using the Brorson protocol. This prospective study presents 59 of these patients who had consented to research with a five-year follow-up.

Results: Of the 59 patients, 54 (92%) were women, 30 (51%) had leg lymphedema and 29... (More)
Background: Liposuction for International Society of Lymphology (ISL) late stage II or III limb lymphedema is an established surgical option to remove excessive adipose tissue deposition and has been performed in Australia since 2012 at the Australian Lymphoedema Education, Research and Treatment (ALERT) Program, Macquarie University.

Patients and methods: Between May 2012 and May 2017, 72 patients with unilateral primary or secondary lymphedema of the arm or leg underwent suction-assisted lipectomy using the Brorson protocol. This prospective study presents 59 of these patients who had consented to research with a five-year follow-up.

Results: Of the 59 patients, 54 (92%) were women, 30 (51%) had leg lymphedema and 29 (49%) had arm lymphedema. For arm patients, the median preoperative volume difference between the lymphedematous and the contralateral arm was 1061 mL, which reduced to 79 mL one year after surgery and to 22 mL five years after surgery. For leg patients, the median preoperative volume difference was 3447 mL, which reduced to 263 mL one year after surgery but increased to 669 mL five years after surgery.

Conclusions: Suction-assisted lipectomy is a long-term option for the management of selected patients with ISL late stage II or III limb lymphedema when conservative management can offer no further improvement. (Less)
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author
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organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Plastic and Reconstructive Surgery
publisher
Lippincott Williams & Wilkins
external identifiers
  • pmid:37114928
  • scopus:85183452126
ISSN
0032-1052
DOI
10.1097/PRS.0000000000010612
language
English
LU publication?
yes
id
9f2d088c-da0c-432f-b76d-ba017e6b6386
date added to LUP
2023-05-19 15:46:14
date last changed
2024-02-19 11:19:02
@article{9f2d088c-da0c-432f-b76d-ba017e6b6386,
  abstract     = {{Background: <br/>Liposuction for International Society of Lymphology (ISL) late stage II or III limb lymphedema is an established surgical option to remove excessive adipose tissue deposition and has been performed in Australia since 2012 at the Australian Lymphoedema Education, Research and Treatment (ALERT) Program, Macquarie University.<br/><br/>Patients and methods: <br/>Between May 2012 and May 2017, 72 patients with unilateral primary or secondary lymphedema of the arm or leg underwent suction-assisted lipectomy using the Brorson protocol. This prospective study presents 59 of these patients who had consented to research with a five-year follow-up.<br/><br/>Results: <br/>Of the 59 patients, 54 (92%) were women, 30 (51%) had leg lymphedema and 29 (49%) had arm lymphedema. For arm patients, the median preoperative volume difference between the lymphedematous and the contralateral arm was 1061 mL, which reduced to 79 mL one year after surgery and to 22 mL five years after surgery. For leg patients, the median preoperative volume difference was 3447 mL, which reduced to 263 mL one year after surgery but increased to 669 mL five years after surgery.<br/><br/>Conclusions: <br/>Suction-assisted lipectomy is a long-term option for the management of selected patients with ISL late stage II or III limb lymphedema when conservative management can offer no further improvement.a}},
  author       = {{Karlsson, Tobias and Mackie, Helen and Koelmeyer, Louise A. and Heydon-White, Asha and Ricketts, Robyn and Toyer, Kim and Boyages, John and Brorson, Håkan and Lam, Thomas}},
  issn         = {{0032-1052}},
  language     = {{eng}},
  month        = {{04}},
  publisher    = {{Lippincott Williams & Wilkins}},
  series       = {{Plastic and Reconstructive Surgery}},
  title        = {{Liposuction for Advanced Lymphedema in a Multidisciplinary Team Setting in Australia - Five-Year Follow-Up}},
  url          = {{http://dx.doi.org/10.1097/PRS.0000000000010612}},
  doi          = {{10.1097/PRS.0000000000010612}},
  year         = {{2023}},
}