Immediate Lymphatic Reconstruction for prevention of Breast Cancer related Lymphoedema: Outcomes from a Single UK Centre

Immediate Lymphatic Reconstruction (ILR) has emerged as a safe surgical procedure that has shown a reduction in rate of breast cancer related lymphoedema (BCRL). 1 Chun M.J. Saeg F. Meade A. Kumar T. Toraih E.A. Chaffin A.E. Homsy C. Immediate Lymphatic Reconstruction for Prevention of Secondary Lymphedema: A Meta-Analysis. J Plast Reconstr Aesthet Surg. 2022 Mar; 75 (Epub 2021 Dec 1): 1130-1141https://doi.org/10.1016/j.bjps.2021.11.094 Abstract Full Text Full Text PDF PubMed Scopus (6) Google Scholar The risk of BCRL in those undergoing axillary lymph node dissection (ALND) is reported to be 1 in 3. 2 Johnson A.R. Fleishman A. Granoff M.D. Shillue K. Houlihan M.J. Sharma R. Kansal K.J. Teller P. James T.A. Lee B.T. Singhal D. Evaluating the Impact of Immediate Lymphatic Reconstruction for the Surgical Prevention of Lymphedema. Plast Reconstr Surg. 2021 Mar 1; 147: 373e-381ehttps://doi.org/10.1097/PRS.0000000000007636 Crossref PubMed Scopus (29) Google Scholar Many centres across the world have now reported their early outcome data and current literature supports the oncological safety of the procedure. 1 Chun M.J. Saeg F. Meade A. Kumar T. Toraih E.A. Chaffin A.E. Homsy C. Immediate Lymphatic Reconstruction for Prevention of Secondary Lymphedema: A Meta-Analysis. J Plast Reconstr Aesthet Surg. 2022 Mar; 75 (Epub 2021 Dec 1): 1130-1141https://doi.org/10.1016/j.bjps.2021.11.094 Abstract Full Text Full Text PDF PubMed Scopus (6) Google Scholar , 2 Johnson A.R. Fleishman A. Granoff M.D. Shillue K. Houlihan M.J. Sharma R. Kansal K.J. Teller P. James T.A. Lee B.T. Singhal D. Evaluating the Impact of Immediate Lymphatic Reconstruction for the Surgical Prevention of Lymphedema. Plast Reconstr Surg. 2021 Mar 1; 147: 373e-381ehttps://doi.org/10.1097/PRS.0000000000007636 Crossref PubMed Scopus (29) Google Scholar , 3 Coriddi M. Mehrara B. Skoracki R. Singhal D. Dayan J.H. Immediate Lymphatic Reconstruction: Technical Points and Literature Review. Plast Reconstr Surg Glob Open. 2021 Feb 17; 9e3431https://doi.org/10.1097/GOX.0000000000003431 Crossref PubMed Scopus (16) Google Scholar , 4 Depypere B. Vyncke T. Dhooghe N. Claes K. Blondeel P. Van Landuyt K. A Novel Technique for Preventive Lymphovenous Anastomosis: Anastomosing a Ligated Lymphatic Vessel. Plast Reconstr Surg Glob Open. 2021 Mar 22; 9e3509https://doi.org/10.1097/GOX.0000000000003509 Crossref PubMed Scopus (3) Google Scholar , 5 Granoff M.D. Fleishman A. Shillue K. Johnson A.R. Ross J. Lee B.T. Teller P. James T.A. Singhal D. A Four-Year Institutional Experience of Immediate Lymphatic Reconstruction. Plast Reconstr Surg. 2023 Mar 8; https://doi.org/10.1097/PRS.0000000000010381 Crossref Google Scholar