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

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

Research output: Contribution to journalArticlepeer-review

73 Citations (SciVal)

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.
Original languageEnglish
Pages (from-to)859-864
JournalBritish Journal of Surgery
Volume96
Issue number8
DOIs
Publication statusPublished - 2009

Subject classification (UKÄ)

  • Surgery

Fingerprint

Dive into the research topics of 'Circumferential suction-assisted lipectomy for lymphoedema after surgery for breast cancer'. Together they form a unique fingerprint.

Cite this