Modern aspects of surgical treatment of upper limb lymphedema in patients after combined treatment of breast cancer
Abstract
Lymphedema – the consequence of surgical damage to the lymphatic vessels. This pathology is associated with lymph node and/or radiotherapy. selecting treatment methods lymphedema varies depending on the severity of edema and fibrosis of the affected limb. lymphovenous anastomosis is the most effective and long term solution for the treatment of lymphostasis limbs. The technique of vascularized transplantation of lymph nodes is to move the tissue containing the lymph nodes in the supply vessels, followed by the imposition of microsurgical anastomosis in the recipient area. This paper describes a clinical case of delayed reconstruction of the left breast TRAM-flap with simultaneous transfer of the inguinal lymph nodes in the axilla. The first evaluation of the effectiveness of the operation carried out 3 months after surgery, regression of lymphedema is about 29%. The use of modern methods of reconstructive surgery and high-tech equipment allows you to achieve both a good aesthetic results after surgical treatment of breast cancer, and significantly reduce lymphedema of the upper limbs.
About the Authors
V. Ju. Ivashkov
N.N. Blokhin Russian Cancer Research Center Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Moscow
V. A. Sobolevsky
N.N. Blokhin Russian Cancer Research Center Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Moscow
Ju. S. Egorov
N.N. Blokhin Russian Cancer Research Center Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Moscow
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Review
For citations:
Ivashkov V.J., Sobolevsky V.A., Egorov J.S. Modern aspects of surgical treatment of upper limb lymphedema in patients after combined treatment of breast cancer. Bone and soft tissue sarcomas, tumors of the skin. 2016;(1):70-75. (In Russ.)
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