[A personal technic using a pediculate flap in the treatment of postmastectomy lymphedema]

A new technic of pediculate lymphoangioplasty for the treatment of postmastectomy lymphedema in order to achieve an effective drainage of the upper extremity, is presented. It may be associated to lymphatic venous anastomosis or the Thompson's surgery, according to the evolutive state of the illness. This technic consists of two steps: 1) flap's drawing as to direct the vascular flow to its base, 2) implantation of the flap, without epithelium, in the posterior face of the arm, after celuloaponeurectomy and invagination of the skin's edges of the arm, also without epithelium, over the flap. The lymphatic drainage is then improved to the supraclavicular, contra lateral axillary, inter costal and/or inguinal lymphnodes.