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Related Experiment Video

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A Murine Tail Lymphedema Model
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Developing a Lymphatic Surgery Program: A First-Year Review.

Anna Rose Johnson1, Aaron Fleishman1, Bao Ngoc N Tran1

  • 1From the Department of Surgery, Division of Plastic and Reconstructive Surgery, the Department of Medicine, Division of Cardiovascular Medicine, the Department of Radiology, Division of Magnetic Resonance Imaging, and the Department of Surgery/Breast Care Center, Beth Israel Deaconess Medical Center, Harvard Medical School.

Plastic and Reconstructive Surgery
|November 26, 2019
PubMed
Summary
This summary is machine-generated.

This study reviewed the first year of a lymphatic surgery program. Immediate lymphatic reconstruction was performed in 94% of eligible patients, while delayed reconstruction for lymphedema was performed in 38%.

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Area of Science:

  • Plastic Surgery
  • Vascular Surgery
  • Lymphedema Management

Background:

  • Lymphedema presents significant physical, psychosocial, and economic challenges.
  • A lymphatic surgery program was initiated in 2017.
  • The program aims for immediate lymphatic reconstruction in high-risk patients and delayed reconstruction for chronic lymphedema.

Purpose of the Study:

  • To describe the clinical experience of a new lymphatic surgery program in its first year.
  • To evaluate the initial outcomes of immediate and delayed lymphatic reconstructions.

Main Methods:

  • Retrospective review of a clinical database.
  • Analysis of patient demographics, clinical characteristics, and surgical management.
  • Inclusion of all patients evaluated for lymphatic surgery.

Main Results:

  • 142 patients were evaluated; 32% underwent lymphatic procedures.
  • 32 immediate and 13 delayed lymphatic reconstructions were performed.
  • 94% of eligible patients received immediate reconstruction, versus 38% for delayed lymphedema reconstruction.

Conclusions:

  • The first year demonstrated a clear clinical need for lymphatic surgery.
  • Immediate lymphatic reconstructions are more frequently performed initially.
  • Developing a robust team is crucial for evaluating and managing chronic lymphedema.