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A Murine Tail Lymphedema Model
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Prophylactic Surgery for Gynecologic Cancer-Related Lower Extremity Lymphedema.

Hyung Hwa Jeong1, Jin Geun Kwon1, Tae Hyung Kim2

  • 1. Department of Plastic and Reconstructive Surgery, Asan Medical Center, University of Ulsan School of Medicine, Seoul, Korea.

Plastic and Reconstructive Surgery
|May 5, 2026
PubMed
Summary
This summary is machine-generated.

Prophylactic lymph node-to-vein anastomosis (LNVA) significantly reduces lower extremity lymphedema after gynecologic cancer surgery. This procedure helps preserve lymphatic function and improves patient outcomes.

Keywords:
Gynecologic cancerLymph node to vein anastomosisLymphedemaProphylactic surgery

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Area of Science:

  • Oncology
  • Vascular Surgery
  • Lymphedema Management

Background:

  • Lower extremity lymphedema (LEL) frequently complicates gynecologic cancer surgery.
  • Prophylactic lymph node-to-vein anastomosis (LNVA) is a potential preventive strategy for LEL.
  • The efficacy of prophylactic LNVA remains incompletely understood.

Purpose of the Study:

  • To evaluate the effectiveness of prophylactic LNVA in preventing LEL after gynecologic cancer surgery.
  • To compare LEL incidence in patients undergoing LNVA versus those with standard lymphadenectomy.

Main Methods:

  • A controlled study compared 26 patients receiving prophylactic LNVA with 88 retrospective controls undergoing lymphadenectomy.
  • Patients were monitored for LEL using limb circumference, subcutaneous thickness, and bioimpedance analysis.
  • Follow-up averaged two years.

Main Results:

  • The incidence of LEL was significantly lower in the LNVA group (8%) compared to the control group (49%) at one-year follow-up (p<0.001).
  • The LNVA group showed minimal changes in limb volume and bioimpedance, indicating preserved lymphatic drainage.
  • Baseline demographics were similar, though the LNVA group had more radiotherapy and the control group had a higher cancer recurrence rate.

Conclusions:

  • Concurrent prophylactic LNVA with gynecologic cancer surgery markedly reduces LEL incidence.
  • LNVA is a promising strategy to mitigate LEL, a common and persistent complication.
  • This approach may enhance patient outcomes by preventing long-term lymphedema.