Microlymphatic surgery of secondary lymphoedema of the upper limb

Out of 79 patients with upper limb lymphoedema 73 developed it following radical mastectomy. The ages of the patients ranged from 32 to 75. Direct upper lymphography and phlebography was carried out in 73 cases. Two factors have turned out to be important when microlymphatic surgery is considered: the level of blockade of the lymph trunks and the condition of the lymphatic trunks. 83 patients have been subjected to microsurgical intervention. Postoperative good results were seen in 30% and fair results in 56%.