Impact of Lymphatic venular Anastomosis (LVA)Quantity on outcome of post Mastectomy Lymphedema. | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 03 November 2025 | ||
| Document Type: Review Article | ||
| DOI: 10.21608/ejprs.2025.426543.1445 | ||
| Authors | ||
| Omar El-Sharkawy1; Ashraf Abolfotooh Khalil2; Abdulrahman Mahmoud Alnakeeb3; Heba Alawady4; Amr Ahmed Zaki* 5; Shaimaa Mostafa GAD6 | ||
| 1Plastic Surgery Department, Cairo University, Egypt | ||
| 2Faculty of Medicine, CAiro University | ||
| 3Om Almasryyn hospital | ||
| 4Physical therapy department Cairo university | ||
| 5Lecturer of plastic surgery faculty of medicine Cairo university | ||
| 6Plastic surgery Cairo university faculty of medicine elkasralainy | ||
| Abstract | ||
| Impact of Lymphatic venular Anastomosis (LVA) Quantity on outcome of Post Mastectomy Lymphedema ABSTRACT Background: lymphedema is among the most common reported complications in former breast cancer patients. Microsurgical lymphatic procedure is classified into “lymphatic bypass” and “lymphatic transfer”. “Lymphatic bypass” includes lymphatic-lymphatic bypass (LLB) and lymph venous bypass (LVB) The durability of the procedure depends on several factors, including the number of anastomoses performed. The literature does not agree on whether performing more anastomoses consistently improves results .and this remains a topic of active discussion. Objective: This research seeks to investigate the impact of LVAs number on the outcome of breast cancer related lymphedema surgery (BCRL)Patients and Method: This randomized control study included 16 patients with post -mastectomy upper limb lymphedema who presented to plastic surgery department of kasr Al-ainy hospital, between October 2020 to January 2023. This study was approved by the Research Ethical Committee of faculty of Medicine, Cairo University code: MD-87-2021. The patients were divided into two groups Group A (8 patients) underwent single anastomosis Group B (8 patients) underwent double anastomosis. All patients underwent preoperative evaluation using indocyanine green and duplex outcomes were assessed using International Society of Lymphology ISL, quality of life measures and cellulitis attacks frequency. Results: Improvement in international society of lymphology (ISL) staging and quality of life were not significantly related to the number of LVAs performed No correlation was found between the number of Lymphaticovenular anastomosis (LVA) and post operative quality of life scores (physical, psychological and social) using student t test. Conclusion:Lymphaticovenular anastomosis is a successful treatment modality for treatment of breast cancer related lymphedema in patients with linear pattern on indocyanine green, the procedure demonstrated downgrading in the lymphedema staging and reducing cellulitis attack however, these improvements were not correlated to the number of anastomoses performed.Keywords: Lymphaticovenular anastomosis (LVA), breast cancer related lymphedema surgery (BCRL), Outcome, Number. | ||
| Keywords | ||
| Lymphaticovenular anastomosis (LVA); breast cancer related lymphedema surgery (BCRL); Outcome; Number | ||
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