Lymphedema Microsurgical Preventive Healing Approach for Primary Prevention of Lower Limb Lymphedema After Inguinofemoral Lymphadenectomy for Vulvar Cancer

Abstract

This study shows for the first time the feasibility of LVA in patients with vulvar cancer undergoing ILND. Future studies including larger series of patients should clarify whether this microsurgical technique reduces the incidence of LLL after ILND.

Recent progress in the treatment and prevention of cancer‐related lymphedema

“…Studies Assessing Tissue Transfer Procedures for the Treatment of Lymphedema CDT indicates complex decongestive therapy; NR, not reported.derived from a randomized controlled trial, which limits their widespread application. Similar techniques have been used in patients with melanoma196 and vulvar cancer225 ; however, long-term results in those patients are not yet available.…”

LYMPHA Technique to Prevent Secondary Lower Limb Lymphedema

“…This leads to good results with regard to stability of clinical outcome and marked reduction in the amount of time needed for postoperative physical therapy and for the use of compression garments. [16][17][18] Tables 3 and 4 This report describes the option of primary surgical prevention of lymphedema after cancer treatment. We previously described the possibility of preventing arm lymphedema after breast cancer treatment using the LYMPHA technique.…”

The lymphatic superficial circumflex iliac vessels deep branch perforator flap: A new preventive approach to lower limb lymphedema after groin dissection‐preliminary evidence

“…This approach has been called “LY.M.P.H.A.” (lymphatic microsurgical preventive healing approach), and reported primarily in upper extremities, after axillary lymphadenectomy for breast cancer (Boccardo et al, ). It has been described also for the prevention of LEL, after inguinal dissection, in two studies, one based on 8 patients (Morotti et al, ) and the other on 18 patients (Boccardo et al, ). These articles demonstrated the feasibility of this method, but further studies with a greater number of cases and longer follow up are required.…”