Successful management of persistent lower extremity lymphedema with suction-assisted lipectomy

Abstract

IntroductionLower-extremity lymphedema is a significant complication attributed to gynecologic cancer surgery, potentially effectuating severe edema and discernible pain.Case reportWe report on a patient who developed persistent, lower-extremity lymphedema following her treatment for cervix cancer. Despite repeated efforts to manage the lymphedema with conventional measures, the patient's condition had not markedly improved. Thereafter, she underwent a suction-assisted lipectomy that effectively resolved her symptoms.ConclusionSince lymphedema often remains disabling and incurable following traditional therapy, suction-assisted lipectomy should be considered as an alternative when endeavoring to optimally manage this complication.

Comprehensive Decongestive Therapy as a Treatment for Secondary Lymphedema of the Lower Extremity and Quality of Life of Women After Gynecological Cancer Surgery

“…Similarly, the study by Micha et al [ 24 ] suggests that conservative CDT lymphedema is effective and has a beneficial effect on limb volume reduction, which is strongly related to improving the QoL (pain and depression relief) of lymphedema patients. Despite this, we also encountered patients whose lymphatic drainage disorder worsened despite well-managed conservative therapy.…”