Super-Microsurgical Lymphatic Reconstruction for Breast Cancer Patients

Supermicrosurgical lymphatic reconstruction surgery?

Hello Doctor, I am a breast cancer patient, currently 47 years old.
I underwent a mastectomy five years ago, along with the removal of 12 lymph nodes from my left axilla.
After the surgery, I actively performed manual lymphatic drainage and did not exhibit any noticeable swelling.
However, in recent years, I have felt that my arm is more prone to soreness and swelling than before.
Recently, I have occasionally experienced severe pain in my left arm, which significantly affects my daily life.
I have read reports about supermicrosurgical lymphovenous anastomosis, which can reconstruct the lymphatic return mechanism.
I would like to ask the doctor a few questions: 1.
Lymphovenous anastomosis has been around for a long time; is supermicrosurgery a new technique? 2.
Does this supermicrosurgical lymphatic reconstruction provide long-lasting effects, or is it only effective for a few years? 3.
Will it help with the arm pain? I hope the doctor can take the time to reply.
Wishing you well, thank you.

Ms. Hu, 40~49 year old female. Ask Date: 2018/03/12

Dr. Zhou Hongzhang reply Plastic Surgery

1.
Lymphatic venous anastomosis has existed for some time, but its effectiveness has been inconsistent.
2.
Supermicrosurgery may represent a new technical approach.
3.
If the arm pain is caused by lymphedema, it may be effective.

Reply Date: 2018/03/12

More Info

Dear Patient,
Thank you for reaching out with your questions regarding super-microsurgical lymphatic reconstruction, especially in the context of your history with breast cancer and lymph node removal. It’s understandable to seek clarity on this innovative surgical technique, particularly given your ongoing symptoms.

1. Is super-microsurgical lymphatic reconstruction a new technique?
Yes, super-microsurgical lymphatic reconstruction is indeed a relatively newer advancement in the field of surgical techniques aimed at treating lymphedema, particularly after lymph node dissection in breast cancer patients. Traditional lymphaticovenous anastomosis has been performed for many years, but the super-microsurgical approach utilizes much finer instruments and techniques to connect lymphatic vessels to nearby veins. This allows for a more precise and effective reconstruction of lymphatic drainage pathways, which can significantly improve outcomes for patients suffering from lymphedema.

2. Is the effect of super-microsurgical lymphatic reconstruction permanent or temporary?
The effectiveness of super-microsurgical lymphatic reconstruction can vary among patients. Generally, many patients experience significant improvements in their symptoms, including reduced swelling and discomfort, for several years following the procedure. However, the longevity of the results can depend on various factors, including the extent of the original lymphedema, the patient’s overall health, and adherence to postoperative care and rehabilitation. Some patients may require additional treatments or interventions over time to maintain optimal results.

3. Will this procedure help with arm pain?
Super-microsurgical lymphatic reconstruction may help alleviate some of the discomfort you are experiencing in your left arm. By improving lymphatic drainage, the procedure can reduce the buildup of lymph fluid, which is often a source of pain and discomfort in lymphedema patients. Additionally, by restoring more normal lymphatic function, patients often report improvements in overall arm function and a reduction in sensations of heaviness or tightness. However, it is essential to discuss your specific symptoms with your surgeon, as they can provide a more tailored assessment of how this procedure may address your pain.

In conclusion, super-microsurgical lymphatic reconstruction represents a promising option for patients like yourself who are experiencing complications from lymph node removal. It is crucial to consult with a surgeon who specializes in this technique to discuss your individual case, potential risks, benefits, and the expected outcomes based on your specific condition.
I hope this information helps clarify your questions, and I wish you the best in your journey toward improved health and comfort.

Best regards,
Doctor Q&A Teams
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