Correlation between superficial and deep lymphatic systems using magnetic resonance lymphangiography in breast cancer-related lymphedema: Clinical implications
An interesting article about the considerations when planning microsurgical lymphatic procedures at the wrist and in postoperative compression therapy, authored by 2 of our ARBS Net faculty - Gemma Pons and Jaume Masia. It was published in the Journal of Plastic, Reconstructive & Aesthetic Surgery.
Magnetic resonance lymphangiography (MRL) has increased our knowledge of lymphatic anatomy and lymphedema pathophysiology and improved the efficacy of microsurgical procedures to manage peripheral lymphedema. The aim of this study is to investigate the ability of MRL to detect communications between superficial and deep lymphatic systems in breast cancer-related lymphedema (BRCL) and to investigate whether these communications could preserve lymphatic drainage of the hand.
The article concludes that communications between the deep and superficial lymphatic systems at the wrist region in BCRL patients without hand lymphedema should be considered when planning microsurgical lymphatic procedures at the wrist and in postoperative compression therapy.
Read the full article here: https://www.jprasurg.com/article/S1748-6815(19)30564-9/fulltext
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