Lymphedema Treatment
Lymphedema is a potential complication for women who have undergone breast cancer surgery or radiation therapy, resulting in swelling in the arms or hands. This condition is prevalent, occurring in approximately 7% of those who have undergone sentinel lymph node biopsy and up to about 45% of those who have had traditional axillary node dissection. Additionally, post-surgical radiation therapy increases the likelihood of upper extremity lymphedema.
The development of lymphedema is attributed to the accumulation of lymphatic fluid due to the removal of lymph nodes, cancer involvement in the lymph nodes, or radiation to the axilla.
Symptoms of upper extremity lymphedema following breast cancer treatment include swelling in the arms, hands, fingers, shoulders, or chest, along with sensations of heaviness or tightness, restricted range of motion, aching or pain, decreased flexibility in the hand or wrist, and hardening and thickening of the skin on the affected arm.
Once lymphedema manifests, the affected arm becomes more susceptible to swelling, necessitating precautions to prevent infections. Patients are advised to avoid injuries to the affected arm and hand and ensure thorough cleaning of any wounds.
Treatment Options:
Various non-surgical and surgical treatments are available for lymphedema. Non-surgical approaches, including range of motion exercises, elevation, lymphatic massage, compression garments, intermittent pneumatic compression devices, and multi-layered banding, should be exhausted before considering surgery. While non-surgical treatments can be effective in mild to moderate cases, they may not offer definitive relief in advanced cases. Moreover, non-surgical methods can be time-consuming and cumbersome.
At AP Breast Centre, we provide a comprehensive range of upper extremity lymphedema treatments, including microsurgery. Our practice offers state-of-the-art reconstructive procedures such as lymphatic to vascular anastomosis and vascularized lymph node transfer, ensuring patients have access to advanced treatment options.