Lymphovenous Bypass Procedure for Secondary Prevention of Lymphedema in Breast Cancer

BCRL definition:

Post-operation subject condition with the presence of minimum DB 2 with one or both symptoms (swelling, heaviness), and an increment of UEL index >10% compared to pre-operation OR Post-operation subject condition with presence of ≥ DB 2 with minimum area 30% in one arm region in one of the arm lymphatic pathways (anterior or posterior), without presence of symptoms (swelling or heaviness), and increment of UEL index >10% compared to pre-operation.

International Society of Lymphology (ISL) stage 1 definition:

An early stage of lymphedema is characterized by soft tissue swelling that may subside with limb elevation or overnight rest, without permanent structural changes.

BCRL improvement :

Improvement in ICG lymphography stage with or without clinical signs (UEL <10% and or symptoms improvement)

QLQ-BR23 is a supplement to the EORTC QLQ-30, specific to breast cancer patients, containing 23 questions and scored from 0 (not at all) to 4 (very much). To evaluate the quality of life, we asked three questions about the arm (pain, swelling, and mobility issues). The quality of life decreases with a higher score.

Complications such as seroma, hematoma, wound separation, bleeding, and wound infection can be seen after surgery.