Pathways Summer 2024
Volume 13 Issue 3
REFERENCES
A full set of references can be found at: https://www.canadalymph.ca/pathways-references/
Current state of surgical management of lymphedema in Canada
By Valentina Shamoun, Nina Hadzimustafic and Siba Haykal1 Grada, A A & Phillips, T J Lymphedema: Pathophysiology and clinical manifestations J Am Acad Dermatol 77, 1009–1020 (2017)
2. Sleigh, B. & Manna, B. Lymphedema. StatPearls https://www ncbi nlm nih gov/books/NBK537239/ (2023)
3 Liu, N Peripheral Lymphedema Peripheral Lymphedema (2021) doi:10.1007/978-981-16-3484-0.
4 Keast, D H , Moffatt, C & Janmohammad, A Lymphedema impact and prevalence international study: The canadian data Lymphat Res Biol 17, 178–186 (2019)
5. Shallwani, S. M., Hodgson, P. & Towers, A. Examining Obesity in Lymphedema: A Retrospective Study of 178 New Patients with Suspected Lymphedema at a Canadian Hospital-Based Clinic | Physiotherapy Canada doi:10 3138/ptc-2018-0076
6. Greene, A. K., Zurakowski, D. & Goss, J. A. Body Mass Index and Lymphedema Morbidity: Comparison of Obese versus Normal-Weight Patients Plast Reconstr Surg 146, 402–407 (2020)
7. Shahpar, H. et al. Risk Factors of Lymph Edema in Breast Cancer Patients. Int J Breast Cancer 2013, (2013).
8 Burian, E A et al Cellulitis in chronic oedema of the lower leg: an international cross-sectional study. Br J Dermatol 185, 110–118 (2021).
9. Garza, R., Skoracki, R., Hock, K. & Povoski, S. P. A comprehensive overview on the surgical management of secondary lymphedema of the upper and lower extremities related to prior oncologic therapies. BMC Cancer 17, 1–18 (2017).
10. Schaverien, M. V., Badash, I., Patel, K. M., Selber, J. C. & Cheng, M. H. Lymphedema Management: Vascularized Lymph Node Transfer for Lymphedema Semin Plast Surg 32, 28 (2018).
11. Keast, D. & Towers, A. The Rising Prevalence of Lymphedema in Canada: A Continuing Dialogue (2017)
12. Shallwani, S. M., Hodgson, P. & Towers, A. Comparisons Between Cancer-Related and Noncancer-Related Lymphedema: An Overview of New Patients Referred to a Specialized Hospital-Based Center in Canada Lymphat Res Biol 15, 64–69 (2017)
13. Canadian Lymphedema Network. Lymphedema Funding Inequities in Canada. Summer 2022 Pathways. Summer 2022 Pathways
https://issuu.com/canadianlymphedemaframework/docs/inequities in garment fundin g summer 2022 pathway (2022)
14 Deban, M , Mckinnon, J G & Temple-Oberle, C Mitigating Breast-Cancer-Related Lymphedema-A Calgary Program for Immediate Lymphatic Reconstruction (ILR). (2023) doi:10 3390/curroncol30020119
15 Garfein, E S , Borud, L J , Warren, A G & Slavin, S A Learning from a lymphedema clinic: An algorithm for the management of localized swelling. Plast Reconstr Surg 121, 521–528 (2008)
16 Schaverien, M V & Dayan, J H Multimodal Management of Upper and Lower Extremity Lymphedema. Multimodal Management of Upper and Lower Extremity Lymphedema 1–223 (2022) doi:10 1007/978-3-030-93039-4
17 Crescenzi, R et al Elevated magnetic resonance imaging measures of adipose tissue deposition in women with breast cancer treatment-related lymphedema. 191, 115–124 (2022)
18 Mohos, B et al Long-term Use of Ultrasound for Locating Optimal LVA Sites: A Descriptive Data Analysis. J Reconstr Microsurg 38, 238–244 (2022).
19 Kassamani, Y W et al Diagnostic Criteria for Breast Cancer-Related Lymphedema of the Upper Extremity: The Need for Universal Agreement Ann Surg Oncol 29, 989–1002 (2022).
20 Nielubowicz, J & Olszewski, W Surgical lymphaticovenous shunts in patients with secondary lymphoedema Br J Surg 55, 440–442 (1968)
21. Nielubowicz, J. & Olszewski, W. Experimental lymphovenous anastomosis. Br J Surg 55, 449–451 (1968)
22 Park, K E et al Surgical management of lymphedema: a review of current literature Gland Surg 9, 503 (2020).
23 Yamamoto, T et al Technical pearls in lymphatic supermicrosurgery Glob Health Med 2, 29–32 (2020)
24. Yamamoto, T. & Rodriguez, J. R. Step-by-step instruction: Lymphaticovenular anastomosis (LVA) techniques Multimodal Management of Upper and Lower Extremity Lymphedema 59–69 (2022) doi:10 1007/978-3-030-93039-4 9
25. Schaverien, M. V. & Coroneos, C. J. Surgical Treatment of Lymphedema. Plast Reconstr Surg 144, 738–758 (2019)
26 Jørgensen, M G , Toyserkani, N M & Sørensen, J A The effect of prophylactic lymphovenous anastomosis and shunts for preventing cancer-related lymphedema: a systematic review and meta-analysis Microsurgery 38, 576–585 (2018)
27 Chan, J C Y et al Postoperative care after lymphaticovenous anastomosis Arch Plast Surg 48, 333 (2021).
28 Gennaro, P et al Ultramicrosurgery: A new approach to treat primary male genital lymphedema JPRAS Open 20, 72–80 (2019)
29. Meuli, J. N., Guiotto, M., Elmers, J., Mazzolai, L. & di Summa, P. G. Outcomes after microsurgical treatment of lymphedema: a systematic review and meta-analysis Int J Surg 109, 1360–1372 (2023)
30. Chang, D. W., Suami, H. & Skoracki, R. A prospective analysis of 100 consecutive lymphovenous bypass cases for treatment of extremity lymphedema Plast Reconstr Surg 132, 1305–1314 (2013)
31. Garza, R. M. & Chang, D. W. Lymphovenous bypass for the treatment of lymphedema. (2018) doi:10 1002/jso 25166
32 Schaverien, M V, Badash, I , Patel, K M , Selber, J C & Cheng, M H Vascularized Lymph Node Transfer for Lymphedema. Semin Plast Surg 32, 28–35 (2018).
33. Scaglioni, M. F. et al. Comprehensive review of vascularized lymph node transfers for lymphedema: Outcomes and complications Microsurgery 38, 222–229 (2018)
34 Schaverien, M V & Dayan, J H Key topic: Vascularized lymph node transplant and recipient site selection. Multimodal Management of Upper and Lower Extremity Lymphedema 87–93 (2022) doi:10 1007/978-3-030-93039-4 12/FIGURES/5
35 Bianchi, L M G et al Diagnosis and Treatment of Post-Prostatectomy Lymphedema: What’s New? Current Oncology 2023, Vol. 30, Pages 4512-4526 30, 4512–4526 (2023).
36 Coroneos, C J et al Outcomes and technical modifications of vascularized lymph node transplantation from the lateral thoracic region for treatment of lymphedema J Surg Oncol 125, 603–614 (2022).
37 Brown, S et al A Prospective Study on the Safety and Efficacy of Vascularized Lymph Node Transplant Ann Surg 276, 635–653 (2022)
38. Schaverien, M. V. et al. Outcomes of Vascularized Lymph Node Transplantation for Treatment of Lymphedema J Am Coll Surg 232, 982–994 (2021)
39 Hamdi, M , Ramaut, L , De Baerdemaeker, R & Zeltzer, A Decreasing donor site morbidity after groin vascularized lymph node transfer with lessons learned from a 12-year experience and review of the literature Journal of Plastic, Reconstructive & Aesthetic Surgery 74, 540–548 (2021)
40. Gasteratos, K. et al. Microsurgical techniques in the treatment of breast cancer-related lymphedema: a systematic review of efficacy and patient outcomes Breast Cancer 28, 1002–1015 (2021)
41. Maruccia, M., Chen, H. C. & Chen, S. H. Modified charles’ procedure and its combination with lymph node flap transfer for advanced lymphedema Lymphedema: Presentation, Diagnosis, and Treatment 289–300 (2015) doi:10 1007/978-3-319-14493-1 26/COVER
42. Karonidis, A. & Chen, H. C. Preservation of toes in advanced lymphedema an important step in the control of infection Ann Plast Surg 64, 446–450 (2010)
43 HOMANS, J The Treatment of Elephantiasis of the Legs New England Journal of Medicine 215, 1099–1104 (1936).
44 Schaverien, M V, Munnoch, D A & Brorson, H Liposuction Treatment of Lymphedema Semin Plast Surg 32, 42–47 (2018)
45. Greene, A. K. & Maclellan, R. A. Operative Treatment of Lymphedema Using Suction-Assisted Lipectomy Ann Plast Surg 77, 337–340 (2016)
46 Campisi, C C , Ryan, M , Boccardo, F & Campisi, C Fibro-Lipo-Lymph-Aspiration With a Lymph Vessel Sparing Procedure to Treat Advanced Lymphedema After Multiple Lymphatic-Venous Anastomoses: The Complete Treatment Protocol Ann Plast Surg 78, 184–190 (2017)
47. Damstra, R. J., Voesten, H. G. J. M., Klinkert, P. & Brorson, H. Circumferential suction-assisted lipectomy for lymphoedema after surgery for breast cancer Br J Surg 96, 859–864 (2009)
48. de Sire, A. et al. Surgical Treatment and Rehabilitation Strategies for Upper and Lower Extremity Lymphedema: A Comprehensive Review Medicina (B Aires) 58, (2022)
49 Forte, A J , Huayllani, M T , Boczar, D , Ciudad, P & Manrique, O Lipoaspiration and Lymph Node Transfer for Treatment of Breast Cancer-related Lymphedema: A Systematic Review Cureus 11, (2019)
50 Lasso, J M & Alonso-Farto, J C Indocyanine green-guided liposuction for patients presenting with residual nonpitting edema after lymphovenous anastomosis. J Plast Reconstr Aesthet Surg 75, 2482–2492 (2022)
51 Ciudad, P et al Comprehensive multimodal surgical treatment of end-stage lower extremity lymphedema with toe management: The combined Charles,’ Homan’s, and
vascularized lymph node transfer (CHAHOVA) procedures Background: End-stage lower extremity lymphedema (LEL) poses a particularly (2019) doi:10 1002/jso 25356
52 Nguyen, D et al Lymphatic regeneration after implantation of aligned nanofibrillar collagen scaffolds: Preliminary preclinical and clinical results. J Surg Oncol 125, 113–122 (2022)
53 Lipman, K et al Lymphatic Microsurgical Preventive Healing Approach (LYMPHA) for Lymphedema Prevention after Axillary Lymph Node Dissection A Single Institution Experience and Feasibility of Technique J Clin Med 11, (2022)
54 Johnson, A R et al Lymphedema Incidence After Axillary Lymph Node Dissection: Quantifying the Impact of Radiation and the Lymphatic Microsurgical Preventive Healing Approach Ann Plast Surg 82, S234–S241 (2019)
55 Paramanandam, V S et al Prophylactic Use of Compression Sleeves Reduces the Incidence of Arm Swelling in Women at High Risk of Breast Cancer-Related Lymphedema: A Randomized Controlled Trial Journal of Clinical Oncology 40, 2004–2012 (2022)
Voices heard.
Key findings from the 2024 Pathways Readers’ Survey
By Grace NeumayerA full report on the survey results is available at https://tinyurl com/2024ReadersSurveyResults
Assessing research
Literature review, systematic review, meta-analysis: What’s the difference?
By Maree O’ConnorSuggested resources
● To explore this topic further watch the following video What’s the Difference between a Literature Review, Systematic Review, and Meta-Analysis?
Source: https://www youtube com/watch?v=oL-JFt 02H8&t=731s
● A useful place to look for systematic reviews is the Cochrane Library It is a collection of databases that contain high-quality, independent evidence to inform healthcare decision-making Watch a video about the Cochrane Library
Source: https://youtu be/MbiIg526USQ?si=5R3KIn3SFPDdH lM
The Cochrane databases include:
● The Cochrane Database of Systematic Reviews (CDSR) is the leading resource for systematic reviews in health care.
Source: https://youtu be/MbiIg526USQ?si=5R3KIn3SFPDdH lM
● To search the database go to the Cochrane Central Register of Controlled Trials (CENTRAL). This is a highly concentrated source of reports of randomized and quasi-randomized controlled trials In addition to bibliographic details (author, title, source, year, etc ) CENTRAL records often include an abstract (a summary of the article) They do not contain the full text of the article.
● Cochrane Clinical Answers (CCAs) provide a readable, digestible, clinically focused entry point to rigorous research from Cochrane Reviews They are designed to be actionable and to inform point-of-care decision-making Each CCA contains a clinical question, a short answer, and data for the outcomes from the Cochrane Review deemed most relevant to practising healthcare professionals The evidence is displayed in a user-friendly tabulated format that includes narratives, data, and links to graphics
● The Cochrane Library also has useful podcasts such as Podcast: Exercise interventions for upper-limb dysfunction due to breast cancer treatment A review from the Cochrane Breast Cancer Group examines the evidence for arm exercises for women who have had surgery to remove their tumour. Margaret McNeely describes this research, done by the review team based in Canada
Reprinted with permission from Lymphoedema Education Solutions, September 2023. www lymphoedemaeducation com au