Besides the unavoidable loss or a scar on the of the affected breast, in advanced breast cancer where axillary clearance is done, around 15% of patients suffer the additional
insult of lymphedema of that side arm.
This can range from a mild swelling of the arm to grotesque proportions. In addition to the cosmetic consequences, stage 3 or stage 4 lymphedema also causes serious disability of the affected extremity. Many affected women find it difficult to perform common daily activities - like brushing teeth, holding a spoon, etc. Also, for the affected women, this can become a lifelong issue.
However, recent advances in microsurgery has managed to successfully avoid this problem. This technique is called LYMPHA - LYmphatic Microsurgery Preventive Healing Approach - whereby at the time of axillary clearance - arm lymphatics are anastomosed to a tributary of axillary vein.
Data has shown that a successful LYMPHA procedure can reduce this arm lympheda rate from 15% to 2%.
It can really make a huge difference to these women undergoing breast cancer surgery.
I am pleased to share with you that I have received special training in this technique at University of Miami under Dr Avisar and I have successfully conducted 6 LYMPHA procedures at SSO Hospital and 1 at Saifee Hospital, over a period of 1 month.
Wishing more power to our patients!!
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