Treatment of gynaecological cancer related lower limb lymphoedema with liposuction

Pauline McGee (Lead / Corresponding author), David Alex Munnoch

    Research output: Contribution to journalArticle

    Abstract

    Objective: To evaluate outcomes in patients with gynaecological cancer related lymphoedema treated with liposuction.

    Methods: A prospective analysis of 21 patients who underwent liposuction followed by compression therapy for chronic unilateral lower limb lymphoedema with up to 8 years follow up was performed.

    Results: Duration of lymphoedema prior to liposuction ranged from 4 to 28 years (mean 15.2 years). The mean age at time of liposuction was 52 years (range 37–67). Estimated volume excess in the affected limb ranged from 1.6 to 12 l (mean 4.7 l). The mean percentage reduction was 92.6% at 6 months (range 59.4–159.9) and 88.9% (range 60.9–127.5) at 1 year. Longer term follow-up of 6 patients at 5 years post-liposuction revealed a mean percentage reduction of 113.6% (range 83.5–155.5).

    Conclusion: Our experience of liposuction combined with compression garments has demonstrated significant and sustainable reduction in limb volume in patients with lower limb lymphoedema secondary to gynaecological malignancy.

    Original languageEnglish
    Pages (from-to)460-465
    Number of pages6
    JournalGynecologic Oncology
    Volume151
    Issue number3
    Early online date5 Oct 2018
    DOIs
    Publication statusPublished - 1 Dec 2018

    Fingerprint

    Lipectomy
    Lymphedema
    Second Primary Neoplasms
    Lower Extremity
    Extremities
    Clothing
    Neoplasms

    Keywords

    • Gynaecological malignancies
    • Liposuction
    • Lymphoedema
    • Secondary lymphedema
    • Surgery for lymphoedema

    Cite this

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    title = "Treatment of gynaecological cancer related lower limb lymphoedema with liposuction",
    abstract = "Objective: To evaluate outcomes in patients with gynaecological cancer related lymphoedema treated with liposuction.Methods: A prospective analysis of 21 patients who underwent liposuction followed by compression therapy for chronic unilateral lower limb lymphoedema with up to 8 years follow up was performed.Results: Duration of lymphoedema prior to liposuction ranged from 4 to 28 years (mean 15.2 years). The mean age at time of liposuction was 52 years (range 37–67). Estimated volume excess in the affected limb ranged from 1.6 to 12 l (mean 4.7 l). The mean percentage reduction was 92.6{\%} at 6 months (range 59.4–159.9) and 88.9{\%} (range 60.9–127.5) at 1 year. Longer term follow-up of 6 patients at 5 years post-liposuction revealed a mean percentage reduction of 113.6{\%} (range 83.5–155.5).Conclusion: Our experience of liposuction combined with compression garments has demonstrated significant and sustainable reduction in limb volume in patients with lower limb lymphoedema secondary to gynaecological malignancy.",
    keywords = "Gynaecological malignancies, Liposuction, Lymphoedema, Secondary lymphedema, Surgery for lymphoedema",
    author = "Pauline McGee and Munnoch, {David Alex}",
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    Treatment of gynaecological cancer related lower limb lymphoedema with liposuction. / McGee, Pauline (Lead / Corresponding author); Munnoch, David Alex.

    In: Gynecologic Oncology, Vol. 151, No. 3, 01.12.2018, p. 460-465.

    Research output: Contribution to journalArticle

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    AU - McGee, Pauline

    AU - Munnoch, David Alex

    N1 - Funding: none

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    Y1 - 2018/12/1

    N2 - Objective: To evaluate outcomes in patients with gynaecological cancer related lymphoedema treated with liposuction.Methods: A prospective analysis of 21 patients who underwent liposuction followed by compression therapy for chronic unilateral lower limb lymphoedema with up to 8 years follow up was performed.Results: Duration of lymphoedema prior to liposuction ranged from 4 to 28 years (mean 15.2 years). The mean age at time of liposuction was 52 years (range 37–67). Estimated volume excess in the affected limb ranged from 1.6 to 12 l (mean 4.7 l). The mean percentage reduction was 92.6% at 6 months (range 59.4–159.9) and 88.9% (range 60.9–127.5) at 1 year. Longer term follow-up of 6 patients at 5 years post-liposuction revealed a mean percentage reduction of 113.6% (range 83.5–155.5).Conclusion: Our experience of liposuction combined with compression garments has demonstrated significant and sustainable reduction in limb volume in patients with lower limb lymphoedema secondary to gynaecological malignancy.

    AB - Objective: To evaluate outcomes in patients with gynaecological cancer related lymphoedema treated with liposuction.Methods: A prospective analysis of 21 patients who underwent liposuction followed by compression therapy for chronic unilateral lower limb lymphoedema with up to 8 years follow up was performed.Results: Duration of lymphoedema prior to liposuction ranged from 4 to 28 years (mean 15.2 years). The mean age at time of liposuction was 52 years (range 37–67). Estimated volume excess in the affected limb ranged from 1.6 to 12 l (mean 4.7 l). The mean percentage reduction was 92.6% at 6 months (range 59.4–159.9) and 88.9% (range 60.9–127.5) at 1 year. Longer term follow-up of 6 patients at 5 years post-liposuction revealed a mean percentage reduction of 113.6% (range 83.5–155.5).Conclusion: Our experience of liposuction combined with compression garments has demonstrated significant and sustainable reduction in limb volume in patients with lower limb lymphoedema secondary to gynaecological malignancy.

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