Breast Reconstruction with Simultaneous Lymphatic Transfers

  • Warren Mathew Rozen
  • Harmeet K. Bhullar
  • David J. Hunter-Smith
  • Rafael Acosta


Lymphoedema of the upper extremity is a distressing consequence of breast cancer treatment. It describes an accumulation of protein-rich fluid in the interstitial space due to an imbalance between lymphatic production and drainage (Grada and Phillips J Am Acad Dermatol 77(6):1009–1020, 2017).

The damage and destruction to the lymphatic system of the upper extremity can be caused by radiation therapy, surgical management and local destruction by the tumour. Lymphoedema post mastectomy and sentinel node biopsy can occur in 3–23% of patients and 30–47% of patients post mastectomy and axillary node dissection (Shah et al. Breast J 18(4):357–361, 2012). Radiation therapy post mastectomy has also been shown to cause lymphoedema with a rate of 58–65% (Shah et al. Breast J 18(4):357–361, 2012).


Lymphatic Lymphoedema Lymph node Vascularised lymph node transfer 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Warren Mathew Rozen
    • 1
  • Harmeet K. Bhullar
    • 2
  • David J. Hunter-Smith
    • 1
  • Rafael Acosta
    • 3
  1. 1.Department of Plastic, Reconstructive and Hand SurgeryPeninsula Health, Peninsula Clinical School, Central School of Monash University, The Alfred CentreFrankstonAustralia
  2. 2.Department of Plastics and Reconstructive SurgeryPeninsula HealthFrankstonAustralia
  3. 3.Department of Plastic and Reconstructive SurgeryGeelong HospitalGeelongAustralia

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