{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T13:57:55Z","timestamp":1780667875600,"version":"3.54.1"},"reference-count":29,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2009,7,9]],"date-time":"2009-07-09T00:00:00Z","timestamp":1247097600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2009,7,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The incidence of arm lymphoedema after treatment for breast cancer ranges from 1 to 49 per cent. Although most women can be treated by non-operative means with satisfying results, end-stage lymphoedema is often non-responsive to compression, where hypertrophy of adipose tissue limits the outcome value of compression or massage.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This was a prospective study of 37 women with unilateral non-pitting lymphoedema. After initial conservative treatment for 2\u20134 days, circumferential suction-assisted lipectomy was used to remove excess volume. Limb compression was resumed after surgery with short-stretch bandages, followed by flat-knit compression garments.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The mean preoperative excess arm volume was 1399 ml. The total aspirate volume was 2124 ml with 93 per cent aspirate adipose tissue content. After 12 months, the mean reduction in excess volume was 118 per cent. The percentage reduction in excess volume after 12 months was linearly related to the preoperative excess volume but showed no linear relationship with the duration of lymphoedema or surgeon experience.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Circumferential lipectomy combined with lifelong compression hose is an effective technique in end-stage lymphoedema after treatment for breast cancer.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.6658","type":"journal-article","created":{"date-parts":[[2009,7,10]],"date-time":"2009-07-10T04:46:10Z","timestamp":1247201170000},"page":"859-864","source":"Crossref","is-referenced-by-count":85,"title":["Circumferential suction-assisted lipectomy for lymphoedema after surgery for breast cancer"],"prefix":"10.1093","volume":"96","author":[{"given":"R J","family":"Damstra","sequence":"first","affiliation":[{"name":"Department of Dermatology, Phlebology and Lymphology, Nij Smellinghe Hospital, Drachten, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H G J M","family":"Voesten","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Nij Smellinghe Hospital, Drachten, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Klinkert","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Tjongerschans Hospital, Heerenveen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H","family":"Brorson","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences Malm\u00f6, Lund University, Plastic and Reconstructive Surgery, Malm\u00f6 University Hospital, Malm\u00f6, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2009,7,9]]},"reference":[{"key":"2021070910400705400_bib1","doi-asserted-by":"crossref","first-page":"1368","DOI":"10.1002\/1097-0142(20010915)92:6<1368::AID-CNCR1459>3.0.CO;2-9","article-title":"Lymphedema in a cohort of breast carcinoma survivors 20 years after diagnosis","volume":"92","author":"Petrek","year":"2001","journal-title":"Cancer"},{"key":"2021070910400705400_bib2","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1093\/jnci\/djj158","article-title":"Randomized multicenter trial of sentinel node biopsy versus standard axillary treatment in operable breast cancer: the ALMANAC Trial","volume":"98","author":"Mansel","year":"2006","journal-title":"J Natl Cancer Inst"},{"key":"2021070910400705400_bib3","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1245\/ASO.2006.05.013","article-title":"Surgical complications associated with sentinel lymph node biopsy: results from a prospective international cooperative group trial","volume":"13","author":"Wilke","year":"2006","journal-title":"Ann Surg Oncol"},{"key":"2021070910400705400_bib4","doi-asserted-by":"crossref","first-page":"5213","DOI":"10.1200\/JCO.2008.16.3725","article-title":"Prevalence of lymphedema in women with breast cancer 5 years after sentinel lymph node biopsy or axillary dissection: objective measurements","volume":"26","author":"McLaughlin","year":"2008","journal-title":"J Clin Oncol"},{"key":"2021070910400705400_bib5","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1093\/annonc\/mdl182","article-title":"A systematic review of common conservative therapies for arm lymphoedema secondary to breast cancer treatment","volume":"18","author":"Moseley","year":"2007","journal-title":"Ann Oncol"},{"key":"2021070910400705400_bib6","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1089\/lrb.2006.4404","article-title":"Adipose tissue dominates chronic arm lymphedema following breast cancer: an analysis using volume rendered CT images","volume":"4","author":"Brorson","year":"2006","journal-title":"Lymphat Res Biol"},{"key":"2021070910400705400_bib7","first-page":"516","volume-title":"A System of Treatment","author":"Charles","year":"1912"},{"key":"2021070910400705400_bib8","doi-asserted-by":"crossref","first-page":"1566","DOI":"10.1136\/bmj.2.5319.1566","article-title":"Surgical treatment of chronic lymphoedema of the lower limb. With preliminary report of new operation","volume":"2","author":"Thompson","year":"1962","journal-title":"BMJ"},{"key":"2021070910400705400_bib9","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1002\/micr.20214","article-title":"Lymphatic microsurgery for the treatment of lymphedema","volume":"26","author":"Campisi","year":"2006","journal-title":"Microsurgery"},{"key":"2021070910400705400_bib10","first-page":"202","article-title":"[The microsurgical lymph vessel transplantation.]","volume":"35","author":"Baumeister","year":"2003","journal-title":"Handchir Mikrochir Plast Chir"},{"key":"2021070910400705400_bib11","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1007\/s10549-008-9932-5","article-title":"Lymphatic venous anastomosis (LVA) for treatment of secondary arm lymphedema. A prospective study of 11 LVA procedures in 10 patients with breast cancer related lymphedema and a critical review of the literature","volume":"113","author":"Damstra","year":"2009","journal-title":"Breast Cancer Res Treat"},{"key":"2021070910400705400_bib12","first-page":"35","article-title":"First surgical treatment for molding body's cellulite with three 5 mm incisions","volume":"3","author":"Fischer","year":"1976","journal-title":"Bull Int Acad Cosmetic Surg"},{"key":"2021070910400705400_bib13","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1046\/j.1524-4725.2000.00066.x","article-title":"History of liposuction","volume":"26","author":"Flynn","year":"2000","journal-title":"Dermatol Surg"},{"key":"2021070910400705400_bib14","doi-asserted-by":"crossref","first-page":"137","DOI":"10.3109\/02844319709085480","article-title":"Complete reduction of lymphoedema of the arm by liposuction after breast cancer","volume":"31","author":"Brorson","year":"1997","journal-title":"Scand J Plast Reconstr Surg Hand Surg"},{"key":"2021070910400705400_bib15","first-page":"8","article-title":"Quality of life after liposuction and conservative treatment of arm lymphedema","volume":"39","author":"Brorson","year":"2006","journal-title":"Lymphology"},{"key":"2021070910400705400_bib16","first-page":"156","article-title":"Liposuction reduces arm lymphedema without significantly altering the already impaired lymph transport","volume":"31","author":"Brorson","year":"1998","journal-title":"Lymphology"},{"key":"2021070910400705400_bib17","first-page":"165","article-title":"Skin blood flow of the lymphedematous arm before and after liposuction","volume":"30","author":"Brorson","year":"1997","journal-title":"Lymphology"},{"key":"2021070910400705400_bib18","first-page":"256","article-title":"Efficacit\u00e9 versus placebo de la contention classe 1 dans l'insuffisiance veineuse chronique des membres inf\u00e9rieurs","volume":"25","author":"Vayssairat","year":"2000","journal-title":"J Mal Vasc"},{"key":"2021070910400705400_bib19","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1016\/0141-5425(93)90062-4","article-title":"Direct and indirect methods for quantification of leg volume: comparison between water displacement volume try, the disk model and the frustum sign model, using correlation coefficient and the limits of agreement","volume":"15","author":"Kaulesar Sukul","year":"1993","journal-title":"J Biomed Eng"},{"key":"2021070910400705400_bib20","first-page":"153","article-title":"A comparison between surface measurements and water displacement volumetry for the quantification of leg edema","volume":"31","author":"Stranden","year":"1981","journal-title":"J Oslo City Hosp"},{"key":"2021070910400705400_bib21","first-page":"1","article-title":"Investigation and management of lymphedema","volume":"1","author":"Mortimer","year":"1990","journal-title":"Vasc Med Rev"},{"key":"2021070910400705400_bib22","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1007\/s10549-006-9213-0","article-title":"Validation of the inverse water volumetry method: a new gold standard for arm volume measurement","volume":"99","author":"Damstra","year":"2006","journal-title":"Breast Cancer Res Treat"},{"key":"2021070910400705400_bib23","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1080\/02844310701546920","article-title":"Use of a tourniquet with and without adrenaline reduces blood loss during liposuction for lymphoedema of the arm","volume":"41","author":"Wojnikow","year":"2007","journal-title":"Scand J Plast Reconstr Surg Hand Surg"},{"key":"2021070910400705400_bib24","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1177\/145749690309200409","article-title":"Liposuction in arm lymphedema treatment","volume":"92","author":"Brorson","year":"2003","journal-title":"Scand J Surg"},{"key":"2021070910400705400_bib25","doi-asserted-by":"crossref","first-page":"2821","DOI":"10.1002\/(SICI)1097-0142(19981215)83:12B+<2821::AID-CNCR33>3.0.CO;2-G","article-title":"Overview of treatment options and review of the current role and use of compression garments, intermittent pumps, and exercise in the management of lymphedema","volume":"83","author":"Brennan","year":"1998","journal-title":"Cancer"},{"key":"2021070910400705400_bib26","first-page":"30","article-title":"[Quantitative evaluation and qualitative results of surgical lymphovenous anastomosis in lower limb lymphedema.]","volume":"28","author":"Vignes","year":"2003","journal-title":"J Mal Vasc"},{"key":"2021070910400705400_bib27","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1016\/S0094-1298(20)31352-3","article-title":"Suction lipectomy in the management of limb lymphedema","volume":"16","author":"Sando","year":"1989","journal-title":"Clin Plast Surg"},{"key":"2021070910400705400_bib28","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1016\/0007-1226(89)90039-8","article-title":"Liposuction in the treatment of lymphoedema; a preliminary report","volume":"42","author":"O'Brien","year":"1989","journal-title":"Br J Plast Surg"},{"key":"2021070910400705400_bib29","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1007\/BF00454476","article-title":"Blood loss during liposuction using the tumescent technique","volume":"18","author":"Samdal","year":"1995","journal-title":"Aesth Plast Surg"}],"container-title":["British Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.6658","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/academic.oup.com\/bjs\/article-pdf\/96\/8\/859\/36639636\/bjs6658.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/bjs\/article-pdf\/96\/8\/859\/36639636\/bjs6658.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,9]],"date-time":"2021-07-09T20:09:23Z","timestamp":1625861363000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/96\/8\/859\/6141981"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,7,9]]},"references-count":29,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2009,7,9]]},"published-print":{"date-parts":[[2009,7,9]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.6658","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2009,8]]},"published":{"date-parts":[[2009,7,9]]}}}