{"data":{"id":"10.5281/zenodo.20101862","type":"dois","attributes":{"doi":"10.5281/zenodo.20101862","prefix":"10.5281","suffix":"zenodo.20101862","identifiers":[{"identifier":"oai:zenodo.org:20101862","identifierType":"oai"}],"alternateIdentifiers":[{"alternateIdentifierType":"oai","alternateIdentifier":"oai:zenodo.org:20101862"}],"creators":[{"name":"Zofia Caes","nameType":"Personal","familyName":"Zofia Caes","affiliation":["The University of Chicago, Chicago, IL, USA"],"nameIdentifiers":[]},{"name":"Ricardo Engel","nameType":"Personal","familyName":"Ricardo Engel","affiliation":["The University of Chicago, Chicago, IL, USA"],"nameIdentifiers":[]},{"name":"Maureen Beederman","nameType":"Personal","familyName":"Maureen Beederman","affiliation":["The University of Chicago, Chicago, IL, USA"],"nameIdentifiers":[]},{"name":"David Chang","nameType":"Personal","familyName":"David Chang","affiliation":["The University of Chicago, Chicago, IL, USA"],"nameIdentifiers":[]},{"name":"Summer E. Hanson","nameType":"Personal","familyName":"Summer E. Hanson","affiliation":["The University of Chicago, Chicago, IL, USA"],"nameIdentifiers":[]}],"titles":[{"title":"Immediate Lymphatic Reconstruction Reduces Volume Difference And Improves Functional Outcomes In Patients At Risk For Lymphedema: Follow Up Assessment Of A Prospective Database"}],"publisher":"Zenodo","container":{},"publicationYear":2026,"subjects":[{"subject":"plastic surgery"},{"subject":"reconstructive surgery"},{"subject":"conference abstract"},{"subject":"PSRC 2026"}],"contributors":[],"dates":[{"date":"2026-05-10","dateType":"Issued"}],"language":null,"types":{"ris":"CPAPER","bibtex":"article","citeproc":"","schemaOrg":"Article","resourceType":"","resourceTypeGeneral":"ConferencePaper"},"relatedIdentifiers":[{"relationType":"IsVersionOf","relatedIdentifier":"10.5281/zenodo.20086803","relatedIdentifierType":"DOI"}],"relatedItems":[],"sizes":[],"formats":[],"version":null,"rightsList":[{"rights":"Creative Commons Attribution Non Commercial No Derivatives 4.0 International","rightsUri":"https://creativecommons.org/licenses/by-nc-nd/4.0/legalcode","schemeUri":"https://spdx.org/licenses/","rightsIdentifier":"cc-by-nc-nd-4.0","rightsIdentifierScheme":"SPDX"}],"descriptions":[{"description":"PURPOSE : Patients undergoing axillary lymph node dissection (ALND) are at highest risk for developing breast cancer related lymphedema (BCRL); however, the role of preventative measures such as immediate lymphatic reconstruction (ILR) is not well defined. The purpose of this study was to obtain follow up assessments of patients who underwent ALND with or without ILR. METHODS: We performed a one-time follow up assessment of patients who were previously enrolled in our prospective ILR database between 2018 and 2022. The primary outcome measure was the development of lymphedema based on volume difference between the extremity on the side of breast cancer treatment compared to the unaffected arm. Additional measures included bioimpedance spectroscopy (BIS), circumference, and patient reported outcome surveys (LLIS, ASES, DASH). RESULTS: 71 patients were screened based on the initial database and 34 agreed to participate. The mean follow-up time was 4.29 years. The majority of participants were white (61.7%) with 26.5% self-identifying as black. Average age was 52 (27-72) years with BMI 28.3 (21.6-35.7). All patients had axillary lymph node dissection followed by post-operative radiation therapy. Patients who underwent ILR were more likely to participate in this follow-up study (22 underwent ILR versus 12 did not). We found a significant difference in overall limb volume between the affected and unaffected sides (2399 ml vs 2210 respectively; difference of 8.5%; p=0.002). Furthermore, there was a significant difference in the volume differential between the affected and unaffected arms of those who underwent ILR compared to those who did not (5.6% vs 12.4%; p=0.017). Upper extremity functional scores (ASES) were statistically and clinically significant, favoring those who underwent ILR (90.2 vs 83.3; p=0.001. Unaffected arm 99.6 for reference). There was a trend to lower BIS L-Dex values in the ILR group compared to no ILR though this did not achieve statistical significance (6.1 vs 14.7; p= 0.08). CONCLUSION: The authors demonstrate statistically significant and clinically meaningful outcomes in patients who underwent immediate lymphatic reconstruction with more than 4 years follow up. Further prospective and randomized studies are warranted to clearly define the role of ILR in high-risk patients.© 2026. Plastic Surgery Research Council | All rights reserved |*Source: https://ps-rc.org/meeting/Program/2026/121.cgi*","descriptionType":"Abstract"},{"description":"Abstract ID: 121","descriptionType":"Other"}],"geoLocations":[],"fundingReferences":[],"xml":"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