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Page 8 of 9 Onishi et al. Plast Aesthet Res 2021;8:50 https://dx.doi.org/10.20517/2347-9264.2021.75

In conclusion, our study demonstrated that LVA surgery plus PORT yielded significantly greater edema
reduction than LVA alone in the early postoperative period. Based on our findings, it would be highly
beneficial to combine reduction treatment during the early postoperative period after LVA surgery to
maximize treatment outcomes because the surgical outcomes of LVA alone can be diverse. To our
knowledge, our study is the first to describe a combination of LVA and PORT. We believe that this study
will contribute to the development of an optimal treatment strategy for patients with lymphedema.

DECLARATIONS
Authors’ contributions
Conception and design of the study: Onishi F, Tsugu W, Minabe T, Okuda N
Data collection and analysis: Onishi F, Tsugu W, Okuda N
Manuscript writing: Onishi F, Minabe T

Availability of data and materials
Not applicable.

Financial support and sponsorship
None.

Conflicts of interest
All authors declared that there are no conflicts of interest.

Ethical approval and consent to participate
This study was conducted in accordance with the Declaration of Helsinki and approved by the institutional
review board.

Consent for publication
The authors obtained consent for publication from the patient we present in this article.

Copyright
© The Author(s) 2021.

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