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Drobot et al. Plast Aesthet Res 2021;8:30 https://dx.doi.org/10.20517/2347-9264.2021.19 Page 9 of 11
Figure 7. Suggested treatment algorithm for chyle leakage following axillary surgery. LVA: Lymphaticovenular anastomosis; POD:
postoperative day; TPN: total parenteral nutrition.
The algorithm in Figure 7 summarizes our above-described approach.
In conclusion, axillary chyle leakage may have a significant peripheral component that can be demonstrated
using ICG-based lymphography, and it can be treated effectively with LVA.
DECLARATIONS
Authors’ contributions
Made substantial contributions to conception and design of the study and performed data analysis and
interpretation: Drobot A, Drobot D, Sagi OI