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Lasso. Plast Aesthet Res 2020;7:30 I http://dx.doi.org/10.20517/2347-9264.2019.75 Page 5 of 12

Table 1. Progress is measured in months. When expressed in years, it is indicated along the table
Patient Age Sex Involved limb ISL classification Progress of lymphedema Number of LVA Preoperative rehabilitation
1 32 F Upper right II 25 months 3 Temporarily effective
2 45 F Upper right II 24 months 3 Temporarily effective
3 35 M Lower left II 3 years 4 Temporarily effective
4 41 F Upper right II 18 months 5 Non effective
5 38 F Upper left II 4 years 4 Temporarily effective
6 25 F Lower right III 15 months 4 Non effective
7 56 F Upper right II 25 months 2 Temporarily effective
8 39 F Upper right II 11 years 5 Temporarily effective
9 45 F Upper left II 3 years 4 Temporarily effective
10 67 F Upper left III 40 months 5 Non effective
11 45 F Lower right II 38 months 6 Temporarily effective
12 29 M Upper left II 3 years 3 Temporarily effective
13 76 F Lower right II 28 months 10 Temporarily effective
14 50 F Upper left II 24 months 4 Temporarily effective
15 62 F Upper right II 4 years 4 Non effective
16 65 F Upper left III 5 years 5 Non effective
17 60 F Upper left II 6 years 4 Temporarily effective
18 49 F Upper left II 25 months 5 Temporarily effective
19 53 F Upper right II 23 months 3 Non effective
20 55 F Upper right II 30 months 4 Temporarily effective
Temporarily effective: Patients worsened when non-surgical therapy was discontinued; Non effective: Patients non responders to non-
surgical therapy. LVA: lymphovenous anastomosis

Table 2. Results for each patient 1 year after LVA procedure (cm)
Circumference difference Circumference difference
Patient Satisfaction before surgeries Satisfaction after surgeries
preLVA (cm) postLVA (cm)
1 70 58 9 11
2 7.3 6 10 12
3 17 13.5 13 17
4 11.2 11 6 12
5 17 15 7 10
6 30 22 9 15
7 10 8.5 8 14
8 41 39 6 10
9 37 30 8 12
10 23 22.5 7 16
11 10 8 14 19
12 15 12.5 11 17
13 18 12 9 15
14 50 41 11 17
15 20 15 8 14
16 42 43 14 16
17 15 12.3 17 20
18 25 21.2 16 19
19 22 19 8 12
20 32.5 30 12 18
Satisfaction: sum of responses in survey before and after global treatment with lymphovenous anastomosis (LVA)

Figures 1 and 2 show volume reduction in the upper limb of a patient with lymphedema after breast cancer
(patient 2).

Table 3 shows pre- and post-operative ICG and SPECT-CT/lymphoscintigraphy results for all patients in
our study. Findings of SPECT-CT/lymphoscintigraphy before surgery showed a total absence of lymph