Lymphatic mapping after previous breast surgery

Lymphatic cording or axillary web syndrome after breast cancer surgery.

Lymphatic cording or axillary web syndrome (AWS) refers to a ropelike structure that develops mainly under the axilla but can extend to involve the medial aspect of the ipsilateral arm down to the antecubital fossa. It usually appears after axillary dissection and can develop after a patient’s last surgical follow-up. As a result, nonsurgical health professionals such as physioand massage thera...

Total knee arthroplasty after previous knee surgery

Endoscopic mitral and tricuspid valve surgery after previous cardiac surgery.

BACKGROUND The purpose of this study was to evaluate the feasibility and effectiveness of a right video-assisted approach for atrioventricular valve disease after previous cardiac surgery. METHODS AND RESULTS Between December 1st 1997 and May 1st 2006, 80 adults (mean age 65+/-12 years; 56% female) underwent reoperative surgery using a video-assisted approach without rib spreading. Previous c...

Breast lymphatic mapping using blue dye and radiocolloid.

I read Dr Kern’s article on the technique of subareolar blue dye injection with great interest. I was also interested in Dr Kern’s reply to the letter by Dr Ahmad Shatila. I was particularly intrigued by the comment made by Dr Kern that the sentinel lymphatic channels provide access to the same sentinel lymph nodes that receive lymph flow from peritumoral injections, and most importantly, that ...

Lymphatic mapping with intralesional tracer administration in breast carcinoma patients.

BACKGROUND The objectives of the study were to determine how often a sentinel lymph node is visualized by lymphoscintigraphy in breast carcinoma patients, how often the sentinel lymph node is identified during surgery, and the sensitivity of these procedures to identify the presence of axillary lymph node metastasis. METHODS A total of 136 patients were enrolled in 2 hospitals. Preoperative d...