(20 Total References)
Lymphovenous Canada: Canuck in England - at the 2nd International Lymphoedema Framework Conference
Professor Baumeister and Dr. Brorson (left to right in this photo) were two speakers on a prenary panel about surgery, which also included Professor Campisi from Italy.
Dr. Håkan Brorson, who is senior consultant plastic surgeon at the Department of Plastic and Reconstructive Surgery, at Lund University in Malmö, Sweden, has spearheaded treatments in this area, and spoke eloquently about his treatment at the conference.
has trained teams from Denmark, USA, Netherlands, Scotland, Switzerland and Australia to treat lymphedema with liposuction.
Håkan Brorson, MD, PhD is ...
Håkan Brorson, MD, PhD is senior consultant plastic surgeon at the Department of Plastic and Reconstructive Surgery, Skåne University Hospital, Lund University, Malmö, Sweden.
In 1998 he
thesis: Liposuction and Controlled Compression Therapy in the Treatment of Arm Lymphedema following Breast Cancer with Professor Charles Witte as opponent.
He was appointed Associate Professor at Lund University, Sweden and Professor at Esculera de Graduados, Asociación Médica Argentina (EGAMA), Buenos Aires, Argentina in 2010.
research is focused on the formation of adipose tissue in lymphedema using CT, MR Imaging/Spectroscopy and Dual Energy X-ray Absorptiometry for gross anatomy, and micro-array and RT-PCR for genetic studies.
has also published papers focusing on Laser Doppler Imaging, lymphoscintigraphy and Quality of Life.
He is editor of the Swedish National Lymphedema Treatment Program and member of the International Lymphoedema Framework (ILF).
has trained several teams around the world to treat lymphedema with liposuction.
He was President of the 29th Congress of the European Group of Lymphology in 2003, and President of the 23rd International Congress of Lymphology in 2011; both held in Malmö, Sweden.
He is President Elect of the International Society of Lymphology 2011-2013 and will become President of the same Society 2013-2015.
Håkan Brorson, MD, PhD
Håkan Brorson, MD, PhD
AAPS - American Association of Plastic Surgeons - 2011 Program
Hakan Brorson, M.D., Ph.D.
Department of Plastic and Reconstructive Surgery, Malmo University Hospital, Malmo, Sweden
Imaginis - Swedish Physician Uses Liposuction to Help Treat Lymphedema
However, Swedish physician Hakan Brorson, MD, PhD has been using liposuction on breast cancer patients who experience severe, chronic lymphedema of the arm.Lymphedema is persistent arm swelling that occurs in approximately 15% to 20% of breast cancer patients who have had axillary (underarm) lymph nodes removed as part of their treatment.Current lymphedema treatments include manual lymph drainage with massage and medical compression bandaging, although many patients must still cope with the effects of lymphedema on a daily basis.To date, Dr. Brorson has successfully used liposuction to treat 72 lymphedema patients in Sweden, although long term follow-up is still needed.
Most breast cancer patients who undergo surgery and lymph node removal as part of their treatment experience some swelling (edema) in the affected breast and arm area during the first six to 12 weeks after surgery.Light arm and hand exercises are usually recommended during breast cancer treatment and up to 18 months after treatment has been completed to help keep the arm mobile.However, for reasons that are not fully understood, some patients go on to develop chronic arm swelling (lymphedema) that can cause physical and emotional hardship.Dr. Brorson, head of the Lymphedema Unit in the Department of Plastic and Reconstructive Surgery at Malmo University Hospital in Malmo, Sweden, has been investigating how liposuction can help alleviate the chronic arm pain and swelling associated with lymphedema.
Lymphedema is believed to be caused by an accumulation of lymphatic fluid in the arm.This accumulation occurs because surgery to remove the lymph nodes impairs lymph drainage (this drainage can also be further impaired by the use of radiation therapy in addition to lymph node removal).However, according to Dr. Brorson
, lymphedema can also be worsened by the accumulation of fatty (adipose) tissue in the arm.Dr. Brorson
believes liposuction can successfully remove this excess tissue, thereby reducing the symptoms of lymphedema.
To perform liposuction on his
lymphedema patients, Dr. Brorson
removes excess fatty tissue by making 15 to 20 small incisions (approximately 3 millimeters each) in the arm.The procedure is only performed on patients with severe lymphedema who do not show any signs of skin pitting (and therefore may not respond well to standard lymphedema treatments such as massage or the use of compression bandages).Pitting means that depressions in the arm skin can be seen by applying pressure to the arm with the fingers.According to Dr. Brorson
, the tissue removed during liposuction in these patients is 80% to 100% fat, so it does not further worsen the transportation of lymph in the arm.
After the liposuction surgery is performed, Dr. Brorson
believes it is very important to continue therapy with controlled compression bandages.A custom-made compression garment is made for each of his
patients after surgery, taking into account the reduction in arm volume.After one month, the arm is measured again, and another compression garment is made to be used in alternation with the old garment for three months.At the three-month, six-month, and 12-month marks, additional compression garments are made based on new arm measurements.This contrasts to how lymphedema patients are normally treated, where they only receive one compression garment.Dr. Brorson
believes that renewing measurements for compression garments three of four times during the first year can help sustain a reduction in arm volume.
Using liposuction to treat severe lymphedema with no signs of arm pitting is an accepted treatment in the European Community.The Swedish National Board of Health has also approved the technique.Dr. Brorson
has published several reports of his
technique in medical journals and believes that liposuction will soon be used more commonly in the United States to treat lymphedema.However, he
cautions that the procedure must be performed by a highly skilled surgeon who has been taught by Dr. Brorson's surgical team.Liposuction has been successful in completing reducing arm swelling in 72 patients in Sweden, but the patients need to be followed for seven years to ensure that the treatment is lasting.
All patients who have lymph nodes removed should be taught how to take care of the affected arm and help prevent lymphedema.Patients should also know the early signs of lymphedema and report any symptoms to their physicians immediately to help avoid long-term suffering.
Early Signs of Lymphedema
...The study, "Liposuction Gives Complete Reduction of Chronic Large Arm Lymphedema after Breast Cancer," by Hakan Brorson, MD, PhD, is published in Volume 39, Year 2000 issue of Acta Oncologica.
An abstract of the study is available at http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10987239&dopt=Abstract
Håkan Brorson, M.D., ...
Håkan Brorson, M.D., Ph.D.
Associate Professor and Senior Consultant Plastic Surgeon, Department of Plastic and Reconstructive Surgery, Skåne University Hospital, Lund University, Sweden
Professor (Esculera de Graduados, Asociación Médica Argentina, Buenos Aires)