Immediate Lymphatic Reconstruction
Immediate Lymphatic Reconstruction is a microsurgical procedure to significantly reduce the risk of lymphedema for breast and skin cancer patients.
Technology to Reduce Surgical Side Effects
Immediate Lymphatic Reconstruction (ILR) is a microsurgical procedure that takes place during lymph node removal for breast or skin cancer treatment. The removal of cancerous lymph nodes can lead to pooling of lymphatic fluid, which causes swelling called lymphedema. Lymphedema can cause pain and introduce the risk of infection. There is no cure for lymphedema, so ways to lower the risk of developing this side effect are highly valuable. ILR is a surgical technique that reduces the risk of developing lymphedema.
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Benefits of Immediate Lymphatic Reconstruction
Reduction in Lymphedema Risk (opens in a new tab)
63% reduction in lymphedema risk according to the most recent meta-analysis
Performed During Surgical Intervention for Cancer
Take place during the surgery with no additional armpit or groin incisions are typically needed (a vein graft from a leg may be required for some patients, which involves a small additional incision on a leg)
No Additional Recovery Symptoms
Recovery is like what would be required after lymph node removal
Additional Surveillance
Enrollment in a surveillance program for early detection of lymphedema and timely initiation of treatment if needed.
Frequently Asked Questions
How does ILR work?
Lymph nodes are part of the lymphatic system, which helps remove excess fluid, filter waste, and supports the body's immune defenses. During surgery in which lymph nodes are removed, the lymphatic vessels that normally drain fluid from the affected area can be disrupted. ILR reconnects these lymphatic vessels to nearby veins, creating a new pathway for fluid to drain naturally and reduce the risk of fluid buildup and lymphedema. To perform the technique, our specialists inject dye that traces the lymphatic vessels that need to be repaired. The damaged areas are bypassed so that the lymphatic fluid doesn't pool and lead to lymphedema.
Who could be a candidate for this treatment?
ILR is currently available to patients with breast or skin cancers where lymph nodes are affected. Our surgical oncology and plastic surgery teams consider the location of the lymph nodes, cancer stage, extent of the tumor, and other factors. Your healthcare team will evaluate your case to determine if this treatment is right for you.
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