Is an Ounce of Lymphedema Prevention Is Worth a Pound of Cure? Friday, October 16 Fri, Oct 16 2:00-3:30 p.m. CDT

This panel would focus on different strategies and surgical approaches to lower the risk of cancer-related lymphedema development. Panelists will discuss their individual approaches to immediate lymphatic reconstruction and how they implement these in clinical practice to prevent lymphedema development. These approaches would include: immediate vascularized tissue or lymph node transplants at time of axillary node dissections, immediate lymphatic reconstruction combined with autologous breast reconstruction at the time of mastectomy/axillary node dissection (TBAR techniques, omental transfers, TDAP transfers, etc...), immediate lymphatic reconstruction with lymphovenous bypass procedures in the axilla, early delayed-distally based lymphatic reconstruction, and other potential techniques. Builds off US session.

Upon completion of this learning activity, participants should be able to:

1. List different strategies for immediate lymphatic reconstruction and when to use each strategy

2. Identify patients who would benefit from unique approaches to immediate lymphatic reconstruction

3. Discuss the potential benefits versus risks of immediate lymphatic reconstruction

4. Outline strategies to improve implementation of immediate lymphatic reconstruction, including coordination of care with oncological surgeons, addressing insurance restrictions, and novel technical and technological advancements