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March 1955

Surgical Approach to Postmastectomy Lymphedematous Extremity

AMA Arch Surg. 1955;70(3):418-419. doi:10.1001/archsurg.1955.01270090096021

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Many papers have been written dealing with the problem of the lymphedematous extremity. This approach may be a partial answer to this annoying problem. It is hoped that other surgeons will give this permanent thoracic tubed pedicle approach a fair trial, as it is fully realized that this single case report does not adequately prove the point.

CASE REPORT AND TECHNIQUE  The patient, aged 66, was first seen at the Milwaukee County General Hospital in October, 1951. She had a removal of the right breast for carcinoma in March, 1934, followed by a series of six x-ray treatments to the right chest and axillary area. She stated that since these treatments she had persistent swelling of the entire right arm, with discomfort and limitation of motion. In July, 1951, she developed an ulceration in the right anterior axillary area.Warm saline compresses were used in an attempt to clean up

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