A Randomised trial to study the outcome of addition of Lymphatico-venous Anastomosis to standard of care for prevention of upper extremity Lymphedema in patients undergoing Axillary Lymph Node Dissection for Carcinoma Breast as compared to standard of care only.

MRM
involves the removal of axillary lymph nodes, disrupting the normal lymphatic
drainage system of the arm and breast. There are common channel lymphatics
draining axilla and upper arm. This leads to Lymphedema.

Lymphedema can significantly impact a patient’s quality of life, causing discomfort, functional impairment, and psychological distress.

There are existing strategies for lymphedema prevention, such as lymphatic drainage techniques and compression therapy.

Lymphatico-venous Anastomosis (LVA) involves connecting lymphatic vessels directly to nearby veins, which may help to establish alternative drainage pathways for lymph fluid, thereby reducing the risk of lymphedema.