• cooperation of an International team with many years of experience in surgical management of lymphedema
• description of an effective surgical strategy to treat cancer-related lymphedema, a high incidence pathology
• the combination of LVA and liposuction guarantees long lasting results

Cancer-related lymphedema represents one of the major complications of cancer treatment, especially for breast and gynecologic cancers. Moreover, it has high impact on cancer survivors and healthcare systems. Lymphedema management still remains challenging. The better understanding of lymphedema physiopathology as well as the development of sophisticated surgical and diagnostic techniques have led to effective strategies to address lymphedema patients but, despite the considerable interest in international literature, no consensus exist. The combination of LVA and liposuction may represent an effective strategy in treating patients with cancer-related lymphedema, in order to reach a significant decrease in volume and reduction of lymphangitis rate as well as stable results in time. In addition, it has the aim of being minimally invasive and well tolerated by patients

Inclusion Criteria: patients affected by secondary lymphedema

• free from cancer disease

Exclusion Criteria:

- persistence of the neoplastic pathology

- patients affected by primary lymphedema

patients with a previous history of cancer who developed secondary lymphedema and are currently free from cancer