fig4

Figure 4. Continuous effect of the dynamic LVA method even under no compression. A 61-year-old woman had suffered right International Society of Lymphology stage 2b UEL after undergoing breast cancer treatment 19 months previously. This patient is the same patient as reported in Ref.^[20]. The preoperative right UEL index was 107.4 under sleeve compression. Three LVAs were created via the dynamic LVA method. Soon after the surgery, lymphedema symptoms were improved. At one year, the right UEL index was reduced to 95.7 under sleeve compression. At 18 months, she was fully released from compression therapy. At two years, the right UEL index was 95.9 without any sleeve compression. The original source of this figure is from Ref.^[20] with permission for reuse.