Title: Sentinel lymph node does not prevent lymphedema

Abstract

It is admitted that secondary lymphedema is explained by axillar lymphadenectomy .This idea represents for many authors a justification of sentinel lymph node to prevent lymphedema .But many patients who underwent this technic develop secondary lymphedema The destruction of vicariant ways or the constitution of lymphocela are of prime importance in the constitution of lymphedema Our experience is based upon the study of lymphatic vessels on corpses or fetuses since 1985 and on the treatment of 3150 patients with lymphedema.