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.
• MD, Phd, Surgeon, Visceral and Oncologic Surgery • Chief of department of digestive surgery Hospital center of Bagnols sur Cèze • Associated professor of anatomy Faculty of medicine of Montpellier • Thesis of medicine and thesis of science on lymphatic system • Chief of unite of treatment of edema • Scientific activity 220 publications: 62 anatomy, 98 lymphology, 60 surgery • Founder secretary of European society of lymphology 1979 • President of European Society of lymphology 1987 - 2001 • President of ISL international society of lymphology 2001-2003 • Treasurer ISL till 2005, Member of Executive Committee or Nominating Committee of ISL • Civic activity: Major till 2001, President of region GARD; President of nuclear committee of information, President of fire-men of GARD.
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