Lymphovenous Bypass Procedure for Secondary Prevention of Lymphedema in Breast Cancer

This study is testing whether a lymphovenous bypass — a microsurgical procedure that reconnects lymph vessels to veins — can prevent lymphedema (arm swelling) from worsening in breast cancer patients who have already had lymph nodes removed from their armpit. It is performed early, at stage 0 or 1 lymphedema, before swelling becomes severe. **You may be eligible if...** - You are a breast cancer patient aged 18 or older - You have had axillary lymph node removal (ALND) and developed early-stage lymphedema (stage 0 or I) - You have not yet started lymphedema physiotherapy - Your ECOG performance score is greater than 1 (note: this appears to be an eligibility requirement as stated) **You may NOT be eligible if...** - You had skin lymphatic backflow (dermal backflow) before your lymph node removal - You cannot complete 24 months of follow-up at Dharmais Cancer Hospital - You have an iodine allergy, severe asthma, reduced kidney function, or are pregnant or breastfeeding Talk to your doctor to see if this trial is right for you.