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CONCLUSION: Our findings show that there is considerable measurement error between perometry and perimetry when measuring the absolute or relative volumes of the arms and that their results should be compared with caution. Furthermore, we observed an increasingly relevant measurement error as outcomes are derived from arm volumes originally measured in error. Our findings suggest that the lymphedema surgery community should concentrate efforts to validate more precise and reliable outcomes to assess the effect of surgical treatment.

Abstract: Prefabricated Lympho-Venous Shunt Increases the Efficacy of Lymph Node Transfer for Lymphedema