Short commentaries on data published by Yono et al. on avoiding breast cancer-related arm lymphedema with the lymphatic microsurgical preventive healing approach.

Lymphatic microsurgical preventive healing approach (LyMPHA) is being adopted to prevent arm lymphedema after axillary lymph node dissection (ALND), but open questions remain over selection bias, non-standardized endpoints and variable surgical protocols before robust evidence is available.