Lymphedema surgery: Patient selection and an overview of surgical techniques

Evaluation of the lymphedema patients with appropriate staging is fundamental for further treatment. Treatment includes compressive decongestive therapy for stage 0 and 1 patients, lymphovenous anastomosis for stage 1 and 2 patients, vascularized lymph node transfer for stage 2 and above patients. W...

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Bibliographic Details
Published inJournal of surgical oncology Vol. 113; no. 8; pp. 923 - 931
Main Authors Allen Jr, Robert J., Cheng, Ming-Huei
Format Journal Article
LanguageEnglish
Published United States Blackwell Publishing Ltd 15.06.2016
Wiley Subscription Services, Inc
Subjects
Anastomosis, Surgical
Female
Humans
Lymph Nodes - surgery
Lymphatic System - surgery
lymphaticovenous anastomosis
lymphedema
Lymphedema - diagnosis
Lymphedema - physiopathology
Lymphedema - surgery
lymphovenous bypass
Patient Selection
Precision Medicine
vascularized lymph node transfer
Veins - surgery
lymphaticovenous anastomosis
vascularized lymph node transfer
lymphedema
lymphovenous bypass
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Summary:Evaluation of the lymphedema patients with appropriate staging is fundamental for further treatment. Treatment includes compressive decongestive therapy for stage 0 and 1 patients, lymphovenous anastomosis for stage 1 and 2 patients, vascularized lymph node transfer for stage 2 and above patients. Wedge resection, liposuction, and the Charles procedure are alternatives or additions to physiological procedures. The selection of donor lymph node flap and recipient site depends on the patient's lymphedema status and surgeon's expertise. J. Surg. Oncol. 2016;113:923–931. © 2016 Wiley Periodicals, Inc.
Bibliography:ark:/67375/WNG-4Z9M9X6Q-0
ArticleID:JSO24170
istex:8BB307F72850AFB708F6EAB6E21DFDFDB7CAFCCC
ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
ISSN:0022-4790
1096-9098
DOI:10.1002/jso.24170