Lymphedema Milestons and Globalization Lymphedema Milestones in Diagnosis and Treatment The surgical and microsurgical treatment of lymphedema is rapidly evolving with new techniques, improved outcome reporting, and descriptions of more…
Key Points • Treatment of advanced lymphedema remains a challenge in reconstructive surgery. Surgical management with excisional procedures is indicated in select patients when conservative measures have failed. • Based…
Key Points • Complete decongestive therapy remains the only lymphedema treatment that is supported at the highest level of evidence. • Health-related quality of life (QOL) is a multidimensional construct…
Key Points • If there is significant pitting (>8–10 mm in depth) of the lymphedematous limb, conservative treatment (combined physiotherapy) is indicated to remove the lymph and transfer the lymphedema…
Key Points • The Lymphatic Microsurgical Preventative Healing Approach, or immediate lymphatic reconstruction (ILR), is a surgical procedure for the prevention of lymphedema (LE). • This procedure is performed by…
Key Points • Lymphedema staging • Surgical treatment of lymphedema & lymphatic microsurgery • SS-MLVA/single site – multiple lymphatic-venous anastomoses • MLVLA – multiple lymphatic-venous-lymphatic anastomoses (autologous interpositioned vein graft)…
Key Points • Lymphovenous bypass (LVB) usually requires anastomosing lymphatic vessels less than 0.8 mm in diameter to small subdermal venules. • A high-resolution microscope, super-fine instruments and sutures, and…
Key Points • The axillary donor site has the highest reported incidence of lymphedema. • Preoperative imaging facilitates surgical planning and establishes a baseline for postoperative comparison. • Reverse lymphatic…
Key Points • Superficial inguinal lymph nodes targeted for harvest lie between the groin crease and inguinal ligament. • The vascular supply of these nodes is typically the superficial circumflex…
Key Points • The small bowel mesentery represents a donor site for vascularized lymph node transfer that contains numerous and redundant lymph nodes and has reliable anatomy with minimal donor…
