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Surgical management of lymphedema: a review of current literature.


ABSTRACT: Lymphedema may be characterized by a progressive clinical course and limitations in improvement despite multi-modality treatment. In westernized countries, it most commonly presents as an undesirable complication of cancer treatment, particularly breast cancer. In the past several decades, surgical treatments for lymphedema have advanced, alongside developments in microsurgery. Lymphovenous anastomosis (LVA) and lymph node transplantation are physiological therapies that may reduce lymphedema through addressing its route cause. Ablative techniques such as liposuction and subcutaneous excision aid in resolving the accumulation of proteinaceous adipose and fibrotic tissue seen in advanced lymphedema. The goal of this review is to examine the outcomes and limitations of current surgical techniques used in lymphedema management.

SUBMITTER: Park KE 

PROVIDER: S-EPMC7225501 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature

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Surgical management of lymphedema: a review of current literature.

Park Kitae E KE   Allam Omar O   Chandler Ludmila L   Mozzafari Mohammad Ali MA   Ly Catherine C   Lu Xiaona X   Persing John A JA  

Gland surgery 20200401 2


Lymphedema may be characterized by a progressive clinical course and limitations in improvement despite multi-modality treatment. In westernized countries, it most commonly presents as an undesirable complication of cancer treatment, particularly breast cancer. In the past several decades, surgical treatments for lymphedema have advanced, alongside developments in microsurgery. Lymphovenous anastomosis (LVA) and lymph node transplantation are physiological therapies that may reduce lymphedema th  ...[more]

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