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 effective treatment strategies. Moving forward within the specialty, a thorough…
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 the training of supermicrosurgery are the basic requirements for the success of…
Key Points Harvesting lymph nodes from the axillary or groin region may cause secondary lymphedema of the upper or lower extremity. The main advantage of supraclavicular nodes harvest is minimal risk of secondary lymphedema. The flap is designed with or…
Key Points Reductive procedures (direct excision with skin grafting or liposuction) alone or as an adjunct are effective in gross reduction of volume; however, they carry significant morbidity. Direct excision with skin grafting is reserved for the most extreme cases…
“Declare the past, diagnose the present, foretell the future.” –Hippocrates. Overview The surgical treatment of lymphedema has evolved tremendously since the early 21st century. With the advances in microsurgical techniques, new options are available for patients suffering from the physical…
Access video and video lecture content for this chapter online at Elsevier eBooks+ History of VLNT Vascularized lymph node transplant (VLNT) is one type of physiologic surgical treatment for lymphedema that has been shown to be effective in reducing affected…