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Lymphedema surgery: Patient selection and an overview of surgical techniques
Author(s) -
Allen Robert J.,
Cheng MingHuei
Publication year - 2016
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.24170
Subject(s) - medicine , lymphedema , liposuction , surgery , stage (stratigraphy) , lymph node , anastomosis , wedge resection , general surgery , resection , cancer , breast cancer , paleontology , biology
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.