Excisional Procedures: Liposuction
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…
Evidence-Based Assessment and Outcomes Following Lymphedema Treatment
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…
The Campisi Approach for Lymphatic Surgery
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)…
Immediate Lymphatic Reconstruction
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…
Microsurgical Procedures: Minimizing Donor Site Morbidity Following Vascularized Lymph Node Transfer
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…
Microsurgical Procedures: Vascularized Lymph Node Transfer from the Supraclavicular Region
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…
Treatment of Lymphedema: Vascularized Omental Lymphatic Transfer
Key Points • Intraoperative mapping of the right gastroepiploic lymphosome is valuable to identify critical flap components. • No-touch flap elevation will prevent damage to the flap lymphatics and microvasculature….
Mesenteric Vascularized Lymph Node Transfer
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…
Microsurgical Procedures: Vascularized Lymph Node Transfer from the Submental Region
Key Points • The upper margin of the flap is designed at the lower border of the mandible to result in an inconspicuous scar. • Preoperative Doppler ultrasound and magnetic…
Vascularized Lymph Node Transfer from the Groin
Key Points • The vascularized lymph node flap transfer from the groin was first introduced by Clodius in 1982 in two clinical cases. • Animal studies described the vascularized lymph…
