Lymphedema: Conventional to Cutting Edge Treatment.

interventional radiology lymphedema lymphovenous bypass vascularized lymph node transfer

Journal

Seminars in interventional radiology
ISSN: 0739-9529
Titre abrégé: Semin Intervent Radiol
Pays: United States
ID NLM: 8510974

Informations de publication

Date de publication:
Aug 2020
Historique:
entrez: 11 8 2020
pubmed: 11 8 2020
medline: 11 8 2020
Statut: ppublish

Résumé

Lymphedema of the extremities related to oncologic therapies such as cancer surgery, radiation therapy, and chemotherapy is a major long-term cause of morbidity for cancer patients. Both nonsurgical and surgical management strategies have been developed. The goals of these therapies are to achieve volume reduction of the affected extremity, a reduction in patient symptoms, and a reduction in associated morbidities such as recurrent soft-tissue infections. In this article, we review both nonsurgical and surgical management strategies. Traditional surgical therapy has focused on more ablative techniques such as the Charles procedure and suction-assisted lipectomy/liposuction. However, newer more physiologic surgical methods such as lymphovenous anastomoses and vascularized lymph node transfers have become a more common treatment modality for the management of this complex problem.

Identifiants

pubmed: 32773955
doi: 10.1055/s-0040-1713447
pii: 001210
pmc: PMC7394577
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

295-308

Informations de copyright

© Thieme Medical Publishers.

Déclaration de conflit d'intérêts

Conflict of Interest The authors have nothing to disclose.

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Auteurs

Duane Wang (D)

Department of Plastic Surgery, Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, The Ohio State University Wexner Medical Center, Columbus, Ohio.

Daniel Lyons (D)

Department of Plastic Surgery, Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, The Ohio State University Wexner Medical Center, Columbus, Ohio.

Roman Skoracki (R)

Department of Plastic Surgery, Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, The Ohio State University Wexner Medical Center, Columbus, Ohio.

Classifications MeSH