Lymphedema pp 455-462 | Cite as

Surgical Management

  • Richard G. Azizkhan
  • Jesse A. Taylor


This chapter focuses on surgical interventions for treating chyle reflux. As with many areas of vascular medicine, multidisciplinary management is the norm, with surgeons, medical specialists, and interventional radiologists all playing important roles. An understanding of chyle transportation from the bowel lacteals to the ­thoracic duct and venous system is important in planning treatment. When flow is disrupted, the anatomic location of a blockage or rupture in this ductal system may translate into chylous ascites, chylothorax, chylous cyst, chylopericardium, chyloptysis, chyluria, and skin lesions with chylorrhea. The goal of therapy is to restore balance to the lymphatic system through decreased lymph production, facilitation of physiological lymphatic pathways, or removal of regions of lymphatic dysplasia.


Disseminate Intravascular Coagulation Thoracic Duct Chylous Ascites Vascular Medicine Manual Lymph Drainage 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  • Richard G. Azizkhan
    • 1
  • Jesse A. Taylor
  1. 1.Department of Surgery and PediatricsCincinnati Children’s Hospital Medical CenterCincinnatiUSA

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