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Surgical and Nonsurgical Management of Lymphedema

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Abstract

Lymphedema is swelling that is a result of the disruption of the lymphatic system’s ability to adequately transport lymph fluid. This leads to the abnormal accumulation of protein-rich fluid in the interstitial tissue spaces. Lymphedema is a chronic, progressive condition for which currently there is no cure.

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References

  1. Mendivil AA, Rettenmaier MA, Abaid LN, Brown JV III, Micha JP, Lopez KL, Goldstein BH. Lower-extremity lymphedema following management for endometrial and cervical cancer. Surg Oncol. 2016;25(3):200–4.

    Article  PubMed  Google Scholar 

  2. Yost KJ, Cheville AL, Al-Hilli MM, Mariani A, Barrette BA, McGree ME, Weaver AL, Dowdy SC. Lymphedema after surgery for endometrial cancer: prevalence, risk factors, and quality of life. Obstet Gynecol. 2014;124(2 Pt 1):307–15.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Hyngstrom JR, Chiang YJ, Cromwell KD, Ross MI, Xing Y, Mungovan KS, Lee JE, Gershenwalk JE, Royal RE, Lucci A, Armer JM, Cormier JN. Prospective assessment of lymphedema incidence and lymphedema-associated symptoms following lymph node surgery for melanoma. Melanoma Res. 2013;23(4):290–7.

    PubMed  Google Scholar 

  4. Friedman JF, Sunkara B, Jehnsen JS, Durham A, Johnson T, Cohen MS. Risk factors associated with lymphedema after lymph node dissection in melanoma patients. Am J Surg. 2015;210(6):1178–84.

    Article  PubMed  Google Scholar 

  5. Kim SI, Lim MC, Lee JS, Lee Y, Park K, Joo J, Seo SS, Kang S, Chung SH, Park SY. Impact of lower limb lymphedema on quality of life in gynecologic cancer survivors after pelvic lymph node dissection. Eur J Obstet Gynecol Reprod Biol. 2015;192:31–6.

    Article  PubMed  Google Scholar 

  6. Cromwell KD, Chiang YJ, Armer J, Heppner PP, Mungovan K, Ross MI, Gershenwald JE, Lee JE, Royal RE, Lucci A, Cormier JN. Is surviving enough? Coping and impact on activities of daily living among melanoma patients with lymphoedema. Eur J Cancer Care (Engl). 2015;24(5):724–33.

    Article  CAS  Google Scholar 

  7. International Society of Lymphology. The diagnosis and treatment of peripheral lymphedema: 2013 Consensus Document of the International Society of Lymphology. Lymphology. 2013;46:1–11.

    Google Scholar 

  8. Armer JM, Stewart BR. A comparison of four diagnostic criteria for lymphedema in a post-breast cancer population. Lymphat Res Biol. 2005;3:208–17.

    Article  PubMed  Google Scholar 

  9. Barrio AV, Eaton A, Frazier TG. A prospective validation study of bioimpedance with volume displacement in early-stage breast cancer patients at risk for lymphedema. Ann Surg Oncol. 2015;22(Suppl 3):S370–5.

    Article  PubMed  Google Scholar 

  10. Stanton AW, Northfield JW, Holroyd B, Mortimer PS, Levick JR. Validation of an optoelectronic limb volumeter (perometer). Lymphology. 1997;30(2):77–97.

    CAS  PubMed  Google Scholar 

  11. Stout Gergich NL, Pfalzer LA, McGarvey C, Springer B, Gerber LH, Soballe P. Preoperative assessment enables the early diagnosis and successful treatment of lymphedema. Cancer. 2008;112(12):2809–19.

    Article  PubMed  Google Scholar 

  12. Zuther JE. Lymphedema management: the comprehensive guide for practitioners. New York, NY: Thieme; 2005.

    Google Scholar 

  13. Huang TW, Tseng SH, Lin CC, Bai CH, Chen CS, Hung CS, Wu CH, Tam KW. Effects of manual lymphatic drainage on breast cancer-related lymphedema: a systematic review and meta-analysis of randomized controlled trials. World J Surg Oncol. 2013;11:15.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Rogan S, Taeymans J, Luginbuehl H, Aebi M, Mahnig S, Gebruers N. Therapy modalities to reduce lymphedema in female breast cancer patients: a systematic review and meta-analysis. Breast Cancer Res Treat. 2016;159(1):1–14.

    Article  CAS  PubMed  Google Scholar 

  15. Kung TA, Champaneria MC, Maki JH, Neligan PC. Current options in the surgical management of lymphedema. Plast Reconstr Surg. 2017;139(4):1003–1013e.

    Article  Google Scholar 

  16. Miller TA, Wyatt LE, Rudkin GH. Stated skin and subcutaneous excision for lymphedema: a favorable report of long-term results. Plast Reconstr Surg. 1998;102:1486–98.

    Article  CAS  PubMed  Google Scholar 

  17. Kobayashi MR, Miller TA. Lymphedema. Clin Plast Surg. 1987;14:303–13.

    CAS  PubMed  Google Scholar 

  18. Mavili ME, Naldoken S, Safak T. Modified Charles operation for primary fibrosclerotic lymphedema. Lymphology. 1994;27:14–20.

    CAS  PubMed  Google Scholar 

  19. Broroson H. Liposuction in lymphedema treatment. J Reconstr Microsurg. 2016;32:56–65.

    Google Scholar 

  20. Boyages J, Kastanias K, Koelmeyer LA, et al. Liposuction for advanced lymphedema: a multidisciplinary approach for complete reduction of arm and leg swelling. Ann Surg Oncol. 2015;22(Suppl):S1263–70.

    Article  PubMed  Google Scholar 

  21. Koshima I, Inagawa K, Urushibara K, Moriguchi T. Supermicrosurgical lymphaticovenular anastomoses for the treatment of lymphedema in the upper extremities. J Reconstr Microsurg. 2000;16:437–42.

    Article  CAS  PubMed  Google Scholar 

  22. Chang DW. Lymphaticovenular bypass for lymphedema management in breast cancer patients: a prospective study. Plast Reconstr Surg. 2010;126:752–8.

    Article  CAS  PubMed  Google Scholar 

  23. Chang DW, Suami H, Skoracki R. A prospective analysis of 100 consecutive lymphovenous bypass cases for treatment of extremity lymphedema. Plast Reconstr Surg. 2013;132:1305–14.

    Article  CAS  PubMed  Google Scholar 

  24. Raju A, Chang DW. Vascularized lymph node transfer for treatment of lymphedema: a comprehensive literature review. Ann Surg. 2015;261:1013–23.

    Article  PubMed  Google Scholar 

  25. Cheng MH, Chen SC, Henry SL, Tan BK, Lin MC, Huang JJ. Vascularize groin lymph node flap transfer for postmastectomy upper limb lymphedema: flap anatomy, recipient sites and outcomes. Plast Reconstr Surg. 2013;131:1286–98.

    Article  CAS  PubMed  Google Scholar 

  26. Patel KM, Lin CY, Cheng MH. A prospective evaluation of lymphedema-specific quality-of-life outcomes following vascularized lymph node transfer. Ann Surg Oncol. 2015;22:2424–30.

    Article  PubMed  Google Scholar 

  27. Pons G, Masia J, Loschi P, Nardulli MI, Duch J. A case of donor-site lymphoedema after lymph node-superficial circumflex iliac artery perforator flap transfer. J Plast Reconstr Aesthet Surg. 2014;67:119–23.

    Article  PubMed  Google Scholar 

  28. Viitanen TP, Maki MT, Seppanen MP, Suominen EA, Saaristo AM. Donor-site lymphatic function after microvascular lymph node transfer. Plast Reconstr Surg. 2012;130:1246–53.

    Article  CAS  PubMed  Google Scholar 

  29. Dayan JH, Dayan E, Smith ML. Reverse lymphatic mapping: a new technique for maximizing safety in vascularized lymph node transfer. Plast Reconstr Surg. 2015;135:277–85.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Stephanie Kirkpatrick P.T., D.P.T., C.L.T. .

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Kirkpatrick, S., Cheng, A. (2018). Surgical and Nonsurgical Management of Lymphedema. In: Delman, K., Master, V. (eds) Malignancies of the Groin. Springer, Cham. https://doi.org/10.1007/978-3-319-60858-7_5

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  • DOI: https://doi.org/10.1007/978-3-319-60858-7_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60857-0

  • Online ISBN: 978-3-319-60858-7

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