1 - Introduction to Lymphedema Surgery: Principles and Practice

Abstract

The surgical treatment of lymphedema has evolved tremendously over the past decade. With the advances in microsurgical techniques, new options are available for patients suffering from the physical and emotional sequelae of symptomatic lymphedema. Furthermore, recent strides in new technology, techniques, and improved skill-sets have resulted in an improved understanding of the disease process, which has guided the refinement of new surgical techniques and furthered optimal lymph of the outcomes. Many controversies exist in the understanding and treatment of lymphedema, including universal diagnostic criteria, methods of limb measurements, and treatment options by variable medical specialties. The diagnostic staging grading and surgical approaches of lymphedema have no universal consensus among medical specialties, including breast oncologists, gynecological oncologists, rehabilitation specialists, medical oncologists, radiologists, radiation oncologists, vascular surgeons, and reconstructive microsurgeons. Individualized clinical experiences have led to disparate treatment options in various specialties, increasing the difficulties in choosing from the vast array of available choices. Lymphedema Surgery: Principles and Practice is structured in such a way as to provide the reader with an in-depth, practical knowledge of the disease process, diagnostic tools, nonsurgical and surgical treatment options, and scientific outcomes assessment. The intent of this logical, stepwise chapter list is to allow for the incorporation of treating patients with lymphedema into the clinician’s practice.