Abstract
Options for surgical treatment of lymphedema can be divided into two categories: excisional and physiologic treatment. Excisional treatment usually involves reductive procedures such as liposuction and excisional debulking with skin grafting (Charles procedure). Physiological treatment is aimed at restoring or reconstructing the physiologic drainage of the lymph fluid. Several different strategies to achieve this have been proposed, such as buried flaps, direct repair of lymphatics, bypass grafting of lymphatics, lymphaticovenular anastomosis, and vascularized lymph node transfers. The outcomes of such procedures vary. The aim of this chapter is to present an overview of therapies that have been described and tested.
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