Abstract

Lymphatic reconstruction offers additional treatment options for the condition of secondary lymphedema especially if resistant to conservative therapy. Current options for surgical approaches as lymphaticovenular anastomosis, lymph node transfer, and lympholymphatic grafts with lymphovenular anastomosis represent the most popular methods for lymphatic reconstruction. Short-term and long-term follow-up results indicate significant improvements regarding lymphedema and the patient's quality of life. Nevertheless, in most cases, additional conservative therapy is recommended and required. Vascularized lymph node transfer could show beneficial short-term results, but until now, studies evaluating long-term efficacy are lacking for the full acceptance of this method for reconstructive surgery. Similarly, the use of lymphatic grafts could not offer convincing results for the application as an alternative method for lymphatic reconstruction. Further improvement of the aforementioned surgical techniques and a consensus in standardized protocols and reporting of outcome is finally needed to enhance and consolidate lymphatic reconstruction in secondary lymphedema.

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