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Schaverien MV, Munnoch DA, Brorson H, et al.
Seminars in plastic surgery. Date of publication 2018 Feb 1;volume 32(1):42-47.
1. Semin Plast Surg. 2018 Feb;32(1):42-47. doi: 10.1055/s-0038-1635116. Epub 2018 Apr 9. Liposuction Treatment of Lymphedema. Schaverien MV(1), Munnoch DA(2), Brorson H(3). Author information: (1)Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas. (2)Department of Plastic and Reconstructive Surgery, Ninewells Hospital and Medical School, Dundee, United Kingdom. (3)Department of Clinical Sciences, Lund University, Plastic and Reconstructive Surgery, Skåne University Hospital, Malmö, Sweden. In the Western world, lymphedema most commonly occurs following treatment of cancer. Limb reductions have been reported utilizing various conservative therapies including manual lymph and pressure therapy, as well as by microsurgical reconstruction involving lymphovenous shunts and transplantation of lymph vessels or nodes. Failure of these conservative and surgical treatments to provide complete reduction in patients with long-standing pronounced lymphedema is due to the persistence of excess newly formed subcutaneous adipose tissue in response to slow or absent lymph flow, which is not removed in patients with chronic non-pitting lymphedema. Traditional surgical regimes utilizing bridging procedures, total excision with skin grafting, or reduction plasty seldom achieved acceptable cosmetic and functional results. Liposuction removes the hypertrophied adipose tissue and is a prerequisite to achieve complete reduction, and this reduction is maintained long-term through constant (24 h) use of compression garments postoperatively. This article describes the techniques and evidence basis for the use of liposuction for treatment of lymphedema. DOI: 10.1055/s-0038-1635116 PMCID: PMC5891650 PMID: 29636653
Appears in following Topics:
Lymphedema - Surgical Management