Principles and Practice of Lymphedema Surgery

2nd Edition - January 7, 2021

Authors: Ming-Huei Cheng, David W Chang, Ketan M Patel

Paperback ISBN:

9 7 8 - 0 - 3 2 3 - 6 9 4 1 8 - 6

eBook ISBN:

9 7 8 - 0 - 3 2 3 - 6 9 4 1 9 - 3

Thoroughly updated to reflect the latest research, discoveries, and practices in this fast-changing field, Principles and Practice of Lymphedema Surgery, 2nd… Read more

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Thoroughly updated to reflect the latest research, discoveries, and practices in this fast-changing field, Principles and Practice of Lymphedema Surgery, 2nd Edition, provides thorough, step-by-step guidance to incorporate or expand the treatment of lymphedema in your practice. Written and edited by world-renowned experts in the field of lymphedema and microsurgery, this highly visual reference helps deepen your understanding of each procedure and how to perform them. From preoperative assessment to postoperative care, you’ll find authoritative instruction that equips you to implement the most innovative and latest surgical and nonsurgical approaches and achieve optimal outcomes for your patients.

Cover image
Title page
Table of Contents
Copyright
Video Table of Contents
Preface
List of Contributors
Acknowledgments
Dedications
1. Introduction to Lymphedema Surgery: Principles and Practice
Abstract
Overview
Section I
Section II
Section III
Section IV
Summary
Section I: Principles of the Lymphatic System
2. Anatomy and Structural Physiology of the Lymphatic System
Abstract
Introduction
Normal Lymphatic Anatomy in the Upper Extremities
Anatomical Changes of the Lymphatics in the Arm in Lymphedema
Normal Lymphatic Anatomy in the Lower Extremities
Anatomical Changes of the Lymphatics in the Leg in Lymphedema
Summary
References
3. Animal Study and Cadaver Dissection of Lymphedema
Abstracts
Introduction
Overview of Lymphedema Research
Molecular Investigation
Animal Models
Cadaver Dissection
Summary
References
4. Pathophysiology and Molecular Research in Lymphedema
Abstract
Introduction
Pathophysiology of Primary Lymphedema
Pathophysiology of Secondary Lymphedema
Cellular and Molecular Mechanisms of Secondary Lymphedema
Molecular Mechanisms of Risk Factors of Lymphedema
Conclusions
References
5. Primary Lymphedema with Concomitant Vascular and Lymphatic Lesions
Abstract
Introduction
Concepts
Patient Selection
Preoperative Considerations
Surgical Techniques
Postoperative Care
Outcomes
Recommendations
References
Section II: Diagnostic Imaging of the Lymphatic System
6. Lymphoscintigraphy Interpretation, Staging, and Lymphedema Grading
Abstract
Introduction
Diagnosis and Severity of Lymphedema: Clinical and Lymphoscintigraphy Findings
Lymphedema Grading
Staging/Scoring Systems of Lymphoscintigraphy for the Diagnosis and Severity Determination of Lymphedema
Clinical Application of Lymphoscintigraphy for Patient Selection and Treatment Planning
Lymphoscintigraphy for the Evaluation of the Treatment Outcome
Lymphoscintigraphy vs. Other Imaging Modalities
Conclusions
References
7. ICG Lymphography and Its Application
Abstract
Introduction
Characteristic ICG Lymphography Findings
Dynamic ICG Lymphography
ICG Lymphography Severity Staging for Secondary Lymphedema
ICG Lymphography Classification for Primary Lymphedema
Therapeutic Strategy Based on ICG Lymphography Findings
ICG Lymphography Navigation for Lymphatic Surgeries
LIFT Under ICG Lymphography Navigation
Summary
References
8. Refining Planning of Lymphedema Surgery of the Extremities Using MRI and CT Imaging Techniques
Abstract
Introduction
Imaging Techniques in Lymphedema
Summary
References
Section III: Treatment of Lymphedema
9. Clinical Evaluation of Lymphedema
Abstract
Introduction
Patient History and Assessment
Assessment Techniques
Summary
References
10. Lymphedema Risk Reduction and Management
Abstract
The Management of Lymphedema
Educating At-Risk Individuals
Risk Reduction Is Important for Health-Related Quality of Life and Health-Promoting Behaviors
Lymphedema Therapy
Palliative Care
Summary
References
11. Overview of Surgical Techniques
Abstract
Introduction
Excisional Treatment
Physiological Treatment
Summary
References
12. Recipient Site Choices and Donor Option Considerations for Vascularized Lymph Node Transfer
Abstract
Introduction
Vascularized Lymph Node Donor Sites
Donor Site Selection
Conclusions
References
13. Vascularized Lymph Node Transfer from the Groin
Abstract
Introduction
Anatomy
Role of Reverse Mapping
Preoperative Navigation
Surgical Techniques
Recipient Sites
Postoperative Care
Outcomes
Summary
References
14. Microsurgical Procedures: Vascularized Lymph Node Transfer from the Submental Region
Abstract
Introduction
Concepts
Patient Selection: Adapted from Cheng’s Lymphedema Grading and Taiwan Lymphoscintigraphy Staging
Preoperative Considerations
Surgical Techniques
Postoperative Care
Outcomes
References
15. Microsurgical Procedures: Vascularized Lymph Node Transfer from the Supraclavicular Region
Abstract
Introduction
Concepts
Patient Selection
Preoperative Considerations
Surgical Techniques,
Postoperative Care
Outcomes
Summary
References
16. Microsurgical Procedures: Vascularized Lymph Node Transfer from the Thoracodorsal Axis
Introduction
Concepts
Patient Selection
Preoperative Considerations
Surgical Techniques
Postoperative Care
Outcomes
Summary
References
17. Treatment of Lymphedema: Vascularized Omental Lymphatic Transfer
Abstract
Introduction
Concepts
Patient Selection
Preoperative Considerations
Surgical Techniques
Postoperative Care
Outcomes
Summary
References
18. Mesenteric Vascularized Lymph Node Transfer
Abstract
Introduction
Anatomy
Preoperative Evaluation
Operative Technique
Postoperative Care
Clinical Outcomes
Conclusions
References
19. Microsurgical Procedures: Minimizing Donor Site Morbidity Following Vascularized Lymph Node Transfer
Introduction
Concepts
Patient Selection
Preoperative Considerations
Surgical Techniques
Postoperative Care
Outcomes
Summary
References
20. Microsurgical Procedures: Lymphovenous Anastomosis Techniques
Abstract
Introduction
Concepts
Patient Selection
Preoperative Considerations
Surgical Technique
Postoperative Care
Outcome
Summary
References
21. The Campisi Approach for Lymphatic Surgery
Abstract
Current Concepts of Peripheral Lymphedema
Patient Selection
Preoperative Management
General Considerations of the Surgical Treatment of Lymphedema
Clinical Experience
Postoperative Care
Other Considerations
Prevention of Lymphatic Injuries: Lymphatic Microsurgical Preventive Healing Approach
Single-Site MLVA Lymphatic Microsurgery
Conclusions
References
22. Immediate Lymphatic Reconstruction
Abstract
Introduction
Concepts
Patient Selection
Preoperative Considerations
Surgical Technique
Postoperative Care
Outcomes
Ongoing Controversies
ILR for Other Malignancies
Summary
References
23. Excisional Procedures: Debulking Procedures
Abstract
Introduction
Radical Reduction of Lymphedema with Preservation of Perforators
Charles Procedure and Modified Technique
The Role of Liposuction in Lymphedema
Summary
References
24. Excisional Procedures: Liposuction
Abstract
Introduction
Concepts
Patient Selection
Preoperative Considerations
Surgical Techniques
Postoperative Care
Summary
References
Section IV: Postoperative Management
25. Evidence-Based Assessment and Outcomes Following Lymphedema Treatment
Abstract
Introduction
Nonsurgical Treatment of Lymphedema
Patient-Centered Appraisal
Quality of Life
Summary
References
26. Tracking Outcomes Following Lymphedema Treatments
Abstract
Introduction
Definitions and Assessing Outcomes
Postoperative Considerations
Surgery-Specific Postoperative Management
Multidisciplinary Care
Quality of Life
Conclusions
Acknowledgment
References
27. Future Perspectives in Lymphatic Microsurgery
Abstract
Lymphedema Milestons and Globalization
Globalization of Lymphedema Surgery
Lymphedema Challenges and Consensus
Technologies and Innovations Emerging
Summary
Index