A Review of Lymphedema for the Hand and Upper-Extremity Surgeon

J Hand Surg Am. 2018 Nov;43(11):1016-1025. doi: 10.1016/j.jhsa.2018.03.054. Epub 2018 May 19.

Abstract

Secondary lymphedema of the upper limb is frequently seen in Western countries after cancer treatment (most often breast in women). It is a chronic disease that affects quality of life and functioning. In its extreme form, it may be debilitating. A review is given of the pathology, nonsurgical treatment, and surgical treatment with a protocol.

Keywords: Lymphedema; management; microsurgery; surgery.

Publication types

  • Review

MeSH terms

  • Algorithms
  • Bandages
  • Coloring Agents
  • Drainage
  • Exercise Therapy
  • Humans
  • Indocyanine Green
  • Lipectomy
  • Lymph Nodes / transplantation
  • Lymphedema / classification
  • Lymphedema / diagnostic imaging
  • Lymphedema / therapy*
  • Lymphoscintigraphy
  • Magnetic Resonance Imaging
  • Microsurgery
  • Skin Care
  • Upper Extremity* / surgery

Substances

  • Coloring Agents
  • Indocyanine Green