Modern Surgical Management of Chronic Lymphedema / by: Harder, Yves, Hirche, Christoph, Seidenstücker, Katrin, Hamdi, Moustapha.

Format:

Book

Author/Creator:

Adriaenssens, Nele., Author.

Baumeister, R. G. H. (Rüdiger G. H.), Author.

Bianchi, Alessandro, Author.

Bigdeli, Amir K., Author.

Boos, Anja M., Author.

Bourgeois, Pierre, Author.

Brorson, Håkan, Author.

Brussaard, Carola., Author.

Cordts, Tomke., Author.

Baerdemaeker, Randy <de>., Author.

Engel, Holger., Author.

Frick, Andreas., Author.

Früh, Florian., Author.

Gazyakan, Emre., Author.

Goss, Jeremy A., Author.

Gousopoulos, Epameinondas., Author.

Greene, Arin K., Author.

Harnie, Sarah., Author.

Hartiala, Pauliina., Author.

Hayashi, Akitatsu., Author.

Kilian, Katja., Author.

Kumar, Leela Praveen., Author.

Kwak, Min-Seok, Author.

Lindenblatt, Nicole., Author.

Machens, Hans-Günther., Author.

Manokaran, Gurusamy., Author.

Masia, Jaume, Author.

Meroni, Matteo., Author.

Penna, Vincenzo, Author.

Pieper, Claus Christian., Author.

Pomata, Cristhian., Author.

Rodríguez-Bauzà, Elena., Author.

Roka-Palkovits, Julia., Author.

Saaristo, Anne., Author.

Salgarello, Marzia., Author.

Scaglioni, Mario F., Author.

Schild, Hans Heinz., Author.

Spörlein, Andreas., Author.

Stäuble, Christiane G., Author.

Suami, Hiroo., Author.

Torio, Nestor., Author.

Tzou, Chieh-Han., Author.

Uyulmaz, Semra., Author.

Vandyck, Ellen., Author.

Visconti, Giuseppe., Author.

Visuri, Mikko., Author.

Wagner, Stephan, Author.

Waked, Karl., Author.

Will, Patrick A., Author.

Wilting, Jörg., Author.

Yang, Johnson Chia-Shen., Author.

Zeltzer MD, Assaf., Author.

Zuther, Joachim E., Author.

Contributor:

Harder, Yves, Editor.

Hirche, Christoph., Editor.

Seidenstücker, Katrin., Editor.

Hamdi, Moustapha, Editor.

Language:

English

Subjects (All):

Plastic, Reconstructive and Cosmetic Surgery.

Local Subjects:

Plastic, Reconstructive and Cosmetic Surgery.

Physical Description:

1 online resource (286 pages)

Edition:

1st ed.

Place of Publication:

Stuttgart : Thieme Medical Publishers, Incorporated, 2024.

Summary:

"This book illustrates the current state of surgical treatment of lymphedema, including diagnostics, conservative treatment, postsurgical treatment, and research. It is an optimal guide for those who want to become experts in lymphatic disease and its treatment." Isao Koshima The first edition of Modern Surgical Management of Chronic Lymphedema, edited by Yves Harder, Christoph Hirche, Katrin Seidenstücker, and Moustapha Hamdi, has been conceived and written by enthusiasts for lymphatic surgery who have dedicated their professional careers to treating patients suffering from this chronic disease. Featuring current perspectives and particularities of surgical lymphedema treatment with contributions from international experts in the field, this innovative book describes evidence-based, multi-disciplinary approaches to treating chronic lymphedema from the point of view of clinical experts. It is also a comprehensive companion for multi-professional specialists looking for an erudite understanding of the complex treatment of lymphedema. Ultimately, the book seeks to advance the contemporary understanding that underpins the philosophy and general principles of modern surgical management of chronic lymphedema, in order to improve the quality of life of patients. Key highlights: * Firsthand clinical pearls for treating lymphedema patients and managing the often-chronic issues that significantly impact on daily quality of life * General focus on the fields of embryology, anatomy, physiology, and pathophysiology of the lymphatic system * Special focus on diagnosis, evaluation, and complete decongestive therapy (CDT) * Step-by-step descriptions of the surgical corner-stones, including lymphovenous anastomosis (LVA), vascularized lymph node transfer (VLNT), and alternative supermicrosurgical techniques, as well as reductive and lymphoablative surgery * Unique contributions on the diagnosis and treatment of lymphatic filariasis * Basic concepts of experimental research in the field * Evidence- and expert-based algorithm for personalized and stage-dependent treatment * Over 70 full-color and highly instructive illustrations and more than 250 clinical images This is a valuable and practical resource for surgeons of various clinical fields with supermicrosurgical expertise, lymphologists and angiologists, general practitioners, psychologists, lymphedema therapists, dietitians, specialized nurses, as well as medical students.

Contents:

Intro

1 Lymphatic System

Embryology of the Lymphatic System

Anatomy of the Lymphatic System

Physiology of the Lymphatic System

The Lymphatic System to Transport&amp

nbsp

Lymph Fluid (Circulating System)

The Lymphatic System and Its Immunological Function

Lymphangiogenesis

Potential Therapeutic Approaches and Future Perspectives

References

2 Epidemiological, Clinical, and Pathophysiological Aspects

Etiology including Lymphatic Malformations

Prevalence

Incidence

Pathophysiology

Stages and Classification of Lymphedema

3 Lymphatic Filariasis

Pathology

Clinical Manifestations

Diagnosis

Clinical Classification of Filarial Lymphedema

Management

Management of Filarial Lymphedema

Management of Stage I and II

Management of Stage III and IV

Management of Stage V, VI, and&amp

VII

Clinical Case

Conclusions

4 Diagnostics and Stage-Dependent Preoperative Evaluation

Medical History

Clinical Examination

Tissue Resistance

Nonapparative Volume Measurement

Circumference

Water Displacement

Ultrasound Imaging

Advantages of Technology in Preoperative&amp

Planning of Lymphovenous&amp

Anastomoses

Advantages of Ultrasound in Preoperative&amp

Planning of Vascularized Lymph Node Transfer

Scintigraphic Lymphangiography

Indocyanine Green Near-Infrared&amp

Imaging

Indocyanine Green

Lymphangiography

Reversed Lymphatic Mapping

Magnetic Resonance Imaging

Conventional Magnetic Resonance&amp

Imaging:&amp

Detection of Free Movable Fluid, Fat Deposition as Stage Parameter, and Volumetry

Magnetic Resonance Imaging of Lymphatic Vessels

Tips and Tricks.

Functional Magnetic Resonance Lymphangiography

Technique

Diagnosis of Peripheral Lymphatic Leakage

Pearls and Pitfalls

5 Establishment of an Interprofessional and Multidisciplinary Lymphedema Network

Presentation of the Concept

Goals

Organizational Structure and Involved Personnel

Funding

Marketing

Expert Group/Lymphedema Board and Patient Advocacy

Evidence-Based Medical Care

Future of Lymphedema Networks and Data-Driven Medicine

6 Integrative, Multiprofessional Conservative Treatment

Background

Complete Decongestive Therapy

Goals of Complete Decongestive Therapy

Components of Complete Decongestive&amp

Therapy

The Two-Phase Approach in Lymphedema Management

Intensive Phase

Self-Management

Patient Education

Limitations of Complete Decongestive&amp

Therapy in Lymphedema&amp

Additional Treatment Modalities

Sequential Intermittent Pneumatic&amp

Compression

Elastic Taping

Documentation and Screening Modalities for Conservative Lymphedema&amp

Role of Weight Management, Nutrition, and Supplements

Outpatient versus Inpatient Treatment

Wound Management in Lymphedema Patients

Types of

Modification of Lymphedema Bandaging in the Presence of Wounds

7 Basic Principles of Surgical Treatment and Accompanying Complete Decongestive Therapy

Lymphatic Surgery

Introduction

Pathophysiological Aspects and Clinical Considerations

Diagnostic Imaging Techniques

Surgical Procedures

Complete Decongestive Therapy in the Pre- and Postoperative Setting

Evidence-Based

Best Practices-the Expert's Opinion

Discussion

8 Lymphovenous Anastomosis.

Introduction

Definition

Key Concepts of Supermicrosurgical&amp

Lymphovenous Anastomosis

Indications and Contraindications for Lymphovenous Anastomosis

Current Consensus Regarding Surgical Treatment for Lymphedema with Lymphovenous Anastomosis

Indications

Contraindications

Preoperative Evaluation and Planning

Preoperative Evaluation for Lymphovenous Anastomosis

Identifying Functional Lymphatic Vessels

Timing for the Indocyanine Green Injection for the Identification of Functional&amp

Lymphatic Vessels

Identifying

Other Imaging Studies for Preoperative&amp

Evaluation and Planning of Lymphovenous Anastomosis

Surgical Setting and Technique

Anesthesia: Local, Regional, or General

Intraoperative Position

Technique of Supermicrosurgical Lymphovenous Anastomosis

Which Suture Technique is Best Suited for Supermicrosurgery?

Documentation

Dressing

Type and Configuration of Lymphovenous Anastomosis

Key Factors for a Successful Lymphovenous Anastomosis

End-to

Side-to

End-to-End Lymphovenous Anastomosis&amp

in Conjunction with

Comparison among Different Lymphovenous Anastomosis Types

Lymphovenous Anastomosis for Single Recipient Vein and Multiple Lymphatic Vessels

Lymphovenous Implantation or "Octopus" Anastomosis

Surgical Equipment

Surgical Microscopes (Selection)

Mobile Indocyanine Green Near-Infrared Systems (Selection)

Supermicrosurgical Instruments (Selection)

Additional Intraoperative Tools

Indocyanine Green Lymphangiography

Blue Dye

Before Lymphovenous Anastomosis

After Lymphovenous Anastomosis

Robotic Lymphovenous Anastomosis&amp

Microsurgery

How to Advance Your Supermicrosurgical&amp

nbsp.

Skills for Lymphovenous Anastomosis

Perspective

9 Autologous Lymph Vessel Transfer

Indications and Contraindications

Preoperative Considerations

Operative Technique

Harvesting the Lymphatic Graft

Autologous Lymph Vessel Transfer to the Axilla Region

Autologous Lymph Vessel Transfer in the Groin Region

Type of Vessel Transfer

Interpositional Graft

Number of Used Lymphatic Collectors

Postoperative Management

10 Vascularized Lymph Node Transfer

Donor Sites: Anatomical Basics and Clinical Reality

Inguinal Lymph Node Transfer

Supraclavicular Lymph Node Transfer

Lateral Thoracic/Thoracodorsal Lymph Node Transfer

Submental Lymph Node Transfer

Omental Lymph Node Transfer

Gastroepiploic Lymph Node Transfer

Jejunal Mesenteric Lymph Node Transfer

Choice and Management of Donor and Recipient Sites

Proximal versus Distal Recipient Area, Scar Management, and Flap Types

Inguinal Vascularized Lymph Node Transfer to Distal Recipient (Wrist)

Surgical Technique

Vascularized Inguinal Lymph Node Transfer

Vascularized Supraclavicular Lymph Node Transfer

Vascularized Lateral Thoracic Lymph Node Transfer

Vascularized Submental Lymph Nodes Transfer

Vascularized Jejunal Mesenteric Lymph Node Transfer

Robotic-Assisted Omental Lymph Node Harvest for Lymphedema&amp

Treatment

Surgical Equipment and Intraoperative&amp

Tools

11 Autologous Breast Reconstruction in Conjunction with Lymphatic Surgery

Lymphatic Anatomy of the Recipient Site.

Lymphatic Anatomy of the Donor Site

Value and Extent of Scar Release of Axillar Recipient Site

Breast Reconstruction in Conjunction with Vascularized Lymph Node Flap

Breast Reconstruction in Conjunction&amp

with Lymphovenous Anastomosis

with Lymph Node Flap and Lymphovenous Anastomosis ("Barcelona&amp

Cocktail" or Total Breast Anatomy Restoration)

Follow-up

Clinical Cases

12 Nodo-Venal Shunt Microsurgery

General Considerations

Preoperative Assessment

Preoperative Preparation

Postoperative Care

Complications

13 Suction-Assisted Lipectomy

Lymphedema of the Lower Extremity

Lymphedema of the Lower Extremity Preceded by Conservative Treatment

Lymphedema of the Upper Extremity

14 Excisional Procedures

Lymphoreductive Surgery

General Remarks

Dermolipectomies in Extremities

Scrotal Dermolipectomies

Vulvar Dermolipectomies

15 Secondary Procedures after Reconstructive Microsurgery

Suction-Assisted Lipectomy

Secondary Lymph Node Transfer.

Lymphovenous Anastomosis for Chronic Lymphocele After Lymph Node Excision.

Notes:

Print version record.

ISBN:

9783132414372

3132414379

9783132436855

3132436852

9783132582385

3132582387