What are treatment options ?

• Mechanical interventions

  • elevation
  • protection of limb
  • manual lymph drainage/massage
  • compression garments to reduce and control edema
  • exercise, especially of distal musculature, to facilitate lymph flow

• Surgery: Not curative

  • Excisional: Charles / Homans procedure
    • debulking of the area to remove excess tissue to decrease volume
  • Physiological:
    • drainage of the area via lymph to lymph or lymph to venous anastomosis

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