Educational Review: Management of Lymphedema-Approaches, Evidence for Surgical and Nonsurgical Interventions.

Background: We aim to review the current medical and surgical management strategies for lymphedema and present methods for their successful integration into clinical practice. In addition, the following summary background data is provided. Lymphedema is a chronic condition resulting from impaired lymphatic drainage, leading to significant morbidity and reduced quality of life. Traditional management includes conservative therapies such as compression garments and physical therapy. However, advancements in surgical techniques have opened new avenues for treatment. This review aims to synthesize the available literature on both medical and surgical approaches to lymphedema management.

Methods: This article explores the senior author's strategies and experiences in lymphedema treatment, supplemented by a literature review that supports the described techniques.

Results: Effective lymphedema management is multifaceted, necessitating accurate diagnosis, medical treatment, and in some cases, surgical intervention. The senior author has sought to streamline his approach to this complex condition, and this article outlines his algorithm and techniques for treatment.

Conclusions: While conservative treatments remain the foundation of lymphedema management, surgical options in the properly selected patients have shown promising results. The integration of these approaches could enhance overall treatment efficacy and improve quality of life for individuals affected by lymphedema.