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The advent of supermicrosurgery has led to an increasing interest in the surgical management of lymphedema through the reconstruction of the lymphatic network, that is, the physiologic approach. Broadly, this can be divided into 2 main techniques: lymphaticovenous anastomosis and lymph node transfer. In the United Kingdom, the British Lymphology Society does not provide any recommendations on surgical management. Moreover, surgical treatment of lymphedema is not widely practiced within the National Health Service due to low-certainty evidence. Herein, we discuss our experience in physiologic reconstruction for lymphedema.

Original publication




Journal article


Hand clin

Publication Date





283 - 290


Lymph node transfer, Lymphaticovenous anastomosis, Lymphedema, Upper extremity, Humans, State Medicine, Treatment Outcome, Upper Extremity, Lymphedema, Lymph Nodes, Anastomosis, Surgical