Q:

Most patients with lymphedema can be managed by:

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Most patients with lymphedema can be managed by: 


  1. Pedicle transfer of lymphatic bearing tissue into the affected area
  2. Elevation, elastic support garments, and massage therapy or mechanical pneumatic compression.
  3. Lymphatic bypass using an autogenous vein graft
  4. Excision of hypertrophic scarred fibrotic skin and subcutaneous tissue down to muscle fascia and coverage with splitthickness skin grafts.

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B. Elevation, elastic support garments, and massage therapy or mechanical pneumatic compression.

DISCUSSION: The vast majority of patients with mild to moderate lymphedema can be managed with leg elevation and elastic support garments, and some will require mechanical pneumatic compression or massage therapy. Only patients with very severe deforming elephantiasis require operative therapy.

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