Surgical Treatment of Lymphedema — A Reappraisal

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Abstract
The clinical picture of [human] lymphedema and its classification were reviewed and surgical treatment, both historical and current, was discussed. The primary mode of treatment of congenital or secondary lymphedema of the extremities is intensive medical therapy and surgical intervention is warranted in only rare and unusual circumstances. The only procedure of limited, worthwhile value is apparently a combination of the Kondoleon and Thompson procedures. The Kondoleon phase of the procedure debulks the extremity in stages and removes the deep fascia. The Thompson form of the procedure advances a deepithelialized dermal flap into the deep lymphatical venous system.

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