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Surgical Management of Pediatric Lymphedema: A Systematic Review

Aditi M Kanth1, Max Krevalin1, Oluwaseun A Adetayo1

  • 1Division of Plastic Surgery, Albany Medical Center, Albany, New York.

Journal of Reconstructive Microsurgery
|February 28, 2019
PubMed

Insights

Surgical interventions for pediatric lymphedema are not well-documented. This review found positive outcomes for genital lymphedema surgery and good results for excisional procedures in extremities, though more research is needed.

Area of Science:

  • Pediatric Surgery
  • Vascular Surgery
  • Lymphatic System Disorders

Background:

  • Lymphedema is a rare, progressive lymphatic system failure causing fluid buildup.
  • Conservative management is standard for pediatric lymphedema, limiting surgical literature.
  • Surgical treatment options for pediatric lymphedema require further investigation.

Purpose of the Study:

  • To systematically review surgical management of pediatric lymphedema.
  • To analyze outcomes of different surgical approaches in children.
  • To identify gaps in the literature regarding surgical interventions for pediatric lymphedema.

Main Methods:

  • Systematic review of PubMed, ScienceDirect, and Google Scholar.
  • Inclusion of studies detailing surgical management of pediatric lymphedema.
  • Categorization of reviewed articles by treatment type: genital, excisional extremity, and physiologic extremity.

Main Results:

  • 14 articles were reviewed from 343 identified studies.
  • Genital lymphedema surgery showed positive outcomes.
  • Excisional procedures for extremity lymphedema yielded good results in most patients.
  • Physiologic procedures for extremity lymphedema had mixed outcomes with limited data.

Conclusions:

  • Surgical treatment for pediatric lymphedema is under-researched compared to conservative methods.
  • Further studies are necessary to evaluate the efficacy of surgical interventions.
  • More research is needed across all surgical categories for pediatric lymphedema treatment.
Abstract

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