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Die rein konservative Therapie galt lange Zeit als einzige Behandlungsm\u00f6glichkeit des prim\u00e4ren und sekund\u00e4ren chronischen Lymph\u00f6dems der oberen bzw. unteren Extremit\u00e4t. Lediglich bei sehr ausgepr\u00e4gten Sp\u00e4tformen kamen u.\u00a0a. resezierende Verfahren, wie die Liposuktion oder Gewebeabtragungen als weitere Therapieoptionen in Frage. Durch eine \u2013\u00a0teils sprunghafte\u00a0\u2013 Weiterentwicklung diagnostischer und mikrochirurgischer Verfahren steht nun eine Reihe moderner rekonstruktiver Therapieverfahren zur Verf\u00fcgung, mit deren Hilfe die Erkrankungsschwere in H\u00e4nden versierter Mikrochirurgen in vielen F\u00e4llen signifikant gelindert werden kann.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Ziel der Arbeit<\/jats:title>\n            <jats:p>Ziel dieses Artikels ist es, die modernen Therapieoptionen des Lymph\u00f6dems nach aktuellem Stand der Wissenschaft praxisorientiert dazulegen und einen Leitfaden zur optimalen Behandlung betroffener Patienten mitzugeben.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Diskussion<\/jats:title>\n            <jats:p>Neben einer unverzichtbaren konservativen Therapie f\u00fchren moderne mikrochirurgische Verfahren in vielen F\u00e4llen zu einer erfolgreichen und dauerhaften Symptomlinderung und sollten fr\u00fchzeitig in Erw\u00e4gung gezogen werden. Die pr\u00e4operative Diagnostik ist dabei f\u00fcr die Wahl der richtigen Therapie und deren Erfolg unerl\u00e4sslich.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00117-025-01441-1","type":"journal-article","created":{"date-parts":[[2025,4,22]],"date-time":"2025-04-22T12:12:22Z","timestamp":1745323942000},"page":"347-353","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Therapieoptionen des Lymph\u00f6dems","Therapeutic concepts in treatment of lymphedema"],"prefix":"10.1007","volume":"65","author":[{"given":"Christian Dirk","family":"Taeger","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claus Christian","family":"Pieper","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Schiltz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,4,22]]},"reference":[{"key":"1441_CR1","doi-asserted-by":"publisher","first-page":"70","DOI":"10.1089\/lrb.2015.0040","volume":"14","author":"JP Belgrado","year":"2016","unstructured":"Belgrado\u00a0JP, Vandermeeren\u00a0L, Vankerckhove\u00a0S et\u00a0al (2016) Near-Infrared Fluorescence Lymphatic Imaging to Reconsider Occlusion Pressure of Superficial Lymphatic Collectors in Upper Extremities of Healthy Volunteers. 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