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Eine zu sp\u00e4te oder ausbleibende\nBehandlung dieser Erkrankung f\u00fchrt jedoch in der Regel zu einer weiteren\nVerschlechterung der Symptomatik und bef\u00f6rdert einen chronischen Verlauf. Dies\nunterstreicht die Bedeutung einer fr\u00fchzeitigen und pr\u00e4zisen Diagnose, um die\nrichtigen therapeutischen Ma\u00dfnahmen zu ergreifen und langfristige Komplikationen\nzu vermeiden. Der Artikel gibt einen \u00dcberblick \u00fcber die Pathophysiologie des\nLymphsystems, beschreibt die Entstehungsmechanismen des posttraumatischen\nLymph\u00f6dems und beleuchtet die Rolle von Infektionen. Dar\u00fcber hinaus werden die\nrelvantesten Klassifikationssysteme \u2013 klinisch, bildgebend nach Yamamoto \u2013\ndargestellt. Zudem werden aktuelle konservative und operative Therapieoptionen\nerl\u00e4utert. Ein interdisziplin\u00e4res Management unter Nutzung moderner\nmikrochirurgischer Techniken kann die Prognose der Betroffenen deutlich\nverbessern.<\/jats:p>","DOI":"10.1055\/a-2716-6976","type":"journal-article","created":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T00:11:00Z","timestamp":1761869460000},"page":"135-141","source":"Crossref","is-referenced-by-count":0,"title":["Die lymphatische Chirurgie als Teil des orthoplastischen Konzepts-\nein \u00dcbersichtsartikel"],"prefix":"10.1055","volume":"58","author":[{"given":"Camillo T","family":"Mueller","sequence":"additional","affiliation":[{"name":"Plastic Surgery, Kliniken Essen-Mitte Evangelische\nHuyssens-Stiftung\/Knappschaft GmbH, Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felix","family":"Reinkemeier","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Plastische Chirurgie und Handchirurgie,\nSchwerbrandverletztenzentrum, BG-Universit\u00e4tsklinikum Bergmannsheil Bochum,\nBochum, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yonca","family":"Steubing","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Plastische Chirurgie und Handchirurgie,\nSchwerbrandverletztenzentrum, BG-Universit\u00e4tsklinikum Bergmannsheil Bochum,\nBochum, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcus","family":"Lehnhardt","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Plastische Chirurgie und Handchirurgie,\nSchwerbrandverletztenzentrum, BG-Universit\u00e4tsklinikum Bergmannsheil Bochum,\nBochum, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bj\u00f6rn","family":"Behr","sequence":"additional","affiliation":[{"name":"Plastic Surgery, Kliniken Essen-Mitte Evangelische\nHuyssens-Stiftung\/Knappschaft GmbH, Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes Maximilian","family":"Wagner","sequence":"additional","affiliation":[{"name":"Plastic Surgery, Kliniken Essen-Mitte Evangelische\nHuyssens-Stiftung\/Knappschaft GmbH, Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,10,30]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"2387","DOI":"10.1016\/j.bjps.2022.02.059","article-title":"A scoping literature review of post-traumatic lymphedema: Where are we now?","volume":"75","author":"C D Liao","year":"2022","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1077","DOI":"10.3390\/JPM11111077","article-title":"Posttraumatic Lymphedema after Open Fractures of the Lower Extremity \u2013 A\nRetrospective Cohort Analysis","volume":"11","author":"J M Wagner","year":"2021","journal-title":"J Pers Med"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1077","DOI":"10.3390\/JPM11111077","article-title":"Posttraumatic Lymphedema after Open Fractures of the Lower Extremity \u2013 A\nRetrospective Cohort Analysis","volume":"11","author":"J M Wagner","year":"2021","journal-title":"J Pers Med"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1001\/archsurg.1967.01330080061017","article-title":"Lymphangiosarcoma: A Lethal Complication of Chronic Lymphedema: Report of Two\nCases and Review of the Literature","volume":"94","author":"C S Eby","year":"1967","journal-title":"Arch Surg"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"562","DOI":"10.1002\/1097-0142(197208)30:2<562::AID-CNCR2820300237>3.0.CO;2-V","article-title":"Lymphangiosarcoma arising in chronic lymphedematous extremities","volume":"30","author":"A H Woodward","year":"1972","journal-title":"Cancer"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1002\/1097-0142(194805)1:1<64::AID-CNCR2820010105>3.0.CO;2-W","article-title":"Lymphangiosarcoma in postmastectomy lymphedema. 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