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Each of these procedures has its clear indication and decades of successful history. These therapies represent a paradigm shift in lymphology. In reconstruction, the basic idea is to restore lymph flow, to bypass the obstacle to drainage in the vascular system. The combination procedures of two\u2010stage application of resection and reconstruction in lymphoedema are just as much a \u201cwork in progress\u201d as the concept of prophylactic lymphatic venous anastomosis (LVA).<\/jats:p><jats:p>In the case of resective procedures, the focus is not only on improving the silhouette, but also on reducing the complex decongestion therapy (CDT) and \u2013 in the case of LiDo \u2013 freedom from pain by improving imaging procedures and the early use of surgical therapy options, the development of higher stages of lymphoedema should be a thing of the past. For LiDo, the application of surgical procedures avoids lifelong CDT and achieves painlessness. All surgical procedures, but especially the resection procedures, are now possible in a way that is gentle on the lymphatic vessels and should be offered to patients with lymphoedema or lipohyperplasia dolorosa without reservation if the goals \u2013 reduction in circumference, avoidance of lifelong CDT and, in the case of LiDo, painlessness \u2013 cannot be achieved by other means.<\/jats:p>","DOI":"10.1111\/ddg.14974","type":"journal-article","created":{"date-parts":[[2023,2,20]],"date-time":"2023-02-20T20:03:00Z","timestamp":1676923380000},"page":"147-168","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Surgical lymphology. Therapy option for lymphoedema and lipohyperplasia dolorosa"],"prefix":"10.1111","volume":"21","author":[{"given":"Manuel E.","family":"Cornely","sequence":"first","affiliation":[{"name":"LY. 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