Current Dilemmas and Controversies in Reconstructive Surgery for Lymphedema

Manual lymphatic drainage (MLD)-based decongestive lymphatic therapy (DLT) has long been the mainstay of treatment in the contemporary management of chronic lymphedema. Reconstructive lymphatic surgery is the best option for the management of chronic lymphedema when performed at the optimal time. It is also a viable option for lymphedema patients who have failed to respond to DLT alone.