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=== Surgery === The treatment of lymphedema is usually conservative, however the use of surgery is proposed for some cases.<ref>{{cite journal | vauthors = Carl HM, Walia G, Bello R, Clarke-Pearson E, Hassanein AH, Cho B, Pedreira R, Sacks JM | title = Systematic Review of the Surgical Treatment of Extremity Lymphedema | journal = Journal of Reconstructive Microsurgery | volume = 33 | issue = 6 | pages = 412β425 | date = July 2017 | pmid = 28235214 | doi = 10.1055/s-0037-1599100 | s2cid = 7791985}}</ref> Suction assisted lipectomy (SAL), also known as [[liposuction]] for lymphedema, may help improve chronic non pitting edema.<ref name="Granzow2013" /> The procedure removes fat and protein and is done alongside continued compression therapy.<ref name="Granzow2013">{{cite journal | vauthors = Granzow JW, Soderberg JM, Kaji AH, Dauphine C | title = Review of current surgical treatments for lymphedema | journal = Annals of Surgical Oncology | volume = 21 | issue = 4 | pages = 1195β1201 | date = April 2014 | pmid = 24558061 | doi = 10.1245/s10434-014-3518-8 | doi-access = free}}</ref> Vascularized lymph node transfers (VLNT) and lymphovenous bypass are supported by tentative evidence {{as of|2017|lc=y}} but are associated with a number of complications.<ref name="Lymphedema Diagnostic workup" />{{Example needed|date=September 2023}}
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