Lazar SV, Song S, Eggert GR, Cheng MH, Nguyen DH. Single-Malt Whisky Versus Cocktail? Approaches to Surgical Lymphedema Management.
J Surg Oncol 2025;
131:22-35. [PMID:
39757729 DOI:
10.1002/jso.27978]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2024] [Accepted: 09/12/2024] [Indexed: 01/07/2025]
Abstract
Lymphedema is a chronic, dynamic, and multifaceted disease that is effectively treated by surgery. However, there is a lack of consensus in the field about the ideal technique; is it better to perform one surgery type at a time (the "single-malt whisky" approach), or combine different procedures in a single surgery (the "cocktail" approach)? Here, we review advances in these opposing camps, compare outcomes, and discuss potential paradigm shifts in the surgical treatment of lymphedema.
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