Lymphedema

Peter Neligan, MB, FRCS, FRCSC, FAC., is a board-certified plastic surgeon, Director of the Center for Reconstructive Surgery at UW Medical Center - Montlake, and a Professor of Surgery in the Division of Plastic Surgery at UW School of Medicine. Dr. Neligan specializes in reconstructive surgery including flap surgery, lymphatic surgery, facial re-animation and facial transplantation.. He strives to provide the best care for patients and provide them with the best treatments available. He is excited by new techniques and solutions and always tries to improve every aspect of care. Dr. Neligan has authored four books, 180 scientific papers, 75 book chapters, edited 10 textbooks and is editor-in-chief of the Journal for Reconstructive Microsurgery. He is president of the Plastic Surgery Foundation, a member of multiple professional organizations and is heavily involved in UW's Plastic Surgery Training Program

• Section 1: Current concepts in Lymphedema1. Lymphedema: Lack of solutions to a clinical problemPatients' prospective and existing evidence:2A. Patients` prospective and real expectations on Lymphedema2B. Myths and facts in Lymphedema2C. How to find accurate sites on the internet2D. Evidence mapping of Lymphedema treatment2E. International consensus documents (Conservative + Surgical Consensus)Section 2: Anatomy, Pathophysiology and LymphangiogensisEmbryology and Applied Anatomy3A. Embryology of lymphatic system3B. Anatomy of the lymphatic pathways3C. Applied Lymphatic Anatomy4. Hydromechanics of intercellular fluid and lymphLymphangiogenesis:5A. Mechanism of lymphangiogenesis and neolymphangiogenesis5B. Impact of genetics on lymphangiogenesis5C. Relationship between fat tissue and lymphangiogenesis6. Immune regulation by the peripheral lymphatics7. Pathophysiology of primary and secondary Lymphedema8. Lymphatic malformationsSection 3: Clinical Presentation of LymphedemaLymphedema presentation according to anatomical regions:9A. Head and Neck Lymphedema9B. Upper limb and Breast Lymphedema9C. Lower limb Lymphedema9D. Genital Lymphedema9E. Dermatologic implications of Lymphedema9F. Oncology and Lymphedema10. Obesity-induced Lymphedema11. Lymphedema in paediatric patients12. Post trauma LymphedemaSection 4: Diagnosis of Lymphedema13. Medical History, physical examination and Measuring Methods14. BiomarkersImagining modalities:15A. Introduction to radiology in lymphedema15B. Non-contrast MR lymphography15C. Indocyanine green lymphography ICG15D. Magnetic resonance lymphangiography15e. High-definition US16. Lymphedema Clinical Staging17. Differential Diagnosis of lymphedemaSection 5: Conservative treatments of Lymphedema18. Pharmacological treatments of LymphedemaCurrent physiotherapy treatment options for Lymphedema:19A. Introduction to physiotherapy in Lymphedema19B. Exercises19C. Lymphatic drainages19D. Compression therapies19E. Alternative treatments (Yoga, acupuncture, Etc)19F. Immediate post-operative physiotherapy treatment19G. Compliance and adherence to lymphedema treatmentLymphedema patients ‘care:20A. Lymphedema and nursing care20B. Nutrition and Diet for Lymphedema20C. Psychological impacts of lymphedemaSection 6: Surgical treatment of LymphedemaPatient`s Selection for Surgery:21A. Accurate patients’ selection21B. Interventional timing22. Excisional approaches for Lymphedema treatment23. LiposuctionLymphaticovenous bypass Operations:24A. Basic LV bypass concept24B. Multiple distal LV bypass24C. ELVA Concept24D. Lymph node-venous anastomosis24E. Tips and Tricks for LV Bypass: Making it easy25. Lymphatic graftVascularized lymph node transplantation:26A. Basic VLNT Concept26B. Recipient site selection in VLNT26C. VLNT donor selection: Submental26D. VLNT donor selection: Supra Clavicular26F. VLNT donor selection: Thoraco-dorasl26G. VLNT donor selection:Omental26H. VLNT donor selection: Mesenteric26I. VLNT donor selection:Groin26J. Minimizing donor site morbidity & Reverse lymphatic mapping26K. Vascularized functional lymphatic tissue transfer26L. Lymph interpositional flap transfer (LIFT)26M. Alternative Approaches for Lymphedema Treatment27. Nursing care in Lymphedema surgerySection 7: Prophylactic treatment of LymphedemaProphylactic lymphedema treatments during oncological surgeries:28A. Breast and upper limbs28B. Lower limbs28C. Pelvic surgeries28D. Immediate lymphatic reconstruction ILR (LYMPHA Technique)28E. Targeted lymphatic axillary repair (T-LAR)Lymphedema: from screening to prevention29A. Sentinel lymph node outcomes29B. Prophylactic treatments with immediate breast reconstruction29C. Screening and early detection of lymphedema & Subclinical lymphedema managementSection 8: Special Topics related to Lymphedema30. Filariasis31. Combined lymphatic and venous failure: PhlebolymphedemaLipedema:32A. Lipedema Physiopathology32B. The Challenges of Lipedema Diagnosis32C. Lipo-lymphedema vs LipedemaCentral lymphatic dysfunctions33A. Chylothorax 33B. Ascites34. Lymphocele35. Mixed vascular and lymphatic malformationSection 9: Multicdisplinary approach & Expected outcomes36. Multidisciplinary management of Lymphedema37. Short- and long-term Follow up38. Quality of life measurement instrumentsSection 10: Research and future perspectives39. Lymphangiogenic growth factors and receptors40. Molecular bases of medical treatment of Lymphoedema41. Scaffold and biological matrix to build a missing lymphatic system42. Animal models in Lymphedema43. Creating a Lymphedema Framework44. Robotic Surgery45. Artificial Intelligence