[An overview of integrated surgical management for secondary lower limb lymphedema guided by algorithms].

SSecondary lymphedema is a chronic progressive disease caused by lymphatic flow obstruction due to surgery, trauma, infection, etc., leading to inflammation, edema, adipose deposition, and fibrosis in subcutaneous tissues. The principles of treatment are early, standardized, integrated, and comprehensive management, with the goal of providing personalized standardized treatment. Based on single-center treatment experience, this article summarizes a surgical integrated treatment algorithm for secondary lower limb lymphedema. It proposes that personalized treatment plans require comprehensive assessment of lymphedema severity, pathological components, and lymphatic function, incorporating the International Society of Lymphology staging and imaging findings. This algorithm, based on the principles of regionalization (body regions), staged approach, and integrated treatment, enables precise personalized intervention and demonstrates significant clinical applicability.