PMID: 16533487Mar 15, 2006Paper

Lymphedema

Current Treatment Options in Cardiovascular Medicine
S Rockson

Abstract

Aggressively applied decongestive measures (ie, manual lymphatic drainage, low-stretch bandaging, exercise, skin care, application of compressive elastic garments) are the mainstay of lymphatic therapy. Therapeutic regimens should differentiate between the sequential goals of acute volume reduction and maintenance of limb volume. Elastic garments should not be employed until maximal volume reduction has been attained through decongestive lymphatic techniques. It is my opinion that use of intermittent pneumatic compression devices can play an important adjunctive role to decongestive lymphatic therapy but should not be substituted for these techniques. At this time, I am not inclined to use pharmacologic therapy in these patients but anxiously await the results of studies that might demonstrate efficacy for molecular approaches. Surgical intervention is reserved for a small number of well-selected patients. Liposuction for volume reduction appears to be a very promising approach for specific patients.

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Citations

Sep 1, 2007·Advances in Skin & Wound Care·Darlene McCord, Jane Fore
Mar 2, 2011·PloS One·Alan YanBabak J Mehrara
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Sep 8, 2017·Lymphatic Research and Biology·Jung Ho Lee, David W Chang
Jun 21, 2008·Lymphatic Research and Biology·Valerii M Petrenko, Anatoliy A Gashev
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Jun 28, 2020·Molecular Genetics & Genomic Medicine·Sylvain MukengeLuca Aldrighetti
Jun 22, 2011·Lymphatic Research and Biology·Waldemar L OlszewskiTomasz Gradalski
Mar 5, 2010·The British Journal of Dermatology·S AddisuM A Titheradge
Aug 3, 2021·Journal of Plastic Surgery and Hand Surgery·Jenny ZhangHåkan Brorson

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