Practicality of the Lower Extremity Lymphedema Index: Lymphedema Index Versus Volumetry-Based Evaluations for Body-Type-Corrected Lower Extremity Volume Evaluation

Annals of Plastic Surgery
Takumi YamamotoIsao Koshima

Abstract

Volume measurement is one of the most commonly used methods for lower extremity lymphedema (LEL) evaluation because of its objectivity. However, volume comparison between different patients with different body types may be inappropriate because body-type difference seems to significantly affect leg volume (LV). Twenty-seven nonedematous legs of 27 unilateral LEL patients were evaluated. The LEL index was calculated using circumferences and body mass index (BMI), and LV was calculated using a summed truncated cone model. The BMI of the examinees was classified into 3 groups: low BMI (BMI < 20), middle BMI (BMI, 20-25), and high BMI (BMI > 25). The LEL index, LV, LV divided by body surface area (LV/BSA), and LV divided by BMI (LV/BMI) were compared with the corresponding BMI groups. The mean (SD) LEL index was 218.6 (12.9), and the mean (SD) LV was 4081.3 (835.6) mL. Between the low-, middle-, and high-BMI groups, there were no significant differences in the LEL index [223.2 (11.4), 217.8 (13.3), and 214.6 (14.2), P > 0.5] or in LV/BMI [185.5 (9.2), 179.3 (11.3), and 175.7 (15.8) mL per kg/m, P > 0.3], whereas significant differences were seen in LV [3484.9 (366.0), 3924.4 (342.5), and 5387.7 (1038.4) mL, P < 0.001) and in LV/BSA...Continue Reading

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Aug 30, 2013·Plastic and Reconstructive Surgery·Takumi Yamamoto, Isao Koshima
Oct 16, 2013·Annals of Plastic Surgery·Takumi YamamotoIsao Koshima
Oct 16, 2013·Annals of Plastic Surgery·Takumi YamamotoIsao Koshima
Nov 16, 2013·Vascular and Endovascular Surgery·Takumi YamamotoIsao Koshima
Dec 11, 2013·Annals of Plastic Surgery·Takumi YamamotoIsao Koshima
Oct 1, 2013·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Takumi YamamotoIsao Koshima

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Citations

Feb 17, 2017·Plastic and Reconstructive Surgery. Global Open·Makoto MiharaKazuki Kikuchi
Jun 14, 2017·Plastic and Reconstructive Surgery·Takumi YamamotoIsao Koshima
Jan 23, 2018·Journal of Surgical Oncology·Takumi YamamotoIsao Koshima
Aug 23, 2020·Annals of Plastic Surgery·Yasunori HattoriKazuteru Doi
Dec 2, 2019·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Shinsuke AkitaNobuyuki Mitsukawa
Oct 30, 2021·Lymphatic Research and Biology·Kenta Aso, Hayahito Sakai

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