Article

[Management of limb lymphedema].

Unité de lymphologie, centre national de référence des maladies vasculaires rares, hôpital Cognacq-Jay, 15, rue Eugène-Millon, 75015 Paris, France.
La Revue de Médecine Interne (impact factor: 0.61). 01/2012; 33(5):268-72. DOI:10.1016/j.revmed.2011.12.012 pp.268-72
Source: PubMed

ABSTRACT Lymphedema results from impaired lymphatic transport with increased limb volume. Cellulitis is the main complication, but psychological or functional discomfort may occur throughout the course of lymphedema. Lymphedema management is based on complete decongestive physiotherapy (multilayer low stretch bandage, manual lymph drainage, skin care, exercises). First phase of treatment leads to a reduction of lymphedema volume. The second phase stabilizes the volume and is based on elastic compression. Resection surgery is a useful tool in external genitalia lymphedema.

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Keywords

complete decongestive physiotherapy
 
external genitalia lymphedema
 
First phase
 
functional discomfort
 
lymphatic transport
 
lymphedema
 
Lymphedema management
 
Lymphedema results
 
lymphedema volume
 
manual lymph drainage
 
multilayer low stretch bandage
 
Resection surgery
 
second phase
 
skin care
 

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