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Perspectives in Vascular Surgery 2000; Volume 13(Number 3): 0043-0054
DOI: 10.1055/s-2000-9516
Copyright © 2000 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel. +1(212)584-4662.

Contemporary Treatment of Chronic Lymphedema

John J. Bergan
  • Professor of Surgery, University of California, San Diego, San Diego, CA; Clinical Professor of Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD
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Publication History

Publication Date:
31 December 2000 (online)

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ABSTRACT

-Lymphedema presents as a recurring problem to vascular surgeons. Its primary cause is fundamentally unknown and modern treatment has not been emphasized in teaching programs, specialized courses or our national meetings.

Clinical findings, methods of verification of diagnosis, classification and summary of treatment options are the subject of this presentation. Disadvantages of pump therapy and advantages of specialized massage therapy are emphasized. A review of modern de-bulking procedures is provided and mention is made of the current status of direct microlymphatic reconstruction and pharmacologic therapy.

KEYWORD

Lymphedema - pneumatic compression - manual lymphatic drainage - complex decongestive physiotherapy - lymphoscintigraphy

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