Current wound care in patients and elephantiasis third-stage

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Current wound care in patients and elephantiasis third-stage

Postby patoco » Sat Dec 15, 2012 11:54 am

Current wound care in patients with elephantiasis--third-stage lymphedema.

Oct 2012

[Article in Croatian]

Rucigaj TP, Slana A, Leskovec NK.


Ljubljana University Hospital Center, University Department of Dermatovenereology, Ljubljana, Slovenia.


Lymphedema resulting from fluid accumulation due to impairment in the lymphatic system drainage leads to enlargement of the body part involved. If left untreated, in its third stage it results in elephantiasis. Elephantiasis is frequently accompanied by papillomatosis and lymphocutaneous fistulas with lymphorrhoea, erosions and ulcers, frequently with the loss of function in the respective part of the body. Unlike other chronic wounds, wound healing in lymphedema is highly dependent on the use of combined therapies because local treatment with modern supportive dressings and compression therapy with adhesive and non-adhesive short-stretch systems is only part of the complete treatment. This treatment also includes sub-bandage foamy materials, kinesitherapy with tapes (kinesiotaping), intermittent local application of high-pressure oxygen, breathing exercise, and manual lymph drainage and exercises.

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