LYMPHEDEMA LIPOSUCTION TREATMENT
This page has been updated and replaced. For current information please see:
Liposuction
http://www.lymphedemapeople.com/wiki/doku.php?id=liposuction
May 20, 2008
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Liposuction
and Lymphedema
A new and still somewhat controversial treatment for lymphedema has
emerged from
Sweden. Head of the lymphedema unit in the department of plastic and
reconstructive surgery at Malmo University Hospital, Dr. Hakan Brorson
reports
that in the 70 lymphedema patients he treated with this method said
that his
patients had complete reduction of swelling with no recurrence.
Despite that he does recommend to patients that they continue therapy
which
includes wearing controlled compression bandages.
Candidates for the procedure are person with severe lymphedema with no
pitting
and who have been nonresponsive to other therapies.
Its controversial because of the fact he makes 15 to 20 small incisions
on the
arm. Of course this type of invasive procedure opens the arm up to be
at high
risk for an infectious complication. He also has reported that there
have been
no such occurrences.
As of our update of January 11, 2012, there have been no further studies to clinically confirm the long term safety of liposuction for lymphedema. I remain skeptical therefore to using it. The short term results may still not be worth the long term risks. Plus, it is evident that even though one has liposuction, you will still need to wear the compression garment for the remainder of your life. So, my question is, “What exactly was gained?”
We need follow up studies for ten, twelve or even fifteen years.
Finally, I did run across this interesting comment by a Board Certified Seattle Plastic Surgeon on the use of liposuction for lymphedema. In a question and answer forum he states: “This is not a good idea. Twenty (20) years ago, a plastic surgeon I was training with did studies on the treatment of lymphedema with liposuction. Early successes were just from fluid removal. The hope was that scar tissue would inhibit the recurrence of the edema but that did not happen. This plus the difficulty fighting infection in the face of lymphedema make liposuction in this setting not a good idea.”
Another doctor in the same forum states: “This is a tough question. My general inclination is to discourage the use of this technique for this problem. Lymphedematous arms are more prone to infection and poor wound healing due to increased tissue fluids and impaired oxygen diffusion through the tissues. However, I am aware, as no doubtedly you are, that there are reports of improvement with this modality. If you are considering this, I would highly recommend a specialist who has vast experience in treating patients. At the very…”
There
were two other doctors who made the same comments of NOT DOING it in
this forum. This makes four against and none recommending liposuction
on a lymphedematous limb.
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Liposuction Treatment of
Lymphedema
LYMPHEDEMA
A new method for treatment of chronic lymphedema of the arm after a
radical
mastectomy
http://w1.706.telia.com/~u70626613/Index_eng.html
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Liposuction Reduces Arm
Lymphedema Without Significantly Altering the Already
Impaired Lymph Transport
Abstract
http://www.u.arizona.edu/~witte/contents/1998.4.brorson.pdf
--------------------------------------------
Swedish Physician Uses
Liposuction to Help Treat Lymphedema (dateline April
20, 2001)
http://imaginis.com/breasthealth/news/news4.20.01.asp
--------------------------------------------
Swedish Doctor Uses Liposuction
Annieappleseed Project
http://www.annieappleseedproject.org/sweddocuslip.html
--------------------------------------------
NATIONAL LYMPHEDEMA NETWORK
Questions and Answers
Liposuction
Q: Recently I read an article in the NY Post about liposuction for
lymphedema in
the arm after Breast cancer surgery. As you can imagine, after living
with this
condition for many years, I was very excited, but not sure where to get
further
information. Is it true that liposuction can reverse and cure the
swelling in my
arm? Where can I go for surgery? My doctor was not able to help me.
Anxious to
hear from you, a long time NLN Member.
A: Liposuction is not a cure for lymphedema. At the present time, there
is NO
cure for lymphedema. The information you read about refers to a
procedure done
in Sweden by a Dr. Brorson. He presented this information at the NLN
Conference
in Orlando this year. He was clear throughout his presentation that he
only
performs this procedure on long standing, fibrotic, post-mastectomy
lymphedema
of the arm.
Dr. Brorson emphasized that CDT (combined decongestive therapy), which
consists
of manual lymph drainage, compression bandaging, skin care, exercise,
and self
care instruction is still the treatment of choice for lymphedema. He
only
recommends this liposuction procedure to individuals who could not
receive
treatment and have developed severe, long-standing, fibrotic
lymphedema. He
emphasized that after this procedure, the individual must wear
compression
garments daily and compression bandages nightly, forever. The procedure
does not
correct the inadequate lymph drainage. It removes large amounts of
fibrous
tissue from the limb, and necessitates a lengthy operation with
extensive
scarring.
While it may indeed reduce the overall girth of a very large, fibrotic
limb a
bit more than a course of CDT by virtue of the fact that the surgeon
removes
large amounts of subcutaneous tissue, the success of the follow-up home
program
for both therapies is determined by the compliance of the patient with
wearing
constant compression on the involved limb and doing the recommended
exercise/self-massage program. After the surgery, if an individual
decides s/he
no longer wants to wear the compression garments/bandages, the limb is
at
extreme risk of swelling and ballooning out of shape due to the removal
of the
connective tissue structure of the limb with the liposuction.
This procedure is not without significant surgical risks posed by
anesthesia,
risk of fat emboli, and risk of post operative wound infection (in a
limb with
an impaired immune system due to lymph node dissection/radiation
therapy). It is
distressing to think that a medical insurance plan would probably be
willing to
pay large fees for liposuction as a "surgical correction for
lymphedema"
while possibly denying payment for the safer, less expensive course of
CDT. Dr.
Brorson was the first to say that his first recommendation to an
individual with
lymphedema post mastectomy, is a course of CDT. Too bad that the
reporters who
attended the NLN conference chose only to highlight this radical
surgical
approach to advanced lymphedema. Too bad they missed an opportunity to
educate
the public about CDT which is safe, non-invasive, and very successful
in
reducing and managing lymphedema, which to date, has no cure.
--------------------------------------------
*'Liposuction' to ease surgery side-effect*
Liposuction is usually employed to remove excess fat from the stomach or thighs, but a Swedish surgeon, Haken Brorson, is tackling a condition called lymphoedema.
However, a UK support group believes that the technique may hold dangers for the patient.
The lymphatic system is a circulatory system which redistributes excess fluids and dead cells around the body.
Women whose cancer requires the removal of lymph glands in the armpits - which can harbour cancer cells - can find the flow of lymph is disrupted.
This can cause, in some cases, an increase in the volume of fatty tissue in the arm, which is not only visually unappealing, but causes pain and lack of mobility.
Two litres removed
Between 30% and 40% of breast surgery and radiotherapy patients are affected to some degree by lymphoedema.
Dr Brorson is experimenting with a variation on the standard liposuction technique, which makes approximately 20 incisions along the affected arm and uses suction to remove the fatty tissue and lymph.
However, patients must then wear an elasticated compression bandage more or less permanently to stop the lymphoedema coming back.
Dr Brorson told the European Breast Cancer Conference in Brussels that he had operated on 64 patients, removing, on average, two litres of fat from the arms of the patients..
On average, the swelling was reduced by three quarters within a fortnight, and completely within a year.
Dr Brorson told the delegates: "It can change patients' lives - I shall always remember one of my patients telling me how much it meant to her to be able to walk into a shop and for the first time in many years choose a dress, confident that it would fit her and look good on her."
Lymphoedema was described as a "Cinderella" condition by Mrs Gloria Freilich, co-chairman of the conference.
"Commonly, patients are told that nothing much can be done to help them and that they should be grateful that they have been 'cured' of cancer," she said.
"They are frequently given inappropriate advice as being told to buy a mechanical pump for the arm.
"Used without profession supervision this can actually cause immense further damage."
However, a spokesman for the Lymphoedema Support Network in the UK said that she would be surprised if liposuction could become a regular treatment for the condition, mainly because of the risks of infection.
http://news.bbc.co.uk/1/hi/health/945360.stm
--------------------------------------------
Lymphedema caused by Liposuction
Dear Editor,
Hi, my name is Lillian Newman. My friend Denise told me about your
newsletter. I
want to let you know about what happened to me in hopes that it'll save
other
women from the same fate.
In December of 1998 I underwent bilateral ultrasonic upper arm
liposuction in a
local hospital, performed by a board certified plastic surgeon. I had
acute hand
swelling 3 days post surgery. Then mild swelling, which got worse after
a ride
on an airplane over the summer of 1999. I was diagnosed with lymphedema
4/19/2000. Why did it take so long?
Lymphedema is not something that a lot of doctors really know about or
pay
attention to, unfortunately. This I have found out the hard way.
Doctors are
also difficult to talk to. They don't want to talk to you because they
view you
as a walking lawsuit. Three have made comments on my case, two have put
them in
writing. The first is a vascular surgeon who confirmed the primary
physician
diagnosis. He stated in the letter he wrote to my primary physician
that this
lymphedema was a direct complication of the liposuction I had had. This
was
lukewarmly confirmed by a tightlipped vascular surgeon #2. Two plastic
surgeons
have commented on my case, but have not seen me. Both are against
ultrasonic
liposuction becuase of the potential of it to burn the vascular system.
Beware. They say ultrasonic liposuction is safe. If it was truly safe,
I would
not have stage one lymphedema. My husband and I had to purchase a
Lympha Press
edema pump, and I hook myself up to it nightly, after which I perform
manual
lymph drainage on myself. Three times a week, I am going to physical
therapy
where the therapist is, shooting against the odds, trying to build
collateral
vessels in my arms. From now on, when I board airplanes, I will have to
take
antibiotics and wrap both arms. A cut or a burn could land me in the
hospital.
Please help me spread the word. I have a documented case of lymphedema
from
ultrasonic liposuction and I want people to know. I don't want others
to get
hurt, though I have already found three victims other than myself on
the
internet. One woman has stage 3 lymphedema from her liposuction 15
years ago and
is so sick that lymph leaks through her skin.
Something must be done to stop the growing and DANGEROUS trend of
doctors
setting up shop and doing plastic surgery. People have died, people
have been
seriously hurt. I am one of them. I will have this cardiovascular
condition for
the rest of my life.
Sincerely,
Lillian Newman
mailto:Lills4@aol.com
http://www.wapd.org/news/000604.html
--------------------------------------------
Contraindications: Liposuction
Contraindications:
Liposuction is reserved for patients
who are healthy and without significant illnesses. Although difficult
to
determine absolute contraindications, the authors believe that
significant
medical history should necessitate discussion with the patient’s
primary
physician and/or anesthesiologist prior to approval of any procedure.
Anticoagulants (including aspirin) should be stopped 2 weeks prior to
surgery to
avoid risks of hematoma and excessive bleeding. Physicians must be
particularly
attentive to herbal supplements that may affect anesthetic risks and
bleeding.
Obviously, patients who are unable to stop these medicines should not
be
considered for surgery, as in patients with cardiac valve replacement,
atrial
fibrillation, and those undergoing deep vein thrombosis and/or
pulmonary
embolism therapy.
Patients also must understand and discuss at length with the physician
the
potential risks and sequelae. The physician. Surgeons also should
document all
discussions with the patient regarding the potential surgery and
potential
risks. Port site scars also should be appreciated by the patient and
occasionally can be modified to address specific needs of the patient.
For entire emedicine article on Liposuction click on the link below
http://www.emedicine.com/plastic/topic486.htm
--------------------------------------------
THINGS TO KNOW ABOUT LIPOSUCTION
http://www.liposuction.com/faqs/postop_recovery.php
--------------------------------------------
Seromas after liposuction
What causes the seromas associated with
liposuction?
Seromas after liposuction are the result of surgical trauma which
injures or
destroys the lymphatic vessels within the targeted fatty tissue.
Lymphatic
vessels are tiny, thin-walled tubular structures located throughout the
body,
and have the specific function of draining tissues of fluids that leak
out of
capillary blood vessels. Excessively large liposuction cannulas not
only create
large empty pockets within targeted fatty tissues, but also remove
lymphatic
vessels. Both of these conditions encourage the formation of seromas
after
liposuction. Unfortunately, seromas are a common problem after
ultrasonic
assisted liposuction (UAL). Ultrasonic liposuction cannulas create a
considerable amount of heat which injures blood vessels as well as the
delicate
lymphatic vessels. Without lymphatic vessels to drain away excessive
lymph
fluid, the fluid collects within the excavated spaces in the fatty
created by
the liposuction process.
How can seromas be
prevented?
Seromas
are prevented by 1) avoiding excessive surgical
trauma to the delicate lymphatic vessels within fat, and 2) by
encouraging
post-operative drainage of lymph fluid (serum) from the fatty tissues
treated by
liposuction.
First, the use of microcannulas can reduce the risk of seromas.
Micro-cannulas
are relatively small liposuction cannulas having an outside diameter
less than 3
millimeters. By making relatively small tunnels within the targeted
fat, micro-cannulas
do not create large empty cavities within which a seroma can form as
readily as
larger cannulas. Large cannulas remove fat more rapidly, but more
likely to
cause seromas because large cannulas tend to damage lymphatic vessels,
and
create larger cavities within the fat.
Second, when incisions are closed with stitches, a relatively large
amount of
fluid is trapped under the skin where it collects and stagnates in the
tunnels
within the fat, thus causing a seroma. By not closing incisions with
stitches
(the “open-drainage” technique) and by using efficient compression
garments,
the drainage of blood tinged tumescent anesthetic solution and the
lymphatic
exudates is encouraged. Compression garments squeeze the walls of the
empty
tunnels together, which encourages the tunnel walls to adhere and grow
together
thereby obliterating the empty cavities in which seromas tend to form.
--------------------------
From lymph to fat: complete reduction of lymphoedema.
Oct. 2010
Brorson H.
Source
Department of Plastic and Reconstructive Surgery, Lund University, Skåne University Hospital, SE-205 02 Malmö, Sweden
Key Words
lymphedema, lymphoedema, liposuction, adipose tissue, controlled compression, therapy lipectomy
Abstract
Liposuction for late-stage lymphoedema remains a controversial technique. While it is clear that conservative therapies such as combined decongestive therapy (CDT) and controlled compression therapy (CCT) should be tried in the first instance, options for the treatment of late-stage lymphoedema that is not responding to treatment is not so clear. Liposuction has been used for many years to treat lipodystrophy. Some results have been far from optimal; however, improvements in technique, patient preparation and patient follow-up have led to a greater and a wider acceptance of liposuction as a treatment for lymphoedema. This paper outlines the benefits of using liposuction and presents the evidence to support its use.
http://phleb.rsmjournals.com/content/25/suppl_1/52.long
--------------------------
http://www.health.state.mn.us/htac/lipo.htm
=======================================================
Index of articles for Lymphedema Treatment :
Lymphedema Treatment
http://www.lymphedemapeople.com/wiki/doku.php?id=treatment
........
Acupuncture Treatment
http://www.lymphedemapeople.com/thesite/lymphedema_acupuncture_treatment.htm
Aqua Therapy for Postsurgical Breast Cancer Arm Lymphedema
Aqua Therapy in Managing Lower Extremity Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=aqua_therapy_in_managing_lower_extremity_lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=artificial_lymph_nodes
http://www.lymphedemapeople.com/wiki/doku.php?id=artificial_lymphatic_system
http://www.lymphedemapeople.com/wiki/doku.php?id=auricular_therapy
Compression Bandages for Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=compression_bandages_for_lymphedema
Benzopyrones Treatment
http://www.lymphedemapeople.com/thesite/lymphedema_benzopyrones_treatmen.htm
Chi Machine
http://www.lymphedemapeople.com/thesite/lymphedema_and_the_chi_machine.htm
Complex Decongestive Therapy
Compression Garments Stockings for Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=compression_garments_stockings_for_lymphedema
Compression Pumps for Lymphedema Treatment
http://www.lymphedemapeople.com/wiki/doku.php?id=compression_pumps_for_lymphedema_treatment
http://www.lymphedemapeople.com/wiki/doku.php?id=deep_oscillation_therapy
Diuretics are not for lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=diuretics_are_not_for_lymphedema
Endermologie Therapy
http://www.lymphedemapeople.com/thesite/lymphedema_and_endermologie_therapy.htm
http://www.lymphedemapeople.com/wiki/doku.php?id=farrow_wrap
Flexitouch Device - Initial Observations
http://www.lymphedemapeople.com/phpBB2/viewtopic.php?t=155
Flexitouch Device for Arm Lymphedema
http://www.lymphedemapeople.com/phpBB2/viewtopic.php?t=273
Homeopathy
http://www.lymphedemapeople.com/thesite/lymphedema_and_homeopathy.htm
How to Choose a Lymphedema Therapist
http://www.lymphedemapeople.com/wiki/doku.php?id=how_to_choose_a_lymphedema_therapist
Kinesio Taping (R)
http://www.lymphedemapeople.com/thesite/lymphedema_and_kinesio_taping.htm
Kinesiology Therapy
http://www.lymphedemapeople.com/thesite/lymphedema_and_kinesiology_therapy.htm
Laser Treatment
http://www.lymphedemapeople.com/thesite/lymphedema_laser_treatment.htm
Laser Treatment - Sara's Experience
http://www.lymphedemapeople.com/thesite/lymphedema_laser_treatment_saras_experience.htm
Light Beam Generator Therapy
http://www.lymphedemapeople.com/thesite/lymphedema_and_light_beam_generator_therapy.htm
Liposuction Treatment
http://www.lymphedemapeople.com/thesite/lymphedema_liposuction_treatment.htm
http://www.lymphedemapeople.com/phpBB2/viewtopic.php?t=114
http://www.lymphedemapeople.com/wiki/doku.php?id=lymph_node_transplant
Lymphedema Treatment Programs Canada
http://www.lymphedemapeople.com/thesite/lymphedema_treatment_programs_canada.htm
http://www.lymphedemapeople.com/wiki/doku.php?id=lymphedema_sleeves
Lymphedema Surgeries
http://www.lymphedemapeople.com/thesite/lymphedema_surgeries.htm
Lymphedema Treatments are Poorly Utilized
http://www.lymphedemapeople.com/thesite/lymphedema_treatments_are_poorly_utilized.htm
Lymphobiology
http://www.lymphedemapeople.com/thesite/lymphedema_and_lymphobiology.htm
Magnetic Therapy
http://www.lymphedemapeople.com/thesite/lymphedema_and_magnetic_therapy.htm
Mesotherapy
http://www.lymphedemapeople.com/wiki/doku.php?id=mesotherapy
Microsurgeries
http://www.lymphedemapeople.com/thesite/lymphedema_and_microsurgery.htm
http://www.lymphedemapeople.com/phpBB2/viewtopic.php?t=202
Reflexology Therapy
http://www.lymphedemapeople.com/thesite/lymphedema_and_reflexology_therapy.htm
Short Stretch Bandages
http://www.lymphedemapeople.com/wiki/doku.php?id=short_stretch_bandages_for_lymphedema
Surgeries
http://www.lymphedemapeople.com/thesite/lymphedema_surgeries.htm
Wholistic Treatment
http://www.lymphedemapeople.com/thesite/lymphedema_wholistic_treatment.htm
Treatment Information for Lymphedema Forum
http://www.lymphedemapeople.com/phpBB2/viewforum.php?f=8
Why Compression Pumps cause Complications with Lymphedema
http://www.lymphedemapeople.com/phpBB2/viewtopic.php?t=327
===========================
Join us as we work for lymphedema patients everywehere:
Advocates for Lymphedema
Dedicated to be an advocacy group for lymphedema patients. Working towards education, legal reform, changing insurance practices, promoting research, reaching for a cure.
http://health.groups.yahoo.com/group/AdvocatesforLymphedema/
| Subscribe: | AdvocatesforLymphedema-subscribe@yahoogroups.com |
Pat O'Connor
Lymphedema People / Advocates for Lymphedema
===========================
For information about Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=lymphedema\
For Information about Lymphedema Complications
http://www.lymphedemapeople.com/wiki/doku.php?id=complications_of_lymphedema
For Lymphedema Personal Stories
http://www.lymphedemapeople.com/phpBB2/viewforum.php?f=3
For information about How to Treat a Lymphedema Wound
http://www.lymphedemapeople.com/wiki/doku.php?id=how_to_treat_a_lymphedema_wound
For information about Lymphedema Treatment
http://www.lymphedemapeople.com/wiki/doku.php?id=treatment
For information about Exercises for Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=exercises_for_lymphedema
For information on Infections Associated with Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=infections_associated_with_lymphedema
For information on Lymphedema in Children
http://www.lymphedemapeople.com/wiki/doku.php?id=lymphedema_in_children
Lymphedema Glossary
http://www.lymphedemapeople.com/wiki/doku.php?id=glossary:listing
===========================
Lymphedema People - Support Groups
-----------------------------------------------
Children
with Lymphedema
The time has come for families, parents, caregivers to have a support
group of
their own. Support group for parents, families and caregivers of
chilren with
lymphedema. Sharing information on coping, diagnosis, treatment and
prognosis.
Sponsored by Lymphedema People.
http://health.groups.yahoo.com/group/childrenwithlymphedema/
Subscribe: childrenwithlymphedema-subscribe@yahoogroups.com
......................
Lipedema
Lipodema Lipoedema
No matter how you spell it, this is another very little understood and
totally
frustrating conditions out there. This will be a support group for
those
suffering with lipedema/lipodema. A place for information, sharing
experiences,
exploring treatment options and coping.
Come join, be a part of the family!
http://health.groups.yahoo.com/group/lipedema_lipodema_lipoedema/?yguid=209645515
Subscribe: lipedema_lipodema_lipoedema-subscribe@yahoogroups.com
......................
MEN WITH LYMPHEDEMA
If you are a man with
lymphedema; a man with a loved one with lymphedema who you are trying
to help
and understand come join us and discover what it is to be the master
instead of
the sufferer of lymphedema.
http://health.groups.yahoo.com/group/menwithlymphedema/
Subscribe: menwithlymphedema-subscribe@yahoogroups.com
......................
All
About Lymphangiectasia
Support group for parents, patients, children who suffer from all forms
of
lymphangiectasia. This condition is caused by dilation of the
lymphatics. It can
affect the intestinal tract, lungs and other critical body areas.
http://health.groups.yahoo.com/group/allaboutlymphangiectasia/
Subscribe: allaboutlymphangiectasia-subscribe@yahoogroups.com
......................
Lymphatic
Disorders Support Group @ Yahoo Groups
While we have a number of support groups for lymphedema... there is
nothing out
there for other lymphatic disorders. Because we have one of the most
comprehensive information sites on all lymphatic disorders, I thought
perhaps,
it is time that one be offered.
DISCRIPTION
Information and support for rare and unusual disorders affecting the
lymph
system. Includes lymphangiomas, lymphatic malformations,
telangiectasia,
hennekam's syndrome, distichiasis, Figueroa
syndrome, ptosis syndrome, plus many more. Extensive database of
information
available through sister site Lymphedema People.
http://health.groups.yahoo.com/group/lymphaticdisorders/
Subscribe: lymphaticdisorders-subscribe@yahoogroups.com
Lymphedema People New Wiki Pages
Have
you seen our new
“Wiki” pages yet? Listed
below
are just a sample of the more than 140 pages now listed in our Wiki
section. We
are also working on hundred more.
Come
and take a stroll!
Lymphedema
Glossary
http://www.lymphedemapeople.com/wiki/doku.php?id=glossary:listing
Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=lymphedema
Arm
Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=arm_lymphedema
Leg
Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=leg_lymphedema
Acute
Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=acute_lymphedema
The
Lymphedema Diet
http://www.lymphedemapeople.com/wiki/doku.php?id=the_lymphedema_diet
Exercises
for Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=exercises_for_lymphedema
Diuretics
are not for
Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=diuretics_are_not_for_lymphedema
Lymphedema
People Online
Support Groups
http://www.lymphedemapeople.com/wiki/doku.php?id=lymphedema_people_online_support_groups
Lipedema
http://www.lymphedemapeople.com/wiki/doku.php?id=lipedema
Treatment
http://www.lymphedemapeople.com/wiki/doku.php?id=treatment
Lymphedema
and Pain
Management
http://www.lymphedemapeople.com/wiki/doku.php?id=lymphedema_and_pain_management
Manual
Lymphatic Drainage (MLD) and Complex Decongestive Therapy (CDT)
Infections
Associated with
Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=infections_associated_with_lymphedema
How
to Treat a Lymphedema
Wound
http://www.lymphedemapeople.com/wiki/doku.php?id=how_to_treat_a_lymphedema_wound
Fungal
Infections Associated
with Lymphedema
http://www.lymphedemapeople.com/wiki/doku.php?id=fungal_infections_associated_with_lymphedema
Lymphedema
in Children
http://www.lymphedemapeople.com/wiki/doku.php?id=lymphedema_in_children
Lymphoscintigraphy
http://www.lymphedemapeople.com/wiki/doku.php?id=lymphoscintigraphy
Magnetic
Resonance Imaging
http://www.lymphedemapeople.com/wiki/doku.php?id=magnetic_resonance_imaging
Extraperitoneal
para-aortic lymph node dissection (EPLND)
Axillary
node biopsy
http://www.lymphedemapeople.com/wiki/doku.php?id=axillary_node_biopsy
Sentinel
Node Biopsy
http://www.lymphedemapeople.com/wiki/doku.php?id=sentinel_node_biopsy
Small
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Lymphedema Gene VEGFC
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Lymphedema Gene SOX18
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Lymphedema
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