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Controlled compression and liposuction treatment for lower extremity lymphedema.

Brorson, Håkan LU ; Ohlin, K; Olsson, G; Svensson, B and Svensson, H (2008) In Lymphology 41(2). p.52-63
Abstract
In 1987 we noticed excess adipose tissue in a patient with arm lymphedema and later, objective studies confirmed this clinical finding in patients with non-pitting arm lymphedema following breast cancer. A prospective study was begun in 1993, and its long-term results (15 years) shows overall complete reduction of the excess volume in patients with non-pitting arm lymphedema and that adipose tissue dominates the excess volume. Encouraged by these results we operated on a patient with primary and secondary elephantiasis of the leg. The edema was first transferred from a pitting to a non-pitting state by controlled compression therapy. Then liposuction was performed to remove the remaining excess adipose tissue, and complete reduction was... (More)
In 1987 we noticed excess adipose tissue in a patient with arm lymphedema and later, objective studies confirmed this clinical finding in patients with non-pitting arm lymphedema following breast cancer. A prospective study was begun in 1993, and its long-term results (15 years) shows overall complete reduction of the excess volume in patients with non-pitting arm lymphedema and that adipose tissue dominates the excess volume. Encouraged by these results we operated on a patient with primary and secondary elephantiasis of the leg. The edema was first transferred from a pitting to a non-pitting state by controlled compression therapy. Then liposuction was performed to remove the remaining excess adipose tissue, and complete reduction was finally achieved. The patient wears compression garments continuously and during the 11 years of followup, no recurrence has occurred. This paper explains our philosophical approach: a pitting lymphedema first should be treated conservatively to remove excess fluid, then liposuction can be performed to remove remaining excess volume bothersome to the patient. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Lymphology
volume
41
issue
2
pages
52 - 63
publisher
International Society of Lymphology
external identifiers
  • WOS:000257782800001
  • PMID:18720912
  • Scopus:47749107987
ISSN
0024-7766
language
English
LU publication?
yes
id
06fa23d1-fd02-42d1-849d-7e27fb3f5c2d (old id 1222992)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/18720912?dopt=Abstract
date added to LUP
2008-09-03 12:08:44
date last changed
2016-10-13 04:28:58
@misc{06fa23d1-fd02-42d1-849d-7e27fb3f5c2d,
  abstract     = {In 1987 we noticed excess adipose tissue in a patient with arm lymphedema and later, objective studies confirmed this clinical finding in patients with non-pitting arm lymphedema following breast cancer. A prospective study was begun in 1993, and its long-term results (15 years) shows overall complete reduction of the excess volume in patients with non-pitting arm lymphedema and that adipose tissue dominates the excess volume. Encouraged by these results we operated on a patient with primary and secondary elephantiasis of the leg. The edema was first transferred from a pitting to a non-pitting state by controlled compression therapy. Then liposuction was performed to remove the remaining excess adipose tissue, and complete reduction was finally achieved. The patient wears compression garments continuously and during the 11 years of followup, no recurrence has occurred. This paper explains our philosophical approach: a pitting lymphedema first should be treated conservatively to remove excess fluid, then liposuction can be performed to remove remaining excess volume bothersome to the patient.},
  author       = {Brorson, Håkan and Ohlin, K and Olsson, G and Svensson, B and Svensson, H},
  issn         = {0024-7766},
  language     = {eng},
  number       = {2},
  pages        = {52--63},
  publisher    = {ARRAY(0x92f1fe8)},
  series       = {Lymphology},
  title        = {Controlled compression and liposuction treatment for lower extremity lymphedema.},
  volume       = {41},
  year         = {2008},
}