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Liposuction in Lymphedema Treatment.

Brorson, Håkan LU (2016) In Journal of Reconstructive Microsurgery 32(1). p.56-65
Abstract
Background Lymphedema leads to early deposition of adipose tissue. This may explain why conservative therapies such as complex decongestive therapy (CDT) and controlled compression therapy (CCT), as well as various forms of microsurgical reconstructions, cannot completely remove the excess volume in patients with a large chronic nonpitting lymphedema. Liposuction is therefore a logical and tempting treatment to reduce the adipose tissue volume excess. This article outlines the benefits of using liposuction and presents evidence to support its use. Methods The mechanism between adipose tissue depositions is described as well as the surgical technique, postoperative care, volume measurements, effects on the lymph transport, and follow-up.... (More)
Background Lymphedema leads to early deposition of adipose tissue. This may explain why conservative therapies such as complex decongestive therapy (CDT) and controlled compression therapy (CCT), as well as various forms of microsurgical reconstructions, cannot completely remove the excess volume in patients with a large chronic nonpitting lymphedema. Liposuction is therefore a logical and tempting treatment to reduce the adipose tissue volume excess. This article outlines the benefits of using liposuction and presents evidence to support its use. Methods The mechanism between adipose tissue depositions is described as well as the surgical technique, postoperative care, volume measurements, effects on the lymph transport, and follow-up. Results Fifteen years' follow-up shows complete reduction of the excess volume without recurrence following liposuction in patients with postmastectomy arm lymphedema. The same promising results can also be seen in patients with leg lymphedema. Conclusion Various types of treatment of lymphedema are under discussion and there has been some controversy regarding liposuction for lymphedema. Improvements in techniques, patient preparation, and patient follow-up have led to a greater and wider acceptance of liposuction as a treatment for lymphedema in patients with large chronic nonpitting extremity lymphedemas. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Reconstructive Microsurgery
volume
32
issue
1
pages
56 - 65
publisher
Georg Thieme Verlag
external identifiers
  • pmid:25893630
  • wos:000367726500009
  • scopus:84954308182
ISSN
1098-8947
DOI
10.1055/s-0035-1549158
language
English
LU publication?
yes
id
6dea0f47-2106-4b38-be69-66c4adf47216 (old id 5341226)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/25893630?dopt=Abstract
date added to LUP
2015-05-04 18:24:56
date last changed
2017-11-05 03:05:10
@article{6dea0f47-2106-4b38-be69-66c4adf47216,
  abstract     = {Background Lymphedema leads to early deposition of adipose tissue. This may explain why conservative therapies such as complex decongestive therapy (CDT) and controlled compression therapy (CCT), as well as various forms of microsurgical reconstructions, cannot completely remove the excess volume in patients with a large chronic nonpitting lymphedema. Liposuction is therefore a logical and tempting treatment to reduce the adipose tissue volume excess. This article outlines the benefits of using liposuction and presents evidence to support its use. Methods The mechanism between adipose tissue depositions is described as well as the surgical technique, postoperative care, volume measurements, effects on the lymph transport, and follow-up. Results Fifteen years' follow-up shows complete reduction of the excess volume without recurrence following liposuction in patients with postmastectomy arm lymphedema. The same promising results can also be seen in patients with leg lymphedema. Conclusion Various types of treatment of lymphedema are under discussion and there has been some controversy regarding liposuction for lymphedema. Improvements in techniques, patient preparation, and patient follow-up have led to a greater and wider acceptance of liposuction as a treatment for lymphedema in patients with large chronic nonpitting extremity lymphedemas.},
  author       = {Brorson, Håkan},
  issn         = {1098-8947},
  language     = {eng},
  number       = {1},
  pages        = {56--65},
  publisher    = {Georg Thieme Verlag},
  series       = {Journal of Reconstructive Microsurgery},
  title        = {Liposuction in Lymphedema Treatment.},
  url          = {http://dx.doi.org/10.1055/s-0035-1549158},
  volume       = {32},
  year         = {2016},
}