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Liposuction Treatment of Lymphedema

Schaverien, Mark V.; Munnoch, D. Alex and Brorson, Håkan LU (2018) In Seminars in Plastic Surgery 32(1). p.42-47
Abstract

In the Western world, lymphedema most commonly occurs following treatment of cancer. Limb reductions have been reported utilizing various conservative therapies including manual lymph and pressure therapy, as well as by microsurgical reconstruction involving lymphovenous shunts and transplantation of lymph vessels or nodes. Failure of these conservative and surgical treatments to provide complete reduction in patients with long-standing pronounced lymphedema is due to the persistence of excess newly formed subcutaneous adipose tissue in response to slow or absent lymph flow, which is not removed in patients with chronic non-pitting lymphedema. Traditional surgical regimes utilizing bridging procedures, total excision with skin grafting,... (More)

In the Western world, lymphedema most commonly occurs following treatment of cancer. Limb reductions have been reported utilizing various conservative therapies including manual lymph and pressure therapy, as well as by microsurgical reconstruction involving lymphovenous shunts and transplantation of lymph vessels or nodes. Failure of these conservative and surgical treatments to provide complete reduction in patients with long-standing pronounced lymphedema is due to the persistence of excess newly formed subcutaneous adipose tissue in response to slow or absent lymph flow, which is not removed in patients with chronic non-pitting lymphedema. Traditional surgical regimes utilizing bridging procedures, total excision with skin grafting, or reduction plasty seldom achieved acceptable cosmetic and functional results. Liposuction removes the hypertrophied adipose tissue and is a prerequisite to achieve complete reduction, and this reduction is maintained long-term through constant (24 h) use of compression garments postoperatively. This article describes the techniques and evidence basis for the use of liposuction for treatment of lymphedema.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
adipose tissue, fat, liposuction, lymphedema
in
Seminars in Plastic Surgery
volume
32
issue
1
pages
6 pages
publisher
Thieme Medical Publishers
external identifiers
  • scopus:85045198182
ISSN
1535-2188
DOI
10.1055/s-0038-1635116
language
English
LU publication?
yes
id
a99d19f8-72f0-4cb5-9b67-c883c7a0f689
date added to LUP
2018-04-23 09:58:12
date last changed
2018-11-21 21:39:28
@article{a99d19f8-72f0-4cb5-9b67-c883c7a0f689,
  abstract     = {<p>In the Western world, lymphedema most commonly occurs following treatment of cancer. Limb reductions have been reported utilizing various conservative therapies including manual lymph and pressure therapy, as well as by microsurgical reconstruction involving lymphovenous shunts and transplantation of lymph vessels or nodes. Failure of these conservative and surgical treatments to provide complete reduction in patients with long-standing pronounced lymphedema is due to the persistence of excess newly formed subcutaneous adipose tissue in response to slow or absent lymph flow, which is not removed in patients with chronic non-pitting lymphedema. Traditional surgical regimes utilizing bridging procedures, total excision with skin grafting, or reduction plasty seldom achieved acceptable cosmetic and functional results. Liposuction removes the hypertrophied adipose tissue and is a prerequisite to achieve complete reduction, and this reduction is maintained long-term through constant (24 h) use of compression garments postoperatively. This article describes the techniques and evidence basis for the use of liposuction for treatment of lymphedema.</p>},
  author       = {Schaverien, Mark V. and Munnoch, D. Alex and Brorson, Håkan},
  issn         = {1535-2188},
  keyword      = {adipose tissue,fat,liposuction,lymphedema},
  language     = {eng},
  month        = {02},
  number       = {1},
  pages        = {42--47},
  publisher    = {Thieme Medical Publishers},
  series       = {Seminars in Plastic Surgery},
  title        = {Liposuction Treatment of Lymphedema},
  url          = {http://dx.doi.org/10.1055/s-0038-1635116},
  volume       = {32},
  year         = {2018},
}