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Lymphoedema and its therapeutic options
Navrátilová Z.

I. dermatovenerologická klinika FN u sv. Anny v Brne Lymfo 2000, Praha 13. - 14. 10. 2000

 Praktická flebologie - supplement 2000, Roc. IX, str. 6-10.




Lymphoedema, regardless of etiology, is essentially incurable but different therapy aproaches exist which serve to contain swelling. Any oedema arises from dysbalance between capillary filtration and lymph drainage. The principle of physical therapy is to improve drainage of interstitial fluid and macromolecules from congested regions to normally draining lymph node sites.

 The complex physical therapy, i.e. manual lymphatic drainage, pneumatic compression therapy, multilayer bandaging and exercise, is the most important in lymphoedema treatment nowadays. Drug therapy, skin care and prevention of the infection are also necessary in the therapy.

 Surgery is indicated at genital lymphoedema. Microsurgery for certain forms of lymphoedema continues to be evaluated.

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