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Theaimof this study is to report the results of intensive therapy of lymphedema associated with Klippel-Trenaunay syndrome.A24- year-old female patient reported that her family had observed edema in her right leg and port wine stains frombirth. For ten years, they consulted with different specialists in the region but the prognosis did not change and no specific treatment was found. In 2014, at the age of 24, with massive lymphedema, a leg ulcer, and recurrent infections, she started treatment at the Cl´ınica Godoy in São José do Rio Preto. She was evaluated by clinical history, physical examination, water displacement volumetry, and bioimpedance. Intensive therapy (8 hours daily) was proposed usingManual Lymphatic Therapy (Godoy & Godoy), Cervical StimulationTherapy, Mechanical Lymphatic Therapy, a grosgrain stocking adjusted several times a day, and the use of Unna boot in the region of the ulcer. The volume of edema was reduced by about 44% within the first week with further reductions in the following weeks and healing of the ulcer. Subsequently, it was possible to control and maintain the reduction in swelling with less intense treatment. It is possible to reduce and maintain the treatment results of lymphedema associated with Klippel-Trenaunay syndrome.
LINKAim.The aim of this study was to evaluate the efficacy of lymph drainage to reduce edema of pregnant women. Method. Pregnant women (30 limbs) from the Obstetrics Outpatient Clinic of theMedical School of Santa Casa in S˜ao Paulo in the period December 2009 to May 2010 were enrolled in this quantitative, prospective study. The patients, in the 5th to 8th months of gestation, were submitted to one hour of manual lymph drainage of the legs.The volume of the legs wasmeasured by water displacement volumetry before and after one hour of drainage using the Godoy & Godoy manual lymph drainage technique.The paired
LINKThe aim of this study is to report on the intensive treatment of lymphedema of the legs demonstrating a large reduction in volume in a short period of time. The case of a 29-year-old female patient, who developed the most serious form of lymphedema, associated with verrucosities of the leg and genitalia is reported. Elephantiasis evolved after surgery and radiotherapy. The patient was treated at the Clinica Godoy in Sao Jose do Rio Preto, Brazil using an intensive course of treatment. Baseline and then daily evaluations of the leg perimeter and body weight were performed during treatment. Intensive treatment for 8 hours daily was performed on an outpatient basis using manual and mechanical (RAGodoy device, São Jose do Rio Preto, São Paulo-Brazil) lymph drainage and the continuous use of a compression garment made of a cotton-polyester textile and adjusted every 3 hours. A reduction of 31 kg was seen in 10 days (over 2 weeks); in the first few days, the patient lost 6 kg per day. Due to the excess of skin, the length of intensive treatment sessions was reduced to avoid the compression garment causing a tourniquet effect, the size of the compression stocking was only adjusted once per day and daily walks were included in the treatment program. After 1 month, the size of the leg was reduced by another 4 kg. Intensive lymphedema treatment is an option that rapidly reduces edema, and constant use of low-stretch compression maintains the result achieved and continues to reduce the swelling.
LINKA 54-year-old female patient reported that a characteristic of her family was ‘fat legs’ with postural edema since adolescence. Over the years the patient had been gaining weight with an increase in fatty tissue in the legs and arms. At the age of 24 years she started taking oral contraceptives and noted worse swelling and pain in the lower limbs. She was advised to suspend the use of the contraceptives and to start using a transdermal lymphatic system drug and physical exercise which partially improved the symptoms. Three years ago she noted that the swelling was increasing without improvement and sought a physician who raised the hypothesis of lymphedema and referred her to a specialized center. Lipedema and lymphedema was diagnosed in the physical examination. A 3-day intensive treatment program (8 h daily) was started for lymphedema which included manual and mechanical lymph drainage associated with short-strech (
LINKObjective: The aim of this study is to report on the occurrence of intermittent occupational-related lymphedema in sugarcane harvesters in Brazil. Clinical Features: Two cases of cane cutters are reported. The first is a 39-year-old male who reported that his right hand had been swelling during the course of the working day over the previous eight years and the second, a 48-year-old female, had noticed swelling on the back of her hand for five years. Discussion: These reports warn of decompensation of venous and lymphatic return during manual sugarcane harvesting. Swelling and pain may appear in workers due to repetitive movements with a negative impact on their work. The absence of escriptions in respect to sugarcane harvesting is because of a lack of clinical investigations. Conclusion: Cutting sugarcane can cause intermittent workrelated lymphedema. Further clinical investigations may help to improve the quality of life of workers in many different types of jobs that involve repetitive movements.
LINKOne current concern relates to the sequels experienced after surgery and radiotherapy, as the physical, psychic, and social limitations directly affect the quality of life of the women. It is well known that physical limitations frequently limit activities such as brushing the hair and dressing. Personal care is a series of recommendations concerned with the daily activities of patients which are considered important in the prevention of complications following surgery (1,2). The objective of the current study was to evaluate the interference of the surgical treatment of breast cancer on personal hygiene habits.
LINKA lipedema is characterized by the bilateral and symmetrical enlargement of the lower limbs without the involvement of the feet and a negative Stemmer’s sign; it may cause skin hypothermia,alteration in the plantar support, and hyperalgesia. The current study aims to report a rare type of ulcerative lesion in a patient with lipolymphedema treated with a damp low-stretch bandage. The patient is a female, age 50, with a family history of lipedema, and who has suffered many episodes of erysipelas in the lower left limb for approximately 20 years. For over five years ulcers which are difficult to heal have appeared. She was treated with a damp low-stretch bandage and the healing of the wound has shown significant improvement. Ulcerative lesions are rare in lipolymphedema; however, their occurrence is associated with difficulties in healing.
LINKThe aim of this paper is to report new options in the treatment of lymphedema for under-privileged populations. Several articles and books have been published reporting recent advances and contributions. A new technique of manual lymph drainage, mechanisms of compression, development of active and passive exercising apparatuses and the adaptation of myolymphokinetic activities have been developed for the treatment of lymphedema. This novel approach can be adapted for the treatment of lymphedema in mass.
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