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INTENSIVE TREATMENT OF LEG LYMPHEDEMA

BACKGROUND: Despite of all the problems caused by lymphedema, this disease continues to affect millions of people worldwide. Thus, the identification of the most efficacious forms of treatment is necessary. AIM: The aim of this study was to evaluate a novel intensive outpatient treatment for leg lym...

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Autores principales: Pereira de Godoy, José Maria, Azoubel, Lina M O, de Fátima Guerreiro de Godoy, Maria
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2887517/
https://www.ncbi.nlm.nih.gov/pubmed/20606882
http://dx.doi.org/10.4103/0019-5154.62745
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author Pereira de Godoy, José Maria
Azoubel, Lina M O
de Fátima Guerreiro de Godoy, Maria
author_facet Pereira de Godoy, José Maria
Azoubel, Lina M O
de Fátima Guerreiro de Godoy, Maria
author_sort Pereira de Godoy, José Maria
collection PubMed
description BACKGROUND: Despite of all the problems caused by lymphedema, this disease continues to affect millions of people worldwide. Thus, the identification of the most efficacious forms of treatment is necessary. AIM: The aim of this study was to evaluate a novel intensive outpatient treatment for leg lymphedema. METHODS: Twenty-three legs of 19 patients were evaluated in a prospective randomized study. The inclusion criteria were patients with Grade II and III lymphedema, where the difference, measured by volumetry, between the affected limb below the knee and the healthy limb was greater than 1.5 kg. Intensive treatment was carried out for 6- to 8-h sessions in the outpatient clinic. Analysis of variance was utilized for statistical analysis with an alpha error of 5% (P-value <0.05) being considered significant. RESULTS: All limbs had significant reductions in size with the final mean loss being 81.1% of the volume of edema. The greatest losses occurred in the first week (P-value <0.001). Losses of more than 90% of the lymphedema occurred in 9 (39.13%) patients; losses of more than 80% in 13 (56.52%), losses of more than 70% in 17 (73.91%) and losses of more than 50% were recorded for 95.65% of the patients; only 1 patient lost less than 50% (37.9%) of the edema. CONCLUSION: The intensive treatment of lymphedema in the outpatient clinic can produce significant reductions in the volume of edema over a short period of time and can be recommended for any grade of lymphedema, in particular the more advanced degrees.
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spelling pubmed-28875172010-07-02 INTENSIVE TREATMENT OF LEG LYMPHEDEMA Pereira de Godoy, José Maria Azoubel, Lina M O de Fátima Guerreiro de Godoy, Maria Indian J Dermatol Therapeutic Round BACKGROUND: Despite of all the problems caused by lymphedema, this disease continues to affect millions of people worldwide. Thus, the identification of the most efficacious forms of treatment is necessary. AIM: The aim of this study was to evaluate a novel intensive outpatient treatment for leg lymphedema. METHODS: Twenty-three legs of 19 patients were evaluated in a prospective randomized study. The inclusion criteria were patients with Grade II and III lymphedema, where the difference, measured by volumetry, between the affected limb below the knee and the healthy limb was greater than 1.5 kg. Intensive treatment was carried out for 6- to 8-h sessions in the outpatient clinic. Analysis of variance was utilized for statistical analysis with an alpha error of 5% (P-value <0.05) being considered significant. RESULTS: All limbs had significant reductions in size with the final mean loss being 81.1% of the volume of edema. The greatest losses occurred in the first week (P-value <0.001). Losses of more than 90% of the lymphedema occurred in 9 (39.13%) patients; losses of more than 80% in 13 (56.52%), losses of more than 70% in 17 (73.91%) and losses of more than 50% were recorded for 95.65% of the patients; only 1 patient lost less than 50% (37.9%) of the edema. CONCLUSION: The intensive treatment of lymphedema in the outpatient clinic can produce significant reductions in the volume of edema over a short period of time and can be recommended for any grade of lymphedema, in particular the more advanced degrees. Medknow Publications 2010 /pmc/articles/PMC2887517/ /pubmed/20606882 http://dx.doi.org/10.4103/0019-5154.62745 Text en © Indian Journal of Dermatology http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Therapeutic Round
Pereira de Godoy, José Maria
Azoubel, Lina M O
de Fátima Guerreiro de Godoy, Maria
INTENSIVE TREATMENT OF LEG LYMPHEDEMA
title INTENSIVE TREATMENT OF LEG LYMPHEDEMA
title_full INTENSIVE TREATMENT OF LEG LYMPHEDEMA
title_fullStr INTENSIVE TREATMENT OF LEG LYMPHEDEMA
title_full_unstemmed INTENSIVE TREATMENT OF LEG LYMPHEDEMA
title_short INTENSIVE TREATMENT OF LEG LYMPHEDEMA
title_sort intensive treatment of leg lymphedema
topic Therapeutic Round
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2887517/
https://www.ncbi.nlm.nih.gov/pubmed/20606882
http://dx.doi.org/10.4103/0019-5154.62745
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