Experience of using an adjustable inextensible compression bandage in a patient with secondary lymphedema of the right upper limb
Introduction. Secondary upper-extremity lymphedema is most commonly caused by lymphadenectomy and radiotherapy (RT) of regional lymph nodes. Lymphatic edema differ in the fact that they lead to fibrotic changes in tissues, as the lymph contains up to 2–4% of protein, which causes a specific histopat...
| Main Authors: | , |
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| Format: | Article |
| Language: | Russian |
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Remedium Group LTD
2021-06-01
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| Series: | Амбулаторная хирургия |
| Subjects: | |
| Online Access: | https://www.a-surgeon.ru/jour/article/view/234 |
| _version_ | 1797883974700236800 |
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| author | G. V. Yarovenko S. E. Katorkin |
| author_facet | G. V. Yarovenko S. E. Katorkin |
| author_sort | G. V. Yarovenko |
| collection | DOAJ |
| description | Introduction. Secondary upper-extremity lymphedema is most commonly caused by lymphadenectomy and radiotherapy (RT) of regional lymph nodes. Lymphatic edema differ in the fact that they lead to fibrotic changes in tissues, as the lymph contains up to 2–4% of protein, which causes a specific histopathological response. Proteins, as well as tissue protein-polysaccharide complexes, undergo transformations leading to pathological collagenization, and then to hyalinization and sclerosis. A vicious circle of pathological processes stemming from biophysical and chemical changes in proteins and polysaccharides with metabolic disorders occurs. Compression therapy is the most important component of the fight against both upper- and lower-extremity edema of various origins at any stage of the disease.The aim is to assess the postoperative stabilization of the upper-extremity edema state due to the patient’s self-bandaging using inelastic bandages and the possibility of personalized adjustment of pressure to be applied at the required level. The article provides indications for the use of an adjustable inelastic compression bandage to stabilize edema, and reviews a clinical example of its postoperative use in a patient with grade 4 secondary right upper-extremity lymphedema. Particular emphasis is placed on the versatility of adjustable inelastic compression bandage and the expediency of its widespread use in clinical practice.Conclusion. Simplicity and ease of use with an option to self-adjust and maintain the stable level of therapeutic pressure throughout the entire period of medical rehabilitation, as well as minimization of doctor’s involvement, allow us to recommend the adjustable inelastic compression bandage for effective use in wide clinical practice. |
| first_indexed | 2024-04-10T04:00:14Z |
| format | Article |
| id | doaj.art-26186699d93545f2b09fe9086453254e |
| institution | Directory Open Access Journal |
| issn | 2712-8741 2782-2591 |
| language | Russian |
| last_indexed | 2024-04-10T04:00:14Z |
| publishDate | 2021-06-01 |
| publisher | Remedium Group LTD |
| record_format | Article |
| series | Амбулаторная хирургия |
| spelling | doaj.art-26186699d93545f2b09fe9086453254e2023-03-13T07:10:18ZrusRemedium Group LTDАмбулаторная хирургия2712-87412782-25912021-06-0118112112610.21518/1995-1477-2021-18-1-121-126212Experience of using an adjustable inextensible compression bandage in a patient with secondary lymphedema of the right upper limbG. V. Yarovenko0S. E. Katorkin1Самарский государственный медицинский университетСамарский государственный медицинский университетIntroduction. Secondary upper-extremity lymphedema is most commonly caused by lymphadenectomy and radiotherapy (RT) of regional lymph nodes. Lymphatic edema differ in the fact that they lead to fibrotic changes in tissues, as the lymph contains up to 2–4% of protein, which causes a specific histopathological response. Proteins, as well as tissue protein-polysaccharide complexes, undergo transformations leading to pathological collagenization, and then to hyalinization and sclerosis. A vicious circle of pathological processes stemming from biophysical and chemical changes in proteins and polysaccharides with metabolic disorders occurs. Compression therapy is the most important component of the fight against both upper- and lower-extremity edema of various origins at any stage of the disease.The aim is to assess the postoperative stabilization of the upper-extremity edema state due to the patient’s self-bandaging using inelastic bandages and the possibility of personalized adjustment of pressure to be applied at the required level. The article provides indications for the use of an adjustable inelastic compression bandage to stabilize edema, and reviews a clinical example of its postoperative use in a patient with grade 4 secondary right upper-extremity lymphedema. Particular emphasis is placed on the versatility of adjustable inelastic compression bandage and the expediency of its widespread use in clinical practice.Conclusion. Simplicity and ease of use with an option to self-adjust and maintain the stable level of therapeutic pressure throughout the entire period of medical rehabilitation, as well as minimization of doctor’s involvement, allow us to recommend the adjustable inelastic compression bandage for effective use in wide clinical practice.https://www.a-surgeon.ru/jour/article/view/234вторичная лимфедемакомпрессионная терапиярегулируемый нерастяжимый компрессионный бандажсircаid |
| spellingShingle | G. V. Yarovenko S. E. Katorkin Experience of using an adjustable inextensible compression bandage in a patient with secondary lymphedema of the right upper limb Амбулаторная хирургия вторичная лимфедема компрессионная терапия регулируемый нерастяжимый компрессионный бандаж сircаid |
| title | Experience of using an adjustable inextensible compression bandage in a patient with secondary lymphedema of the right upper limb |
| title_full | Experience of using an adjustable inextensible compression bandage in a patient with secondary lymphedema of the right upper limb |
| title_fullStr | Experience of using an adjustable inextensible compression bandage in a patient with secondary lymphedema of the right upper limb |
| title_full_unstemmed | Experience of using an adjustable inextensible compression bandage in a patient with secondary lymphedema of the right upper limb |
| title_short | Experience of using an adjustable inextensible compression bandage in a patient with secondary lymphedema of the right upper limb |
| title_sort | experience of using an adjustable inextensible compression bandage in a patient with secondary lymphedema of the right upper limb |
| topic | вторичная лимфедема компрессионная терапия регулируемый нерастяжимый компрессионный бандаж сircаid |
| url | https://www.a-surgeon.ru/jour/article/view/234 |
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