Surgical Treatment and Rehabilitation Strategies for Upper and Lower Extremity Lymphedema: A Comprehensive Review
Lymphedema is a chronic disabling condition affecting a growing number of patients worldwide. Although lymphedema is not life-threatening, several reports underlined detrimental consequences in terms of distress, pain, functional impairment, and infections with a relevant decrease in quality of life...
| প্রধান লেখক: | , , , , , , , , , , , |
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| বিন্যাস: | প্রবন্ধ |
| ভাষা: | English |
| প্রকাশিত: |
MDPI AG
2022-07-01
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| মালা: | Medicina |
| বিষয়গুলি: | |
| অনলাইন ব্যবহার করুন: | https://www.mdpi.com/1648-9144/58/7/954 |
| _version_ | 1827605118830247936 |
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| author | Alessandro de Sire Luigi Losco Lorenzo Lippi Davide Spadoni Juste Kaciulyte Gokhan Sert Paola Ciamarra Marco Marcasciano Roberto Cuomo Alberto Bolletta Marco Invernizzi Emanuele Cigna |
| author_facet | Alessandro de Sire Luigi Losco Lorenzo Lippi Davide Spadoni Juste Kaciulyte Gokhan Sert Paola Ciamarra Marco Marcasciano Roberto Cuomo Alberto Bolletta Marco Invernizzi Emanuele Cigna |
| author_sort | Alessandro de Sire |
| collection | DOAJ |
| description | Lymphedema is a chronic disabling condition affecting a growing number of patients worldwide. Although lymphedema is not life-threatening, several reports underlined detrimental consequences in terms of distress, pain, functional impairment, and infections with a relevant decrease in quality of life. Currently, there is no cure, and the therapeutic management of this condition aims at slowing down the disease progression and preventing secondary complications. Early diagnosis is paramount to enhance the effects of rehabilitation or surgical treatments. On the other hand, a multidisciplinary treatment should be truly integrated, the combination of microsurgical and reductive procedures should be considered a valid strategy to manage extremity lymphedema, and rehabilitation should be considered the cornerstone of the multidisciplinary treatment not only for patients not suitable for surgical interventions but also before and after surgical procedures. Therefore, a specialized management of Plastic Reconstructive Surgeons and Physical and Rehabilitative Medicine physicians should be mandatory to address patients’ needs and optimize the treatment of this disabling and detrimental condition. Therefore, the aim of this review was to characterize the comprehensive management of lymphedema, providing a broad overview of the potential therapy available in the current literature to optimize the comprehensive management of lymphedema and minimize complications. |
| first_indexed | 2024-03-09T06:15:13Z |
| format | Article |
| id | doaj.art-eecb45222ca94c088a9fbc3ba141e4cc |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-09T06:15:13Z |
| publishDate | 2022-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-eecb45222ca94c088a9fbc3ba141e4cc2023-12-03T11:55:01ZengMDPI AGMedicina1010-660X1648-91442022-07-0158795410.3390/medicina58070954Surgical Treatment and Rehabilitation Strategies for Upper and Lower Extremity Lymphedema: A Comprehensive ReviewAlessandro de Sire0Luigi Losco1Lorenzo Lippi2Davide Spadoni3Juste Kaciulyte4Gokhan Sert5Paola Ciamarra6Marco Marcasciano7Roberto Cuomo8Alberto Bolletta9Marco Invernizzi10Emanuele Cigna11Physical Medicine and Rehabilitation Unit, Department of Medical and Surgical Sciences, University of Catanzaro “Magna Graecia”, 88100 Catanzaro, ItalyPlastic Surgery and Microsurgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, 56122 Pisa, ItalyPhysical and Rehabilitative Medicine, Department of Health Sciences, University of Eastern Piedmont, 28100 Novara, ItalyDepartment of Plastic and Reconstructive Surgery, China Medical University Hospital, China Medical University, Taichung 40447, TaiwanDepartment of Plastic and Reconstructive Surgery, China Medical University Hospital, China Medical University, Taichung 40447, TaiwanDepartment of Plastic and Reconstructive Surgery, China Medical University Hospital, China Medical University, Taichung 40447, TaiwanDepartment of Experimental Medicine, University of Campania “Luigi Vanvitelli”, 80138 Naples, ItalyPlastic and Reconstructive Surgery Unit, Department of Experimental and Clinical Medicine, University of Catanzaro “Magna Graecia”, 88100 Catanzaro, ItalyUnit of Plastic and Reconstructive Surgery, Department of Medicine, Surgery and Neuroscience, University of Siena, 53100 Siena, ItalyPlastic Surgery and Microsurgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, 56122 Pisa, ItalyPhysical and Rehabilitative Medicine, Department of Health Sciences, University of Eastern Piedmont, 28100 Novara, ItalyPlastic Surgery and Microsurgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, 56122 Pisa, ItalyLymphedema is a chronic disabling condition affecting a growing number of patients worldwide. Although lymphedema is not life-threatening, several reports underlined detrimental consequences in terms of distress, pain, functional impairment, and infections with a relevant decrease in quality of life. Currently, there is no cure, and the therapeutic management of this condition aims at slowing down the disease progression and preventing secondary complications. Early diagnosis is paramount to enhance the effects of rehabilitation or surgical treatments. On the other hand, a multidisciplinary treatment should be truly integrated, the combination of microsurgical and reductive procedures should be considered a valid strategy to manage extremity lymphedema, and rehabilitation should be considered the cornerstone of the multidisciplinary treatment not only for patients not suitable for surgical interventions but also before and after surgical procedures. Therefore, a specialized management of Plastic Reconstructive Surgeons and Physical and Rehabilitative Medicine physicians should be mandatory to address patients’ needs and optimize the treatment of this disabling and detrimental condition. Therefore, the aim of this review was to characterize the comprehensive management of lymphedema, providing a broad overview of the potential therapy available in the current literature to optimize the comprehensive management of lymphedema and minimize complications.https://www.mdpi.com/1648-9144/58/7/954lymphedemabreast cancer-related lymphedemaplastic surgeryrehabilitationmanual lymphatic drainagevascularized lymph node transfer |
| spellingShingle | Alessandro de Sire Luigi Losco Lorenzo Lippi Davide Spadoni Juste Kaciulyte Gokhan Sert Paola Ciamarra Marco Marcasciano Roberto Cuomo Alberto Bolletta Marco Invernizzi Emanuele Cigna Surgical Treatment and Rehabilitation Strategies for Upper and Lower Extremity Lymphedema: A Comprehensive Review Medicina lymphedema breast cancer-related lymphedema plastic surgery rehabilitation manual lymphatic drainage vascularized lymph node transfer |
| title | Surgical Treatment and Rehabilitation Strategies for Upper and Lower Extremity Lymphedema: A Comprehensive Review |
| title_full | Surgical Treatment and Rehabilitation Strategies for Upper and Lower Extremity Lymphedema: A Comprehensive Review |
| title_fullStr | Surgical Treatment and Rehabilitation Strategies for Upper and Lower Extremity Lymphedema: A Comprehensive Review |
| title_full_unstemmed | Surgical Treatment and Rehabilitation Strategies for Upper and Lower Extremity Lymphedema: A Comprehensive Review |
| title_short | Surgical Treatment and Rehabilitation Strategies for Upper and Lower Extremity Lymphedema: A Comprehensive Review |
| title_sort | surgical treatment and rehabilitation strategies for upper and lower extremity lymphedema a comprehensive review |
| topic | lymphedema breast cancer-related lymphedema plastic surgery rehabilitation manual lymphatic drainage vascularized lymph node transfer |
| url | https://www.mdpi.com/1648-9144/58/7/954 |
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