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Treatment of Patients With Elephantiasis Lymphedema - Case Report -
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Lymphedema, regardless of etiology, is essentially incurable but different treatmentapproaches which serve to contain swelling exist. The objectives of treatment are toreduce swelling, restore shape, educate about the se}f-maintenance methods, and preventinflammatory episodes, eg, recurrent cellulitis. The purpose of this report is to providetherapists and other medical staff with a general guideline through the exampletreatment procedure of two patients with lymphedema admitted to Samsung MedicalCenter. This study demonstrates the effects of the various treatments used and howthey helped to achieve improvement in mobility and reduction in swelling of the lowerlimbs. The basic conservative treatments were sequential intermittent pneumatic pumps,elevation, and CDP (complex decongestive physiotherapy). The surgical procedures(Homan's operation) were carried out after maximal volume reduction throughconservative programs. In these cases, we can see greater than 50% reduction in thelymphedema in those treated by conservative and surgical procedures. This presents asimple, reliable, variable method yielding satisfactory cosmetic and functional results forpatients suffering from chronic both-leg lymphedema. Futhermore, 1 suggest that theoutcomes are best when treatment is administered by a multidisciplinary team includinga physiotherapist, surgeon, nurse, et al.
Abstract
Lymphedema, regardless of etiology, is essentially incurable but different treatmentapproaches which serve to contain swelling exist. The objectives of treatment are toreduce swelling, restore shape, educate about the se}f-maintenance methods, and preventinflammatory episodes, eg, recurrent cellulitis. The purpose of this report is to providetherapists and other medical staff with a general guideline through the exampletreatment procedure of two patients with lymphedema admitted to Samsung MedicalCenter. This study demonstrates the effects of the various treatments used and howthey helped to achieve improvement in mobility and reduction in swelling of the lowerlimbs. The basic conservative treatments were sequential intermittent pneumatic pumps,elevation, and CDP (complex decongestive physiotherapy). The surgical procedures(Homan's operation) were carried out after maximal volume reduction throughconservative programs. In these cases, we can see greater than 50% reduction in thelymphedema in those treated by conservative and surgical procedures. This presents asimple, reliable, variable method yielding satisfactory cosmetic and functional results forpatients suffering from chronic both-leg lymphedema. Futhermore, 1 suggest that theoutcomes are best when treatment is administered by a multidisciplinary team includinga physiotherapist, surgeon, nurse, et al.