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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Publicado en:Indian Journal of Dermatology Vol. 55; no. 2; pp. 144 - 148
Autores principales: de Godoy JMP, Azoubel LMO, de Godoy MFG
Formato: clinical trial research tables/charts Journal Article
Publicado: Wolters Kluwer India Pvt Ltd Apr-Jun2010
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr-Jun2010
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      pub: Wolters Kluwer India Pvt Ltd
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        atl: Intensive treatment of leg lymphedema.
      aug:
        au:
          de Godoy JMP
          Azoubel LMO
          de Godoy MFG
        affil: Department of Cardiology and Cardiovascular Surgery, and professor of the post graduation course of Medicine School, São José do Rio Preto - FAMERP - Brazil 15010-020; godoyjmp@riopreto.com.br
      sug:
        subj:
          Lymphedema Therapy
          Bandages and Dressings
          Clinical Trials
          Exercise
          Human
          Outpatients
          Prospective Studies
      ab: 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.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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