logo
Medical news
of the North Caucasus
Scientific journal
Mass media registration certificate dated December 7, 2006.
Series ПИ #ФС 77-26521.
Federal service for surveillance over non-violation of the legislation in the sphere of mass communications and protection of cultural heritage.
ISSN 2073-8137
rus
русский
eng
english

Site search



Correspondence address
310 Mira Street, Stavropol, Russia, 355017

Tel
+7 865 2352511, +7 865 2353229.

E-mail
medvestnik@stgmu.ru

Treating lower limb giant lymphedema. Clinical case

[Notes from practice]
Natalia Shahnazaryan; Arthur Aidemirov; Arsen Shahnazaryan; Sofia Sergeevna Korablina; Roman Juravel;

The commonly accepted global gold standard for treating limb lymphedema is complex decongestive therapy (CDT), which includes two stages. This article offers a clinical case of the treatment offered for giant secondary lymphedema of the lower extremities associated with recurrent erysipelas. There was positive dynamics to be observed, which revealed itself as a significant reduction in the edema as well as the volume of the lower extremities (up to 45 %); reduced deformation and physiological contour of the lower extremities. Besides, the treatment itself was accompanied by improved general wellbeing and a decrease in the patient’s weight by 53 kg, which occurred due to fluid loss.

Download

References:
1. Kurbatov G. K., Lazarev A. F., Bochkarev A. P. Complex physical decongestant therapy in the treatment of lymphostasis of the upper extremitie. Rossiyskiy onkologicheskiy zhurnal. – Russian journal of oncology. 2018;23(2):82-83. (In Russ.). https://doi.org/10.18821/1028-9984-2018-23-2-82-83
2. The diagnosis and treatment of peripheral lymphedema: 2016 consensus document of the international society of lymphology. Lymphology. 2016;49:170-184.
3. Makarov I. G., Makarova N. V. Analysis of a clinical case of a patient with lymphedema of the right lower limb. Ambulatornaya khirurgiya. – Outpatient surgery. 2019;1-2:132-138. (In Russ.). https://doi.org/10.21518/1995-1477-2019-l-2-132-138
4. Makarova V. S., Vyrenkov Yu. E. Complex physical decongestant therapy in the treatment of lymphedema. Medical technology. M.: ANO «Limfa», 2014. (In Russ.).
5. Feyskhanov A. K., Maksimov A. V. Complex treatment and rehabilitation of patients with decompensated lymphovenous insufficiency with trophic ulcer complicated by lymphorrhea. Prakticheskaya meditsina.– Practical medicine. 2019;17(6):94-99. (In Russ.).
6. Lerman M., Gaebler J. A., Hoy S., Izhakoff J., Gullett L., [et al.]. Health and economic benefits of advanced pneumatic compression devices in patients with phlebolymphedema. J. Vasc. Surg. 2019;69(2):571-580. https://doi.org/10.1016/j.jvs.2018.04.028
7. Nelson E. A., Hillman A., Thomas K. Intermittent pneumatic compression for treating venous leg ulcers. Cochrane Database Syst. Rev. 2014;5:1899.

Keywords: lymphedema, CDT, complex physical decongestant therapy, bandaging, erysipelas


Founders:
Stavropol State Medical Academy
Pyatigorsk State Research Institute of Balneotherapeutics
Pyatigorsk State Pharmaceutical Academy