Complete Decongestive Therapy in the Early Postoperative Period of Lymphaticovenous Anastomosis

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  • Okuda Nanae
    Nursing Department, Tochigi Cancer Center
  • Onishi Fumio
    Department of Plastic Surgery, Saitama Medical Center, Saitama Medical University

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  • リンパ管細静脈吻合術をより効果的にする周術期集中排液とセラピストの役割

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Abstract

<p>This study aimed to investigate the efficacy of reduction treatment combined with lymphaticovenous anastomosis (LVA) for lower extremity lymphedema. The present study included one hundred and eight patients with lower extremity lymphedema who underwent LVA between November 2009 and July 2020. The patient cohort was divided into two groups depending on whether perioperative reduction treatment, namely compression therapy, exercise under compression, and manual lymph drainage, was implemented. The treatment group (n=58) took the additional treatment under the support of a lymphedema therapist during their seven days of postoperative hospitalization. Contrarily, the control group (n=50) had no other treatment during the hospitalization after LVA surgery. We compared the postoperative volume reduction between the two groups. The treatment group showed a tendency of higher volume reduction than the control group. This study suggested that patients would benefit from the reduction treatment in the early postoperative period efficiently and effectively because of increased lymph drainage capacity after LVA. Moreover, the environment where they can devote themselves to the reduction treatment during postoperative hospitalization could maximize the treatment outcome.</p>

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