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Contemporary Treatment of Chronic Lymphedema

University of California, San Diego, San Diego, CA

Lymphedema presents as a recurring problem to vascular surgeons. Its primary cause is fundamentally unknown and modern treatment has not been emphasized in teaching programs, specialized courses or our national meetings.

Clinical findings, methods of verification of diagnosis, classification and summary of treatment options are the subject of this presentation. Disadvantages of pump therapy and advantages of specialized massage therapy are emphasized. A review of modern de-bulking procedures is provided and mention is made of the current status of direct microlymphatic reconstruction and pharmacologic therapy

Key Words: Lymphedema • pneumatic compression • manual lymphatic drainage • complex decongestive physiotherapy • lymphoscintigraphy

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