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Semin Plast Surg 2018; 32(01): 017-021
DOI: 10.1055/s-0038-1635119
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Nonoperative Treatment of Lymphedema

Mark V. Schaverien
1   Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas
,
Julie A. Moeller
2   Department of Rehabilitation Services, University of Texas MD Anderson Cancer Center, Katy Regional Care Center, Houston, Texas
,
Sarah D. Cleveland
3   Department of Rehabilitation Services, University of Texas MD Anderson Cancer Center, Houston, Texas
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Publikationsdatum:
09. April 2018 (online)

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Abstract

Complex decongestive therapy is the mainstay of lymphedema (LE) therapy. It consists of two phases: an intensive volume reduction phase, principally involving low-stretch bandages and manual lymph drainage (MLD), followed by compression garment use to maintain the reduction achieved. Adjunctive treatments include the use of a sequential gradient pump, LE-specific exercises, skin and nail care, as well as risk-reduction precautions. Herein the techniques are described and the evidence for their effectiveness is reviewed.

Keywords

complex decongestive therapy - reduction - maintenance - manual lymph drainage - compression garment