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Abstract
Lymphedema is a type of edema that is characterized by an abnormal increase in protein-rich interstitial fluid in the affected tissues. Its etiology can be primary or secondary. The most common in our environment is upper limb lymphoedema secondary to the treatment of breast cancer. Lower limb lymphoedema is usually due to gynecological cancer treatment. The most common conservative treatment is complex decongestive physical therapy, which consists of skin care, manual lymphatic drainage, physical exercise, therapeutic education and compressive therapy. We present the case of a patient with a diagnosis of grade III lower limb lymphoedema secondary to an endometrial cancer to which a multilayer bandage of low elasticity is applied for five consecutive days, without further treatment, which is renewed in each session. On the first and last day of treatment, the volume of the affected limb of lymphedema is measured to estimate the reduction in volume using the Markowski formula. A decrease in lymphedema volume of 2.84% was observed.
KEY WORDS
Lymphedema; Compression bandages
References
Bakar Y, Tugral A. Lower extremity lymphedema management after gynecologic cancer surgery: a review of current management strategies. Ann Vasc Surg. 2017; 44: 442-450. doi: 10.1016/j.avsg.2017.03.197
Ciucci JL. 6° Consenso Latinoamericano para el Tratamiento del Linfedema: Guía de tratamiento [Internet]. 1ª ed. Buenos Aires: Nayarit. 2017. Disponible en: http://centrociucci.com.ar/descargas/6-Consenso-2017-nuevo3.pdf
Cruz-Ramos J A, Cedeño-Meza A, Bernal-Gallardo, J A, De La Mora-Jiménez E, Cervantes-Cardona G A, Rivas-Rivera F. Efecto de terapia descongestiva compleja en linfedema secundario al tratamiento quirúrgico y calidad de vida en mujeres con cáncer de mama. S&S [Internet]. 2018; 9 (1): 088-096. Disponible en: http://revistas.ucn.cl/index.php/saludysociedad/article/view/2870
Cuello-Villaverde E, Forner-Cordero I, Forner-Cordero A. Linfedema: métodos de medición y criterios diagnósticos. Rehabilitación. 2010; 44 (S1): 1-72. doi:10.1016/j.rh.2010.05.009
De Miguel Benadiba C. Incidencia de linfedema en cáncer de mama precoz. Diferencias entre biopsia selectiva de ganglio centinela y linfadenectomía [Tesis doctoral]. Madrid; 2016. Disponible en: http://eprints.ucm.es/44443/1/T39200.pd
European Wound management association (EWMA) Focus Document: Lymphoedema bandaging in practice. London: MEP Ltd; 2005. Disponible en: https://www.aeev.net/guias/English_focus_doc_05.pdf
Földi E, Földi M. Földi’s Textbook of Lymphology: for physicians and lymphedema therapists. 3ª ed: Mosby. 2012.
Klose G. Lymphedema Bandaging: practical bandaging instructions for lymphedema patients and therapists. Newied (Germany): L. & R. G.& Co. 1998
Lymphoedema Framework. Template for Practice: compression hosiery in lymphoedema. London: MEP Ltd, 2006. Disponible en: https://www.lympho.org/wp-content/uploads/2016/03/Compression_hosiery.pdf
Markowski J, Wilkox JP, Helm PA, Lymphoedema incidence after especific postmastectomy therapy. Arch Phys Med Rehabil 1981; 62:449-51.
Mehrara BJ, Greene AK. Lymphedema and obesity: is there a link? Plast Reconstr Surg. 2014; 134 (1):154e-160e. doi:10.1097%2FPRS.0000000000000268
Navarro B, Sánchez Sánchez B. El vendaje en el tratamiento fisioterapeutico del linfedema secundario a cáncer de mama: una serie de casos. Fisioterapia. 2014;36(1):49-53. doi: https://doi.org/10.1016/j.ft.2013.03.004
NLN Medical Advisory Committee. The diagnosis and the treatment of lymphedema. Position statement of the national lymphedema network [Internet]. 2011: 1-19. Disponible en: https://lipedemaproject.org/pposition-statement-of-the-national-lymphedema-networkp-ptopic/
Partsch H, Clark M, Mosti G, Steinlechner E, et al. Classification of compression bandages: Practical aspects. Dermatol Surg.2008; 34:600-9. doi:10.1111/j.1524-4725.2007.34116.x
Puigdellivol Serafí C, Alonso Álvarez B. Guía de Práctica Clínica. Orientación diagnóstica y terapéutica del linfedema [Internet]. 2ª ed: Capítulo Español de Flebología y Linfología. 2017. Disponible en: http://www.capitulodeflebologia.org/media/Guia-linfedema-segunda-edicion-final-2017_439.pdf
Rodríguez Manso M, Canosa Hermida E, Martín Mourelle R, Otero Villaverde S, et al. Terapia descongestiva compleja en grados iniciales de linfedema secundario a cáncer de mama. Fisioterapia. 2019;41(1):1-62.
Staudinger P. Técnicas de vendaje de compresión “paso a paso” y sus fundamentos teóricos. Ed Thieme. 2006.
The diagnosis and treatment of peripheral lymphedema: 2016 Consensus document of the International Society of Lymphology. Acta Angiologica. 2017; 23 (4): 171-182. Disponible en: https://journals.viamedica.pl/acta_angiologica/article/view/56686 "
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