Within the realm of lymphatic disease treatment, there are many therapeutic interventions available, as highlighted in previous chapters. Treatment of lymphedema (LE) is very challenging. Therapeutic options in LE include conservative and operative modalities and should be individualized with regard to the circumstances of the patient and the lymphedema by a multidisciplinary approach. These circumstances include age, comorbidities, prognosis of (malignant) disease, psychosocial aspects, and physical potential. The goals for conservative treatment are to eliminate edema by reducing interstitial fluid accumulation and to stimulate lymphatic propulsion by compression.
KeywordsVolume Reduction Intermittent Pneumatic Compression Interface Pressure Compression Therapy Manual Lymph Drainage
- 2.Damstra RJ, Kaandorp C. Multidisciplinary guidelines for early diagnosis and management. J Lymphoedema. 2006;1(1):37-65.Google Scholar
- 3.International Lymphoedema Framework. Best Practice for the Management of Lymphedema. International Consensus. London: MEP Ltd; 2006:1-60.Google Scholar
- 10.Korpon MI, Vacuriu G, Schneider B. Effects of compression therapy in patients after breast cancer surgery. Annual Congresses of the American College of Phlebology. San Diego, California, 2003; Online www.phlebology.org (Annual Meeting Abstracts).
- 18.Vignes S, Porcher R, Arrault M, Dupuy A. Factors influencing breast cancer-related lymphedema volume after intensive decongestive physiotherapy. Support Care Cancer. 2010. doi: 10.1007/s00520-010-0906-x.
- 26.Lymphoedema Framework. Template for Practice: Compression Hosiery in Lymphoedema. London: MEP Ltd; 2006.Google Scholar