Suction-Assisted Lipectomy for Treatment of Lower-Extremity Lymphedema

Circumferential suction-assisted lipectomy in the treatment of primary and secondary end-stage lymphoedema of the leg

“…In the present study, men presented more frequently with primary lymphoedema, which is in agreement with earlier aetiological studies. A few case reports have been published previously regarding the treatment of lymphoedema in men. The results in the primary lymphoedema group suggested that men have a larger persisting volume difference compared with women (median 1629 versus 275 ml), indicating that sex may be a significant factor contributing to final outcome at 2‐year follow‐up.…”

“…It was later introduced as a treatment for end‐stage lymphoedema of the leg. Remarkably, all of the published patients were women, with the exception of two case reports. After treatment with CSAL was initiated in 2004 for patients with secondary arm lymphoedema, the authors extended the method to end‐stage lymphoedema of the leg, beginning in 2006.…”

Surgical Management of Lymphedema: Past, Present, and Future

“…50,[54][55][56] In fact, early reports of lower extremity liposuction were disappointing, resulting in only minor improvements when performed without skin excision. 56 More recent reports have demonstrated improved results using modern liposuction devices and tumescent techniques.…”

Abordagem fisioterapêutica do linfedema bilateral de membros inferiores

“…O volume do membro foi calculado pela fórmula do cone truncado: V = h. (C² + c² + Cc) / 12 π, em que: V = volume; h = distância entre (C) circunferência proximal da coxa (+21 cm) e (c) distal da perna (-21 cm); e π = 3,14159 (10,17,20 (14) recomenda a utilização da Terapia Física Complexa (Complex Physical Therapy -CPT), a qual inclui drenagem linfática manual estratégi-ca, cuidados com a pele, enfaixamento compressivo inelástico ou contensão elástica, pressoterapia, cinesioterapia e autodrenagem. O tratamento deve ser iniciado o mais precocemente possível, pois, uma vez instalado e não tratado, o linfedema progride e interfere negativamente na qualidade de vida do indivíduo, causando alterações ísicas, psíquicas e sociais, principalmente quando acomete bilateralmente os MMII, pois afeta a locomoção, a mobilidade e as atividades de vida diária (3,5,13,(15)(16)(17).…”