Microsurgery for Lymphedema of the Limbs after Removal of Lymph Nodes

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MedicinaInformazione

Published on Jul 17, 2016
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http://www.medicinaeinformazione.com/ / medicinaeinformazione After the removal of lymph nodes in the case of oncological surgery (breast cancer or gynecological tumors) lymphedema of the lower or upper limbs may occur, therefore swelling of an arm or leg due to lymphatic stagnation. Up to now, treatment has always been conservative, therefore physiotherapy and lymphatic drainage sessions and the use of elastic bands that unfortunately cannot solve the problem in its complexity, reducing in some cases the patient's quality of life. Today, however, there are innovative solutions, and Prof. Marzia Salgarello, Director of the Plastic and Reconstructive Surgery Unit at the Agostino Gemelli Polyclinic in Rome, presents them to us on the occasion of the inauguration of the Lymphedema Treatment Center at the Gemelli Polyclinic, where there is a latest-generation microscope that allows for supermicrosurgery that, through small cuts on the arm of a few millimeters, connects the clogged lymphatic vessels to the small veins in the arm so as to drain the liquid and deflate the arm. Another frontier is that of lymph node transplantation using the patient's own lymph nodes and positioning them in place (inside the armpit for example). All of this naturally requires a multidisciplinary approach to ensure that physiotherapy is also present in the treatment path, both in the phase preceding surgery and in the phase following it, to ensure that every woman can regain her freedom of movement and complete functionality of the arm.

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