Erschienen in:
18.11.2019 | Wound Care (H Lev-Tov, Section Editor)
Lymphedema: New Concepts in Diagnosis and Treatment
verfasst von:
Robyn Bjork, Heather Hettrick
Erschienen in:
Current Dermatology Reports
|
Ausgabe 4/2019
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Abstract
Purpose of Review
This review’s aim is to coalesce current evidence regarding the lymphatic system and lymphedema, bridge the gap from traditional approaches to emerging concepts, and present simple strategies that can be immediately implemented into everyday clinical practice.
Recent Findings
New evidence of the microcirculation redefines all edema as lymphedema and having the potential to result in chronic inflammation and deleterious soft tissue changes. These soft tissue changes are easily identifiable through simple manual tests that also help direct interventions. CDT is the gold standard of treatment, but components are evolving with the emergence of new technologies and new understandings of mechanobiology. The lymphatic and integumentary systems are interdependent, requiring concurrent lymphedema and wound management strategies.
Summary
Optimization of the lymphatic system is key to edema management and wound healing. Future research is needed to progress individualized diagnostics of lymphatic vasculature so treatment interventions can be customized to each patient.