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Indian Journal of Dermatology
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  Official organ of AADV
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THERAPEUTIC ROUND
Year : 2010  |  Volume : 55  |  Issue : 2  |  Page : 144-147

Intensive treatment of leg lymphedema


1 Department of Cardiology and Cardiovascular Surgery and professor of the post graduation course of Medicine School of São Jose do Rio Preto-FAMERP, Brazil
2 Nutritionist of the Godoy Clinic and Professor of the Post Graduation Course on Rehabilitation of Lymphevenous in Medicine School in São José do Rio Preto-FAMERP-Brazil of São Jose do Rio Preto, Brazil
3 Occupational Therapist, Professor of the Post Graduation course on Lymphovenous Rehabilitation - FAMERP and Clinic Godoy, São José do Rio Preto, Research Capes, Brazil

Correspondence Address:
Jose Maria Pereira de Godoy
Rua Floriano Peixoto, 2950. São José do Rio Preto, SP - 15010-020
Brazil
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5154.62745

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Background: Despite of all the problems caused by lymphedema, this disease continues to affect millions of people worldwide. Thus, the identification of the most efficacious forms of treatment is necessary. Aim: The aim of this study was to evaluate a novel intensive outpatient treatment for leg lymphedema. Methods: Twenty-three legs of 19 patients were evaluated in a prospective randomized study. The inclusion criteria were patients with Grade II and III lymphedema, where the difference, measured by volumetry, between the affected limb below the knee and the healthy limb was greater than 1.5 kg. Intensive treatment was carried out for 6- to 8-h sessions in the outpatient clinic. Analysis of variance was utilized for statistical analysis with an alpha error of 5% (P-value <0.05) being considered significant. Results: All limbs had significant reductions in size with the final mean loss being 81.1% of the volume of edema. The greatest losses occurred in the first week (P-value <0.001). Losses of more than 90% of the lymphedema occurred in 9 (39.13%) patients; losses of more than 80% in 13 (56.52%), losses of more than 70% in 17 (73.91%) and losses of more than 50% were recorded for 95.65% of the patients; only 1 patient lost less than 50% (37.9%) of the edema. Conclusion: The intensive treatment of lymphedema in the outpatient clinic can produce significant reductions in the volume of edema over a short period of time and can be recommended for any grade of lymphedema, in particular the more advanced degrees.


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