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[Imaging for treatment planning in lipo-and lymphedema].

Resource type
Authors/contributors
Title
[Imaging for treatment planning in lipo-and lymphedema].
Abstract
Lipoedema is a progressive disease, which predominantly affects women. It is characterised by circumferential growth, with increase in fat tissue of the extremities, and can lead to oedema. In contrast, the lymphoedema is defined by a specific lymphatic drainage disorder and can lead to fibrosis of the surrounding connective tissue. While lipoedema is diagnosed through clinical symptoms and diagnostic imaging can usually only be used to rule out comorbidities, lymphatic drainage disorder can be visualised using imaging methods. Ultrasound is a basis diagnostic tool to show retained interstitial fluid in lip- and lymphoedema. Lymphoscintigraphy is considered to be the gold standard to demonstrate a lymphatic drainage disorder, which can be combined with computed tomography. Indocyanine green(ICG) lymphography is a dynamic imaging tool, which is of increasing significance due to its possible intraoperative use. Magnetic resonance imaging (MRI) lymphography has the ability to visualise a lymphoedema and a lymphatic drainage disorder in three dimensions and is therefore considered to be a meaningful supplement. Therapy of lip- and lymphoedema should always be based on a combination of conservative and surgical strategies. While liposuction and other resection procedures can lead to symptom relief in lipedoema or advanced lymphoedema, newer reconstructive procedures such as lymph node transplantation or lymphovenous anastomoses are modern techniques to treat lymphoedema. A long lasting volume reduction can be achieved by creating new lymphatic pathways leading to improved quality of life and reduced symptoms.
Publication
Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V...
Volume
50
Issue
6
Pages
386-392
Date
2018 Dec
Journal Abbr
Handchir Mikrochir Plast Chir
Language
ger
ISSN
1439-3980 0722-1819
Rights
© Georg Thieme Verlag KG Stuttgart · New York.
Extra
Place: Germany
Citation
Zetzmann, K., Ludolph, I., Horch, R. E., & Boos, A. M. (2018). [Imaging for treatment planning in lipo-and lymphedema]. Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen  Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen  Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der  V..., 50(6), 386–392. https://doi.org/10.1055/a-0739-7911