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Lymphedema in the morbidly obese patient: unique challenges in a unique population.

Resource type
Authors/contributors
Title
Lymphedema in the morbidly obese patient: unique challenges in a unique population.
Abstract
The population of morbidly obese patients, along with the incidence of lymphedema and massive localized lymphedema associated with this condition, is increasing. A 5-year retrospective review of data (2000-2005) shows that the percentage of patients >350 lb in the authors' clinic population increased from approximately 7% to 11% and 75% of their morbidly obese patients (body mass index >40) had or have lymphedema. After a differential diagnosis between lipedema and lymphedema (primary or secondary) has been made, lymphedema management options include compression bandaging, manual lymphatic drainage, and localized surgeries. The treatment of morbidly obese lymphedema patients requires additional staff time and specialized equipment to move or position them and may be confounded by other conditions (eg, heart failure and venous insufficiency) that contribute to edema. Lymphedema treatments have been found to be useful, providing patients are able to follow treatment guidelines, especially with regard to weight control. In the authors' experience, massive localized lymphedema will recur unless the primary issue of obesity is addressed. Establishing clear criteria and patient participation guidelines before initiating a comprehensive localized lymphedema program will improve outcomes.
Publication
Ostomy/wound management
Volume
54
Issue
1
Pages
44-56
Date
2008 Jan
Journal Abbr
Ostomy Wound Manage
Language
eng
ISSN
0889-5899 0889-5899
Extra
Place: United States
Citation
Fife, C. E., & Carter, M. J. (2008). Lymphedema in the morbidly obese patient: unique challenges in a unique population. Ostomy/Wound Management, 54(1), 44–56. https://www.hmpgloballearningnetwork.com/site/wmp/content/lymphedema-morbidly-obese-patient-unique-challenges-a-unique-population
Topic