Managing chronic lymphedema continues to challenge physicians worldwide, despite progress in diagnosis and therapy in recent years. This user-friendly guide includes clear, concise recommendations on the evaluation and treatment of patients with the condition.
Introduction – General Overview.- Etiology and Classification of Lymphatic Disorders.- Hereditary and Familial Lymphedema.- Embryology, Anatomy, & Histology.- Embryology of Lymphatic System & Lymphangiogenesis .- Anatomy of Lymphatic System and its Lymphatic Disorders.- Physiology, Pathophysiology and Lymphodynamics.- General Overview.- Lymphodynamics.- Physiology & Biochemistry.- Lymph biochemistry.- Physiology- Lymph Flow.- Pathology & Histochemistry.- Clinical Diagnosis.- General Overview.- Clinical Staging.- Combined Clinical and Laboratory (Lymphoscintigraphic) Staging.- Early diagnosis in Latent Phase.- Review on National and International Consensuses on Chronic Lymphedema.- Differential Diagnosis - General Consideration.- Differential Diagnosis – Lipedema.- Laboratory/Imaging Diagnosis.- General Guideline.- Radionuclide Lymphangioscintigraphy.- Duplex ultrasonography.- Combined role of the lymphoscintigraphy, X ray Computed Tomography, Magnetic Resonance Imaging, and Positron Emission Tomography in the management of lymphedematous disease.- Oil Contrast Lymphangiography.- Fluorescent microlymphangiography.- Alternative assessment & measurement tools.- Infection.- Physical and Medical Management.- Physiological principles of physiotherapy.- Complex Decongestive Therapy.- Manual Lymphatic Drainage.- Manual Lymphatic Drainage.- Compression Therapy.- Intermittent Pneumatic Compression Therapy.- Other contemporary treatment modalities.- Medical treatment.- Practical issue on Physical Therapy.- Lower limb lymphedema.- Upper limb lymphedema.- Head & neck lymphedema.- Genital lymphedema.- Psychological aspect: Compliance and Quality of Life.- Surgical treatment - Reconstructive Surgery.- General Overview - Historical background.- General Principle and indication.- Lymphovenous bypass surgery.- Lympholymphatic bypass surgery.- Lymphnodo-venous bypass and other related reconstructive surgery.- Lymph nodes transplantation.- Current dilemma with controversy.- Prospect on lymphatic reconstructive surgery.- Surgical treatment - Excisional/Cytoreductive Surgery.- General Overview- Historical background.- Excisional surgery- General Principle.- Contemporary indication and controversy on excisional surgery.- Liposuction: New Approach for the Reduction of Lymphedema.- Lymphedema and Congenital Vascular Malformation.- Primary lymphedema as a truncular lymphatic malformation.- Primary lymphedema and Klippel-Trenaunay syndrome.- Special issue with Pediatric Primary Lymphedema.- Management of Chyle Reflux.- Medical management.- Surgical management.- Filariasis Lymphedema.- Epidemiology.- Etiology & Pathophysiology.- Clinical Overview- Diagnosis & Management.- Genetic prospect of lymphedema management.- Oncology and lymphedema.- Breast cancer.- Lower extremity cancers.- Radiation Complication.- Phlebolymphedema.- Pathophysiology of Phlebolymphedema - Physiologic Approach to 'chronic veno-lymphatic insufficiency'.- Diagnosis and Management of Primary Phlebolymphedema.- Diagnosis and Management of Secondary Phlebolymphedema.- Management of phlebolymphedema ulcer.- Lymphedema Nurses and Therapists.- Education of the Patient.- Patient/Family Advocacy.- Reimbursement of CDT-based nursing care.- Epilogue