Department of Surgery, College of Medicine, University of Babylon, Hilla City, Iraq.
Lymphat Res Biol. 2022 Aug;20(4):435-440. doi: 10.1089/lrb.2021.0043. Epub 2021 Nov 16.
Lymphedema is a progressive disorder characterized by impairment of lymph flow from tissues to the blood circulation due to damage of lymphatics. Treatment can be surgical or nonsurgical. A great number of operative procedures described in the literature demonstrate no single method exists that could be regarded as a standard. Nonsurgical therapy consists of a set of four physiotherapeutic measures, if properly performed; it treats the cause of lymphedema in a manner free of side effects, this set is called complex physical therapy (CPT). Criteria and facilities of CPT are not available in Iraq now. Below is a short clinical experience of seven cases (nine diseased lower limbs) presented at our clinic for management of lymphedema who were all managed successfully during the decongestive period using adjustable Velcro wraps (AVW). In the absence of ideal CPT facilities, AVW can be used as a single therapeutic modality for treatment of lymphedema.
淋巴水肿是一种进行性疾病，其特征是由于淋巴管损伤，导致淋巴液从组织向血液循环的流动受损。治疗方法可以是手术或非手术。文献中描述了大量的手术方法，但没有一种方法可以被视为标准方法。非手术治疗包括一套四项物理治疗措施，如果正确实施，它可以以无副作用的方式治疗淋巴水肿的原因，这组措施称为综合物理治疗（CPT）。目前伊拉克还没有 CPT 的标准和设施。以下是在我们诊所就诊的七例（九只患病下肢）淋巴水肿患者的短期临床经验，他们在消肿期间均成功使用了可调式维可牢尼龙搭扣绷带（AVW）进行管理。在缺乏理想的 CPT 设施的情况下，AVW 可以作为治疗淋巴水肿的单一治疗方式。
