Vignes Stéphane
Unité de lymphologie, Centre national de référence des maladies vasculaires rares (lymphoedèmes primaires), hôpital Cognacq-Jay, Paris, France.
Rev Prat. 2022 Jun;72(6):587-594.
MEDICAL MANAGEMENT OF LIMB LYMPHEDEMA. Lymphedema results from impaired lymphatic transport then tissue modifications (adipose deposition, thickening skin) leading to an increased limb volume. Lymphedema management is based on complete decongestive physiotherapy (multilayer low stretch bandage, manual lymph drainage, skin care, exercises). First phase of treatment achieves lymphedema volume reduction and the second phase stabilizes the volume. Multilayer low-stretch bandage and elastic compression are the cornerstone of the complete decongestive physiotherapy. Patient's education with self-bandage learning is also required. Erysipelas is the most common complication, but psychological or functional discomfort may occur throughout the course of lymphedema.
