Marxen Troy, Shauly Orr, Goel Pedram, Tsan Tina, Faria Rebecca, Gould Daniel J
Aesthet Surg J Open Forum. 2023 Feb 28;5:ojad023. doi: 10.1093/asjof/ojad023. eCollection 2023.
Lymphedema is a severe debilitating disease characterized by the accumulation of excessive protein-rich fluid in the interstitial space. Given the severe morbidity associated with this disease process, various surgical and nonsurgical treatment modalities have been developed to attempt to reduce the incidence and symptoms associated with lymphedema. Manual lymphatic drainage (MLD) is a component of complete decongestive therapy on-surgical treatment which has demonstrated benefit in reducing the development of lymphedema following surgery. Here we provide a review of literature on MLD and its potential mechanism of action. This paper aims to educate patients, physicians, and surgeons about MLD regarding its efficacy and utility in the treatment paradigm for lymphedema and to translate concepts from the treatment of lymphedema to cosmetic procedures.
淋巴水肿是一种严重的致残性疾病，其特征是间质空间中积聚过多富含蛋白质的液体。鉴于与该疾病过程相关的严重发病率，已经开发了各种手术和非手术治疗方式，试图降低与淋巴水肿相关的发病率和症状。手法淋巴引流（MLD）是完全减压疗法非手术治疗的一个组成部分，已证明其在减少术后淋巴水肿发展方面具有益处。在此，我们对关于MLD及其潜在作用机制的文献进行综述。本文旨在就MLD在淋巴水肿治疗模式中的疗效和实用性对患者、医生和外科医生进行教育，并将淋巴水肿治疗中的概念转化应用于美容手术。
