INTERMITTENT NEGATIVE PRESSURE THERAPY IN THE COMBINED TREATMENT OF PERIPHERAL LYMPHEDEMA.

作者: M Ryan , CC Campisi , CS Campisi , P DiSumma , C Campisi

DOI:

关键词: AnesthesiaSurgeryLymphedemaCelluliteMedicinePeripheralCombined treatmentPerfusion

摘要: Intermittent negative pressure deviceswere initially developed by NASA to enhanceblood perfusion and combat a reduction inorthostatic tolerance. Investigational studieshave demonstrated that the differentialproduces changes in blood cardiacsystems also documented inweight cellulite obese patients. Althoughthe mechanisms are not known, previousinvestigation has reported inlymphedematous limbs. These initial resultssuggested us inclusion of intermittentnegative into lymphedematreatment protocol would be beneficial. Wesubsequently undertook study 50 patientswith lymphedema adding intermittent negativepressure our CLyFT comparedthem withoutintermittent pressure. We found asignificant difference between groups withan additional 7% lymphedemavolume (p=0.008). Our results indicatethat therapy protocolwas beneficial further incorporation intoother protocols should investigated.

参考文章(18)
Corradino Campisi, Elisa Da Rin, Carlo Bellini, Eugenio Bonioli, Francesco Boccardo, Pediatric lymphedema and correlated syndromes: Role of microsurgery Microsurgery. ,vol. 28, pp. 138- 142 ,(2008) , 10.1002/MICR.20466
Krzemiński K, Kaciuba-Uściłko H, Mikulski T, Gasiorowska A, Ziemba Aw, Cybulski G, Niewiadomski W, Nazar K, Smorawiński J, Cardiovascular and neurohormonal responses to lower body negative pressure (LBNP): effect of training and 3 day bed rest. Journal of Physiology and Pharmacology. ,vol. 57, pp. 85- 100 ,(2006)
A.W.B. STANTON, W.E. SVENSSON, R.H. MELLOR, A.M. PETERS, J.R. LEVICK, P.S. MORTIMER, Differences in lymph drainage between swollen and non-swollen regions in arms with breast-cancer-related lymphoedema. Clinical Science. ,vol. 101, pp. 131- 140 ,(2001) , 10.1042/CS20000275
Elisabeth Löberbauer-Purer, Nanna L. Meyer, Susanne Ring-Dimitriou, Judith Haudum, Helmut Kässmann, Erich Müller, Can alternating lower body negative and positive pressure during exercise alter regional body fat distribution or skin appearance European Journal of Applied Physiology. ,vol. 112, pp. 1861- 1871 ,(2012) , 10.1007/S00421-011-2147-1
Claire M. Lathers, John B. Charles, Victor S. Schneider, Mary Anne B. Frey, Suzanne Fortney, Use of lower body negative pressure to assess changes in heart rate response to orthostatic-like stress during 17 weeks of bed rest. The Journal of Clinical Pharmacology. ,vol. 34, pp. 563- 570 ,(1994) , 10.1002/J.1552-4604.1994.TB02008.X
Håkan Brorson, From lymph to fat: liposuction as a treatment for complete reduction of lymphedema. The International Journal of Lower Extremity Wounds. ,vol. 11, pp. 10- 19 ,(2012) , 10.1177/1534734612438550
Stanley G. Rockson, The Lymphatics and the Inflammatory Response: Lessons Learned from Human Lymphedema Lymphatic Research and Biology. ,vol. 11, pp. 117- 120 ,(2013) , 10.1089/LRB.2013.1132
Giuseppe Murdaca, Paola Cagnati, Rossella Gulli, Francesca Spanò, Francesco Puppo, Corradino Campisi, Francesco Boccardo, Current Views on Diagnostic Approach and Treatment of Lymphedema The American Journal of Medicine. ,vol. 125, pp. 134- 140 ,(2012) , 10.1016/J.AMJMED.2011.06.032
Harald Marthol, Udo Zikeli, Clive Martin Brown, Marcin Tutaj, Max Josef Hilz, Cardiovascular and cerebrovascular responses to lower body negative pressure in type 2 diabetic patients Journal of the Neurological Sciences. ,vol. 252, pp. 99- 105 ,(2007) , 10.1016/J.JNS.2006.10.003
Ya-Chen Tina Shih, Ying Xu, Janice N. Cormier, Sharon Giordano, Sheila H. Ridner, Thomas A. Buchholz, George H. Perkins, Linda S. Elting, Incidence, Treatment Costs, and Complications of Lymphedema After Breast Cancer Among Women of Working Age: A 2-Year Follow-Up Study Journal of Clinical Oncology. ,vol. 27, pp. 2007- 2014 ,(2009) , 10.1200/JCO.2008.18.3517