Zeitschrift fur Lymphologie. Journal of lymphology最新文献

Measuring and documentation of peripheral edemas should be carried out consistently both in ambulant and in hospital treatment. It's technical easy and can be done as measuring of circumference or of volume. This documentation is important both for the doctors and the physiotherapists and the patients too.

The bilateral subcutaneous reduction mastectomy is known as one of the methods in breast-saving cancer surgery, useful in patients with a malignant breast tumour showing multifocal lesions or combined with ptosis mammarum. In a retrospective study incorporating 160 patients after modified radical mastectomy or bilateral subcutaneous reduction mastectomy, we compared local recurrence rate, disease-free survival and mortality rate. A significant difference was found in local recurrence showing a higher rate in the non-radical group. The disease-free interval and the late mortality rate showed no statistical differences. The comparable disease-free interval of both groups added to the psychosocial benefits makes the bilateral subcutaneous reduction mastectomy a possible alternative surgical treatment of the breast carcinoma.

With color-duplexsonography the simultaneous visualisation of the vessel anatomy, the flow and reflux in insufficient perforating veins, and the corresponding superficial and deep veins is possible. Insufficient perforating veins may have different pathogenetic reasons. We differentiate three groups of insufficient perforating veins (IPV). The different kinds of insufficient perforating veins require different therapeutical consequences.

When continuous endurance is required in sports or work, the peripheral neuromuscular and the central nervous systems will end up in a state of tiredness. The sport physiotherapy enhances the peripheral regeneration and prevents the somatic sequelae of chronic physical stress. This review describes the procedures in thermo- and mechanotherapy also with respect to the manual lymphdrainage. In qualifying courses for sport physiotherapy, this technique is a valuable addition to the classical regenerative procedures being taught.

This article outlines the effect of physical treatment on the psyche. The early phase of childhood and its importance for the further development of personality in relation to the special situation of massage-treatment is pointed out. Further a education-concept for professions in physical therapy which contains several aspects of communication and counseling is being described.

The erythrocytic glutathione concentration in patients with lymphatic edema was around 20% lower than that of healthy volunteers. In addition, there was a drastic increase in the plasma malondialdehyde concentration. These changes indicate vigorous generation and activity of free radicals in lymphatic edematous tissue.

Most of the edemas can lead to feelings or even pains of tension and tend different strong to this symptoms according to their genesis and degree of strength. These troubles can be improved or can disappear completely by an edema treatment, either by medicinal therapy or lymph drainage therapy. In cases of bursting pains because of malignant edemas analgesics are regular necessary. Differential diagnostic we must also think to other reasons of pains in association from pain and edema, if they will not get better by an edema therapy. In cases of edemas who can only be treated by lymph drainage therapy the indication for this treatment is given at the latest, when pains begin.

In Northern Germany especially there are insufficient physiotherapists and doctors trained in lymphology to meet the needs of patients. In addition, the training of medical students in lymphology is inadequate. This report concentrates on ways to increase the number of practising lymphologists. A model for student training is described.