Low-stretch bandages to treat primary lower limb lymphoedema: a cohort of 48 children.

08:00 EDT 13th June 2018 | BioPortfolio

Summary of "Low-stretch bandages to treat primary lower limb lymphoedema: a cohort of 48 children."

Primary childhood lymphoedema is a rare disorder, attributed to constitutional lymphatic system abnormality(ies), with familial, syndromic and nonsyndromic forms, associated or not with known gene mutation(s). Lymphoedema treatment for adults is based on complete decongestive physiotherapy, comprised of an initial intensive phase, to reduce volume that includes low-stretch bandaging, manual lymph drainage, exercises and skin care, followed by a maintenance phase, essentially based on wearing an elastic garment. Recommendations addressing upper limb lymphoedema after breast cancer, exclusively for adult women, were extrapolated to primary lymphoedema. For children, conservative nonsurgical management requiring parents' commitment is not consensual and differs according to the team; some teams developed new surgical techniques. Low-stretch bandages are the cornerstone of therapy to reduce lymphoedema volume in adults but no specific data on children are available. We retrospectively analysed a large cohort of children with primary lower limb lymphoedema treated with low-stretch bandages. This article is protected by copyright. All rights reserved.


Journal Details

This article was published in the following journal.

Name: The British journal of dermatology
ISSN: 1365-2133


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