淋巴水肿
医学
康复
生活质量(医疗保健)
苦恼
多学科方法
重症监护医学
物理疗法
疾病
心理干预
护理部
癌症
病理
内科学
临床心理学
社会学
乳腺癌
社会科学
作者
Alessandro de Sire,Luigi Losco,Lorenzo Lippi,Davide Spadoni,Juste Kaciulyte,Gökhan Sert,Paola Ciamarra,Marco Marcasciano,Roberto Cuomo,Alberto Bolletta,Marco Invernizzi,Emanuele Cigna
标识
DOI:10.3390/medicina58070954
摘要
Lymphedema is a chronic disabling condition affecting a growing number of patients worldwide. Although lymphedema is not life-threatening, several reports underlined detrimental consequences in terms of distress, pain, functional impairment, and infections with a relevant decrease in quality of life. Currently, there is no cure, and the therapeutic management of this condition aims at slowing down the disease progression and preventing secondary complications. Early diagnosis is paramount to enhance the effects of rehabilitation or surgical treatments. On the other hand, a multidisciplinary treatment should be truly integrated, the combination of microsurgical and reductive procedures should be considered a valid strategy to manage extremity lymphedema, and rehabilitation should be considered the cornerstone of the multidisciplinary treatment not only for patients not suitable for surgical interventions but also before and after surgical procedures. Therefore, a specialized management of Plastic Reconstructive Surgeons and Physical and Rehabilitative Medicine physicians should be mandatory to address patients' needs and optimize the treatment of this disabling and detrimental condition. Therefore, the aim of this review was to characterize the comprehensive management of lymphedema, providing a broad overview of the potential therapy available in the current literature to optimize the comprehensive management of lymphedema and minimize complications.
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