Lymphatic system of the lower limb

2022 ◽  
pp. 75-82
Author(s):  
N. Radhakrishnan
Keyword(s):  
Lower Limb ◽  
Lymphatic System

Indirect Lymphoscintigraphy in Patients with Limb Oedema

1986 ◽  
Vol 1 (3) ◽  
pp. 211-215 ◽  
Author(s):  
A. Pecking ◽  
R. Cluzan ◽  
J.P. Desprez-Curely ◽  
P. Guerin
Keyword(s):  
Lower Limb ◽  
Lymphatic System ◽  
Invasive Procedures ◽  
Non Invasive ◽  
Morphological Findings ◽  
Invasive Method ◽  
Varicose Disease ◽  
Post Traumatic ◽  
Web Space ◽  
Clinical Problems

One thousand four hundred and fifty-five lymphoscintigraphies using a radio-labelled colloid were performed as an objective test for the diagnosis and the survey of lower limb oedemas. It is a non-invasive method involving only a subdermic bipedal injection into the first web space of each foot. Our results demonstrate that in chronic swollen legs due to venous causes occuring from post-thrombotic syndrome or varicose disease the lymphatic system can be insufficient (14.9% and 19.8% of these cases). Abnormal results are found in 91.3% of clinically primary lymphoedemas. In unilateral primary lymphoedemas the clinically healthy controlateral limb can be insufficient (25%). In post-traumatic lower limb oedemas the lymphatic flow remains normal while perilymphatic extravasation and dermal filling are always to be found at the trauma site. The lymphoscintigraphy is a simple, physiological and reliable test. The morphological findings based upon 1455 examinations allow us to think that this method may resolve the clinical problems without recourse to more invasive procedures. We can expect that in a few years this morphological study will be completed with a functional lymphatic test.

scholarly journals Lower-limb ooedema during pregnancy

2017 ◽  
Vol 20 (4) ◽  
pp. 17-21
Author(s):  
Katarzyna Ochałek ◽  
Aleksandra Frydrych-Szymonik ◽  
Zbigniew Szyguła
Keyword(s):  
Risk Factors ◽  
Deep Vein Thrombosis ◽  
Lower Limb ◽  
Lymphatic System ◽  
Current Knowledge ◽  
Vein Thrombosis ◽  
Breathing Exercises ◽  
Prevention And Treatment ◽  
Deep Vein ◽  
Vein Insufficiency

Lower-limb oedemas can be the result of abnormalities in the structure and functioning of the lymphatic system, injuries or inflammation, or can be related to cancer and its treatment; however, they are more often one of the basic symptoms accompanying women in the third trimester of pregnancy due to vein insufficiency. The purpose of this overview is to discuss the current knowledge related to risk factors, prevention and treatment of lower-limb oedemas during pregnancy. The risk factors linked to gravidity-related oedema comprise of increased volume of circulating blood, the augmented uterus, increased body mass and changes to hormonal turnover. Vein insufficiency occurs as a result of venous hypertension caused by insufficiency of the muscle pump and valvar regurgitation. Pregnancy, the application of Caesarean section and the postpartum period predispose to deep vein thrombosis (DVT). The basic and unquestionable method applied in the prophylaxis and treatment of abnormalities to the venous-lymphatic system and corresponding complications consists in compression therapy involving compressive bandaging and the use of compression garments. Compression can be applied either individually or in combination with other methods, such as manual lymph drainage, intermittent pump compression and physical or breathing exercises. Based on the scientific evidence and experts’ recommendations, compression is also considered to be an effective solution in the prevention and treatment of deep vein thrombosis and swelling in pregnant women, but further investigation is needed. Ochałek K., Frydrych-Szymonik A., Szyguła Z. Lower-limb oedema during pregnancy. Med Rehabil 2016; 20(4): 17-21. DOI: 10.5604/01.3001.0009.5481

scholarly journals Scintigraphic Investigations of the Deep and Superficial Lymphatic Systems in the Evaluation of Lower Limb Oedema

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Romain Barbieux ◽  
Mirela Mariana Roman ◽  
Fanny Rivière ◽  
Olivier Leduc ◽  
Albert Leduc ◽  
...  
Keyword(s):  
Human Serum Albumin ◽  
Serum Albumin ◽  
Human Serum ◽  
Lower Limb ◽  
Gold Standard ◽  
Lymphatic System ◽  
Phase 2

Abstract The lymphoscintigraphic investigation (LySc) of the superficial lymphatic system (SLS) remains the gold standard for the diagnosis of lower limb lymphoedema. However, LySc of the deep lymphatic system (DLS) may be useful for diagnosing deep lymphatic system insufficiency in patients with lower limb oedema (LLE) but normal and/or paradoxical LySc of the SLS. The purpose of this study was therefore to evaluate a new LySc of the deep lymphatic system in patients presenting with a normal and/or paradoxical SLS exam showing LLE. In all, 15 patients with unilateral and 17 with bilateral LLE underwent 3-phased deep LySc of the lower limb via the injection of 99 mTc-labelled human serum albumin (HSA) nanocolloids in the Kager’s triangle. The absence of popliteal lymphatic node visualization after phase 2 of DLS LySc to diagnose a deep lymphatic insufficiency has a specificity and a sensitivity of 89% in patients with unilateral LLE and without associated venous symptoms. An insufficiency of the DLS was observed in 67% of cases with unilateral LLE and 59% of patients with bilateral LLE of venous and/or lymphatic origin. In conclusion, the lymphoscintigraphic visualization of the popliteal lymphatic nodes after the injection of 99 mTc-labelled HSA nanocolloids in the Kager’s triangle seems to be an effective way to diagnose DLS insufficiency in patients with LLE but normal findings in the SLS.

Lymphoscintigraphic Monitoring of the Lower Limb Lymphatic System Response to Bone Fracture and Healing

2005 ◽  
Vol 3 (3) ◽  
pp. 137-145 ◽  
Author(s):  
Grzegorz Szczesny ◽  
Waldemar L. Olszewski ◽  
Andrzej Gorecki
Keyword(s):  
Bone Fracture ◽  
Lower Limb ◽  
Lymphatic System ◽  
System Response

scholarly journals The Lymphatic Pump Technique for the Treatment of the Lower Limb Lymphedema

2021 ◽  
Vol 20 (5) ◽  
pp. 12-18
Author(s):  
A. Bergna ◽  
L. Panigada ◽  
F. Benussi ◽  
F. Buffone ◽  
C. Caruana ◽  
...  
Keyword(s):  
Lower Limb ◽  
Lymphatic System ◽  
Scientific Evidence ◽  
Point Of View ◽  
The Body ◽  
Invasive Technique ◽  
Human Beings ◽  
Complete Decongestive Therapy ◽  
History Of ◽  
The Mean

Lymphedema is a condition occurring when the lymphatic system fails to efficiently transport the lymph, thus creating a fluid accumulation in the interstitial space. As of today, the rehabilitation treatment for lymphedema relies on the principles of Complete Decongestive Therapy (CDT), a series of treatments designed to favor the reabsorption of the lymph by the lymphatic system and to restore the functionality of the affected limb. From an osteopathic point of view, interesting results have been obtained through Lymphatic Pump Technique (LPT), a series of oscillatory techniques applied to different areas of the body such as chest, abdomen and feet. A few LPT studies on animals have shown a significant improvement not only in the lymphatic system efficiency (an increase of 271% in lymph flow) but also in the immune system. Aim. From the scientific evidence derived from such studies, in this paper we propose a clinical trial aiming to demonstrate the benefits that this technique can bring to human beings in a specific rehabilitation process following a lower limb lymphoedema. Material and methods. An indirect volumetric measurement of lymphedematous limbs according to the segmental technique was performed on six subjects having a history of CDT treatments with different clinical histories, age, gender, work and sport characteristics.The results of the study group treated with the LPT were compared to the results of the same subjects who previously underwent CDT treatment only. The LPT was applied in 8 sessions for two weeks, i.e. for the period of time scheduled for normal physiotherapy rehabilitation including CDT. Results. The average volume before CDT was 9470.6 ml while after treatment was 8429 ml. The mean volume before CDT associated with LPT was 9608.5 ml, whereas after treatment the mean was 8267 ml with a significant reduction in lymphoedema. Conclusions. Despite the small number of cases examined, the treatment described in this project has led to positive and statistically significant results, in terms of absorption of lymphedema, especially reducing the volume of the limb. LPT is safe as it is a non-invasive technique, performed with the application of light forces, and integrates perfectly with the CDT.

scholarly journals Diagnostic approach to lower limb edema

2020 ◽  
Vol 35 (9) ◽  
pp. 650-655
Author(s):  
Antonios P Gasparis ◽  
Pamela S Kim ◽  
Steven M Dean ◽  
Neil M Khilnani ◽  
Nicos Labropoulos
Keyword(s):  
Differential Diagnosis ◽  
Lower Limb ◽  
Systematic Approach ◽  
Lymphatic System ◽  
Diagnostic Algorithm ◽  
Imaging Evaluation ◽  
Limb Edema ◽  
Underlying Pathology ◽  
Opinion Article

Patients with lower limb edema are frequently referred to vascular specialists for evaluation. Multiple etiologies must be considered and often more than one cause may be present. Notably, the role of lymphatic system regardless of the underlying pathology has been underestimated. A thorough history and physical examination and a carefully considered laboratory and imaging evaluation are critical in differentiating causes. In this opinion article, we propose a diagnostic algorithm that incorporates a systematic approach to the patient with leg swelling and provides an efficient pathway for the differential diagnosis for this problem.

Scanning electron microscopy of freeze-fractured prescapular lymph node of caprine

1984 ◽  
Vol 42 ◽  
pp. 244-245
Author(s):  
O. Faroon ◽  
F. Al-Bagdadi ◽  
T. G. Snider ◽  
C. Titkemeyer
Keyword(s):  
Lymph Node ◽  
Lymph Nodes ◽  
Lymphatic System ◽  
Three Dimensional ◽  
Meat Products ◽  
The Body ◽  
Morphological Data ◽  
The World ◽  
Cellular Constituent ◽  
Scanning Electron

The lymphatic system is very important in the immunological activities of the body. Clinicians confirm the diagnosis of infectious diseases by palpating the involved cutaneous lymph node for changes in size, heat, and consistency. Clinical pathologists diagnose systemic diseases through biopsies of superficial lymph nodes. In many parts of the world the goat is considered as an important source of milk and meat products.The lymphatic system has been studied extensively. These studies lack precise information on the natural morphology of the lymph nodes and their vascular and cellular constituent. This is due to using improper technique for such studies. A few studies used the SEM, conducted by cutting the lymph node with a blade. The morphological data collected by this method are artificial and do not reflect the normal three dimensional surface of the examined area of the lymph node. SEM has been used to study the lymph vessels and lymph nodes of different animals. No information on the cutaneous lymph nodes of the goat has ever been collected using the scanning electron microscope.

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