Evaluation of Longitudinal and Tubular Compression Treatment for Lower Limb Edema

Background: To clarify the clinical use of sonography for differentiation of edema we tried to answer the question whether a group of doctors can differentiate lymphedema from cardiac, hepatic or venous edema just by analysing sonographic images of the edema. Patients and methods: 38 (70 ± 12 years, 22 (58 %) females) patients with lower limb edema were recruited according the clinical diagnosis: 10 (26 %) lymphedema, 16 (42 %) heart insufficiency, 6 (16 %) venous disorders, 6 (16 %) chronic hepatic disease. Edema was depicted sonographically at the most affected leg in a standardised way at distal and proximal calf. 38 sets of images were anonymised and send to 5 experienced doctors. They were asked whether they can see criteria for lymphedema: 1. anechoic gaps, 2. horizontal gaps and 3. echoic rims. Results: Accepting an edema as lymphedema if only one doctor sees at least one of the three criteria for lymphatic edema on each single image all edema would be classified as lymphatic. Accepting lymphedema only if all doctors see at least one of the three criteria on the distal image of the same patient 80 % of the patients supposed to have lymphedema are classified as such, but also the majority of cardiac, venous and hepatic edema. Accepting lymphedema only if all doctors see all three criteria on the distal image of the same patients no edema would be classified as lymphatic. In addition we separated patients by Stemmers sign in those with positive and negative sign. The interpretation of the images was not different between both groups. Conclusions: Our analysis shows that it is not possible to differentiate lymphedema from other lower limb edema sonographically.

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Influences of lower limb edema on daily lives of elderly individuals in an elderly day care center

Japan Journal of Nursing Science ◽

10.1111/jjns.12383 ◽

2020 ◽

Author(s):

Sayumi Tsuchiya ◽

Takuto Sawazaki ◽

Shuji Osawa ◽

Makoto Fujiu ◽

Mayumi Okuwa ◽

...

Keyword(s):

Lower Limb ◽

Day Care ◽

Care Center ◽

Daily Lives ◽

Day Care Center ◽

Elderly Individuals ◽

Limb Edema

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Morbidity of Inguinofemoral Lymphadenectomy in Vulval Cancer

The Scientific World JOURNAL ◽

10.1100/2012/341253 ◽

2012 ◽

Vol 2012 ◽

pp. 1-4 ◽

Cited By ~ 20

Author(s):

A. A. Soliman ◽

M. Heubner ◽

R. Kimmig ◽

P. Wimberger

Keyword(s):

Saphenous Vein ◽

Lower Limb ◽

Local Complications ◽

Wound Breakdown ◽

Vulval Cancer ◽

Significant Difference ◽

Limb Edema ◽

Short And Long Term ◽

Inguinofemoral Lymphadenectomy

Background. The aim of this study is to detect possible risk factors for development of short- and long-term local complications after inguinofemoral lymphadenectomy for vulval cancer.Methods. This retrospective cohort study included 34 vulval cancer patients that received inguinofemoral lymphadenectomy. The detected complications were wound cellulitis, wound seroma formation, wound breakdown, wound infection, and limb lymphoedema. Followup of the patient ran up to 84 months after surgery.Results. Within a total of 64 inguinofemoral lymphadenectomies, 24% of the inguinal wounds were affected with cellulitis, 13% developed a seroma, 10% suffered wound breakdown, 5% showed lower limb edema within a month of the operation, and 21.4% showed lower limb edema during the long-term followup. No significant correlation could be found between saphenous vein ligation and the development of any of the local complications. The 3-year survival rate in our cohort was 89.3%.Conclusions. Local complications after inguino-femoral lymphadenectomy are still very high, with no single pre-, intra-, or postoperative factor that could be incriminated. Saphenous vein sparing provided no significant difference in decreasing the rate of local complications. More trials should be done to study the sentinel lymph node detection technique.

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Influence of prevalent occupational position during working day on occupational lower limb edema

Jornal Vascular Brasileiro ◽

10.1590/1677-5449.0079 ◽

2015 ◽

Vol 14 (2) ◽

pp. 153-160 ◽

Cited By ~ 1

Author(s):

Cleusa Ema Quilici Belczak ◽

José Maria Pereira Godoy ◽

Amélia Cristina Seidel ◽

Rubiana Neves Ramos ◽

Sergio Quilici Belczak ◽

...

Keyword(s):

Lower Limb ◽

Skin Color ◽

Correlation Coefficients ◽

Cumulative Effect ◽

Study Groups ◽

Lower Limbs ◽

Volume Increase ◽

Occupational Position ◽

Limb Edema ◽

Working Day

BACKGROUND: The lower limb edema observed in normal people at the end of their working days can vary in intensity and frequency depending on the predominant working positions required to perform different jobs.OBJECTIVES: To compare lower limb volumes of volunteers allocated to three study groups, depending on the predominant positions in which they work.METHODS: Volumetric assessments were conducted of both lower limbs of 51 people free from vascular disease, allocated to three groups of 17 individuals each by predominant working position: sitting, static standing or alternating between the two. Volumes were measured at the start and at the end of the working day and the differences in volumes were calculated for each group. Means and frequencies were compared using appropriate inferential statistics and correlation coefficients were calculated.RESULTS: The groups were homogenous in terms of sex distribution, age, skin color and BMI. The volumetric data from measurements taken before starting work revealed significant differences between all three groups. Volunteers who predominantly worked sitting down had largest volumes, followed by those who remained standing for long periods and then those who varied between these positions. The frequency of lower limb volume increase > 100 mL was significantly higher in the group of people who worked sitting down and maintained this position for long periods.CONCLUSIONS: Postural edema is more common among people who work sitting down for long periods, among whom it appears that there is a cumulative effect from the position, since they exhibit larger lower limb volumes at the start of the day.

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