Os Efeitos da Drenagem Linfática Manual no Pós-Cirúrgico da Abdominoplastia: Uma Revisão Integrativa da Literatura / The Effects of Manual Lymphatic Drainage in Post-Surgical Abdominoplasty: An Integrative Literature Review

Resumo: A drenagem linfática manual (DLM) realizada por massagem linfática, no pós-operatório de abdominoplastia com core lipoaspiração, pode promover resolução mais rápida do edema. Dessa forma, este presente estudo tem como objetivo demonstrar o efeito da drenagem linfática na abdominoplastia, expondo a importância do emprego da técnica no pós-operatório imediato para a diminuição de edemas. Trata-se de uma revisão integrativa, realizada através do levantamento nas bases de dados Lilacs, Scielo e Medline. A busca das publicações foi realizada no período de 2016 a 2021, através dos seguintes descritores: abdominoplastia, drenagem linfático e pós-operatório. Os estudos analisados acerca da temática proposta permitem inferir que a drenagem linfática manual auxilia na recuperação do pós-operatório da abdominoplastia mostrando ser uma área fundamentada em resultados concretos, onde se busca melhorar a aparência estética e a função, principalmente pela melhora da dor obtida com o tratamento. Palavras – Chave: Abdominoplastia, Drenagem linfática, Pós-operatório. Abstract: Manual lymphatic drainage (MLD) performed by lymphatic massage in the postoperative period of abdominoplasty with core liposuction can promote faster resolution of the edema. Thus, this present study aims to demonstrate the effect of lymphatic drainage in abdominoplasty, exposing the importance of using the technique in the immediate postoperative period to reduce edema. This is an integrative review, carried out through a survey in Lilacs, Scielo and Medline databases. The search for publications was carried out from 2016 to 2021, using the following descriptors: abdominoplasty, lymphatic drainage and postoperative period. The studies analyzed on the proposed theme allow us to infer that manual lymphatic drainage helps in the recovery of the postoperative period of abdominoplasty, showing that it is an area based on concrete results, where one seeks to improve the aesthetic appearance and function, mainly by improving the pain obtained with the treatment. Keywords: Abdominoplasty, Lymphatic drainage, Postoperative.

Possibilities of general manual lymphatic drainage correction as a part of complex therapy of myofascial pain syndrome in athletes

The article describes the general principles of manual lymphatic drainage correction. The authors evaluated the effectiveness of its application in the complex therapy of recreational rehabilitation of athletes with myofascial pain syndrome (MPS).Objective: to evaluate the effectiveness of general manual lymphatic drainage correction in the treatment of athletes with MPS.Materials and Methods: a total of 30 rugby players were examined. All athletes from the main group received physiotherapy, general lymphatic drainage massage. Patients from the control group underwent the same procedures and general massage without lymphatic drainage correction. The course of therapy included 6 procedures.Results: tensoalgometric parameter values in athletes from the main group increased by more than 5 times after lymphatic drainage correction. In sportsmen from the control group, these parameter values decreased.Conclusion: the application of manual lymphatic drainage contributes to the active restoration of myotatic reflex of physical muscles and regress of pain syndrome in athletes.

Physical therapies in the decongestive treatment of lymphedema: A randomized, non-inferiority controlled study

Objective: To assess whether the treatment with intermittent pneumatic compression plus multilayer bandages is not inferior to classical trimodal therapy with manual lymphatic drainage in the decongestive lymphedema treatment. Study Design: Randomized, non-inferiority, controlled study to compare the efficacy of three physical therapies’ regimens in the Decongestive Lymphatic Therapy. Participants: 194 lymphedema patients, stage II–III with excess volume > 10% were stratified within upper and lower limb and then randomized to one of the three treatment groups. Baseline characteristics were comparable between the groups. Intervention: all patients were prescribed 20 sessions of the following regimens: Group A (control group): manual lymphatic drainage + Intermittent Pneumatic Compression + Bandages; Group B: pneumatic lymphatic drainage + Intermittent Pneumatic Compression + Bandages; and Group C: only Intermittent Pneumatic Compression + Bandages. End-point: Percentage reduction in excess volume (PREV). Results: All patients improved after treatment. Global mean of PREV was 63.9%, without significant differences between the groups. The lower confidence interval of the mean difference in PREV between group B and group A, and between group C and group A were below 15%, thus meeting the non-inferiority criterion. Most frequent adverse events were discomfort and lymphangitis, without differences between groups. A greater baseline edema, an upper-limb lymphedema and a history of dermatolymphangitis were independent predictive factors of worse response in the multivariate analysis. Conclusions: Decongestive lymphatic therapy performed only with intermittent pneumatic compression plus bandages is not inferior to the traditional trimodal therapy with manual lymphatic drainage. This approach did not increase adverse events.