Lymphatic edema is
Edema of the lower limbs generally arise in threeclinical situations: 1) due to fluid overload, 2) due to venous insufficiency and. 3) with lymphatic edema. Lymphatic edema can be unilateral or bilateral and very slowly disappears with elevated limbs. The diagnosis of lymphatic edema is often based on a clinical picture. Treatment Supporting, using elastic stockings. It is necessary at the same time to consider the factors that can trigger the development of a patient's cellulite.
Lymphatic edema can be of primary and secondary origin. Primary lymphatic edema is classified as follows:
1. Congenital, occurs at birth.
2. Early, begins in childhood.
3. Late, begins in the adult state.
It is advisable to perform lymphography for clarificationvariant of primary lymphatic edema: lymphoplastic he or hypoplastic. Secondary lymphatic edema is often associated with lymph node metastases, and may also occur after ionizing radiation, surgical tissue removal, or parasitic infestation.
Operative treatment in patients with lymphaticedema is used very rarely. The essence of the intervention is to remove the mass of subcutaneous tissue on the limb. According to the original method Charles (Charles) made extensive resection of the lymph tissue impregnated, followed by closing for defects dermal transplantation is performed on the limb. In several vascular centers, direct lymphovenous anastomoses were performed, but no evidence of their effective functioning has been obtained so far.