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Functional Rehabilitation
Published in James Crossley, Functional Exercise and Rehabilitation, 2021
Lymphatic drainage massage is intended to push fluid through soft tissue, assisting venous return. Massage strokes are directed from tissues, back towards the heart, literally pushing fluid through the body. Massage is a useful tool to support recovery by improving lymphatic circulation.
Breast Cancer: Surgical Perspectives
Published in Raymond Taillefer, Iraj Khalkhali, Alan D. Waxman, Hans J. Biersack, Radionuclide Imaging of the Breast, 2021
Patricia J. Eubanks, Hernan I. Vargas, Stanley R. Klein
A recent study of mammolymphoscintigraphy showed improved ability to detect sentinel lymph nodes [62]. Thirty-one of 34 patients had lymphatic drainage patterns identified. Of note, the authors identified drainage to supraclavicular or infraclavicular nodes in 20%. They also found unexpected drainage patterns of outer lesions to internal mammary nodes and inner lesions draining to axillary nodes in 32% of patients. If these methods of detecting drainage patterns can be reliably coupled with detection of metastases nonsurgically (i.e., with tracers such as MIBI), then surgery on the negative axilla can be avoided. In contrast to this viewpoint, others feel that patients should be offered chemotherapy regardless of the nodal status. The absolute role of AND remains under evolution.
Prevention and Treatment of Secondary Lymphedema of Extremities, Early Diagnosis of Lymphostasis, and Postsurgical Prevention and Conservative Treatment of Lymphedema
Published in Paloma Tejero, Hernán Pinto, Aesthetic Treatments for the Oncology Patient, 2020
This very gentle skin massage technique stimulates lymph flow in order to decrease the consistency and volume of the edema [26]. It is also used to treat scars and improve the amplitude of movement. Torres et al. [19] recommend it to prevent lymphedema through the activation of alternative drainage pathways in an immediate postoperative setting. Manual lymphatic drainage also helps improve the mobility of the affected extremity [22].
The eye area as the most difficult area of activity for esthetic treatment
Published in Journal of Dermatological Treatment, 2022
Anna Kołodziejczak, Helena Rotsztejn
In order to reduce swelling, blood flow should be stimulated with the use of manual massage, lymphatic drainage or endermology. It should be remembered that lymphatic stasis from the lateral part should be drain into the parotid nodes and from the medial part into the submandibular. Carboxytherapy can be used for chronic but not disease-related edema. Fat bags and fat tissue hernia are localized in the lower parts – below the orbital bone, and therefore more treatment techniques can be used. In such cases, the following techniques can be used: carboxytherapy, radiofrequency (preferably with partial vacuum), microneedle radiofrequency, HIFU/IFUS, endermology, and injection lipolysis (Kybella – deoxycholic acid). Body fat reduction therapies will be effective if the changes are resulting from excess body fat but without the accompanying skin and muscle laxity. Microsuction – excess fat and edema in the subdermal plane is suctioned with the use of a small-caliber liposuction cannula (2.3 or 3.0 mm) until the bulge is no longer palpable or visible (2,4,6).
The Effects of Modified Lymphoscintigraphy Techniques on Sentinel Lymph Node Biopsy Success During the COVID-19 Pandemic Period
Published in Journal of Investigative Surgery, 2022
Cemil Yüksel, Serdar Çulcu, Lütfi Doğan
Over the years, methods such as dyers and radioactive substance injection have been used alone or in combination to detect SLN. In addition to these, there is no consensus on the optimal method and other nonradioactive methods should be explored. Indocyanine green fluorescence method is one of these methods [12]. After intradermal indocyanine green injection, it can be viewed during surgery with a laser-assisted imaging device. This method is based on molecular folerescence by binding ICG to plasma proteins. With this method, while there is a SLN directly in the operating room, adverse side effects and disorders related to lymphatic drainage may cause problems in detecting SLN [13]. Studies have shown that the combined use of preoperative scintigraphic mapping, intraoperative blue dye and gamma probe methods increase the success of SLN detection in breast cancer [14]. However, it is not possible to detect SLN in 1-2% patients in breast cancer with conventional methods [15]. Techniques applied by each center may differ but overall SLN detection and accuracy rates are over 95%. In our clinical practice we use the combination of radioactive substance and methylene blue injection.
Lung ultrasound-guided therapeutic thoracentesis in refractory congestive heart failure
Published in Acta Cardiologica, 2020
Aleksandar Lazarevic, Milan Dobric, Boris Goronja, Dijana Trninic, Svetozar Krivokuca, Jelena Jovanic, Eugenio Picano
The pleural cavity fluid is a dynamic variable since the parietal pleura continuously secretes small amounts of 20–30 mL of fluid daily, which is reabsorbed by the visceral pleura and lymphatic drainage [9]. The lymphatics have the capacity to reabsorb 20 times more fluid than is formed normally, and a pleural effusion develops when there is an excess pleural fluid formation or when there is decreased fluid removal from the lymphatics. In heart failure, the hemodynamic mechanism underlying pleural effusion is an increased right [10] or left atrial pressure [11,12]. Together with lung interstitium, pleural space acts as a sump for excess lung water [13]. The increased transudation exceeds the compensatory reserve of lymphatic drainage. When the amount of pleural effusion is moderate-to-severe, therapeutic thoracentesis improves ventilatory exchanges and corrects hypoxaemia at least partially, that may explain the immediate symptomatic relief [14]. In addition, therapeutic thoracentesis relieves the constrictive physiology of heart filling and low cardiac output which is frequently associated with massive pleural effusion [15,16]. Therapeutic thoracentesis therefore immediately improves symptoms and may restore a better lung function and myocardial performance, interrupting the vicious circle of increased pleural pressures, reduced lymphatic drainage, constrictive cardiac physiology, reduced lung ventilation and impaired tissue oxygenation leading to backward heart failure, increased pulmonary wedge and systemic venous pressures eventually worsening pleural effusion.