Maintenance of the Results of Stage II Lower Limb Lymphedema Treatment after Normalization of Leg Size
Identifieur interne : 000398 ( Main/Exploration ); précédent : 000397; suivant : 000399Maintenance of the Results of Stage II Lower Limb Lymphedema Treatment after Normalization of Leg Size
Auteurs : Jose Maria Pereira De Godoy [Brésil] ; Henrique Jose Pereira De Godoy [Brésil] ; Renata Lopes Pinto [Brésil] ; Fernando Nestor Facio [Brésil] ; Maria De Fatima Guerreiro Godoy [Brésil]Source :
- International Journal of Vascular Medicine [ 2090-2824 ] ; 2017.
Abstract
The aim of this study was to identify strategies to transfer responsibility of the maintenance of the results of lymphedema treatment to the patient.
Maintenance of the reduction of edema was evaluated in a prospective clinical trial in patients with Stage II leg lymphedema. Twenty-one lymphedematous lower limbs were evaluated in Clínica Godoy in 2014 and 2016. The evaluation was done by volumetry at baseline and weekly thereafter for volume control. Patients wore Venosan® cotton 20/30 and 30/40 mmHg elastic compression stockings followed by a custom-made inelastic stocking made of grosgrain fabric. The Friedman test for multiple comparisons and Conover post hoc test were used for statistical analysis with an alpha error of 5%.
On comparing leg volume changes using the different types of stockings, the 20/30 mmHg elastic compression stockings failed in the first week to maintain the volume reductions but the 30/40 mmHg compression stockings did not allow significant increases in volume (
Higher compression of elastic stockings is better than lower compression but the inelastic grosgrain stocking is even better than both to maintain the results.
Url:
DOI: 10.1155/2017/8515767
PubMed: 28835857
PubMed Central: 5557258
Affiliations:
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sortKey="Pereira De Godoy, Henrique Jose" sort="Pereira De Godoy, Henrique Jose" uniqKey="Pereira De Godoy H" first="Henrique Jose" last="Pereira De Godoy">Henrique Jose Pereira De Godoy</name><affiliation wicri:level="2"><nlm:aff id="I2">Universidade Federal do Mato Grosso, Cuiabá, MT, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Universidade Federal do Mato Grosso, Cuiabá, MT</wicri:regionArea><placeName><region type="state">Mato Grosso</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="I3">Research Group of Clínica Godoy, São José do Rio Preto, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Research Group of Clínica Godoy, São José do Rio Preto, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Lopes Pinto, Renata" sort="Lopes Pinto, Renata" uniqKey="Lopes Pinto R" first="Renata" last="Lopes Pinto">Renata Lopes 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do Rio Preto, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Cardiology and Cardiovascular Surgery Department, Faculty of Medicine of São José do Rio Preto (FAMERP), National Council for Research and Development (CNPq), São José do Rio Preto, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Pereira De Godoy, Henrique Jose" sort="Pereira De Godoy, Henrique Jose" uniqKey="Pereira De Godoy H" first="Henrique Jose" last="Pereira De Godoy">Henrique Jose Pereira De Godoy</name><affiliation wicri:level="2"><nlm:aff id="I2">Universidade Federal do Mato Grosso, Cuiabá, MT, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Universidade Federal do Mato Grosso, Cuiabá, MT</wicri:regionArea><placeName><region type="state">Mato Grosso</region></placeName></affiliation><affiliation wicri:level="2"><nlm:aff id="I3">Research Group of Clínica Godoy, São José do Rio Preto, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Research Group of Clínica Godoy, São José do Rio Preto, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Lopes Pinto, Renata" sort="Lopes Pinto, Renata" uniqKey="Lopes Pinto R" first="Renata" last="Lopes Pinto">Renata Lopes Pinto</name><affiliation wicri:level="2"><nlm:aff id="I4">Faculty of Medicine of São José do Rio Preto (FAMERP) and Research Group of Clínica Godoy, São José do Rio Preto, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Faculty of Medicine of São José do Rio Preto (FAMERP) and Research Group of Clínica Godoy, São José do Rio Preto, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Facio, Fernando Nestor" sort="Facio, Fernando Nestor" uniqKey="Facio F" first="Fernando Nestor" last="Facio">Fernando Nestor Facio</name><affiliation wicri:level="2"><nlm:aff id="I5">Faculty of Medicine of São José do Rio Preto (FAMERP), São José do Rio Preto, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Faculty of Medicine of São José do Rio Preto (FAMERP), São José do Rio Preto, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Guerreiro Godoy, Maria De Fatima" sort="Guerreiro Godoy, Maria De Fatima" uniqKey="Guerreiro Godoy M" first="Maria De Fatima" last="Guerreiro Godoy">Maria De Fatima Guerreiro Godoy</name><affiliation wicri:level="2"><nlm:aff id="I4">Faculty of Medicine of São José do Rio Preto (FAMERP) and Research Group of Clínica Godoy, São José do Rio Preto, SP, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Faculty of Medicine of São José do Rio Preto (FAMERP) and Research Group of Clínica Godoy, São José do Rio Preto, SP</wicri:regionArea><placeName><region type="state">État de São Paulo</region></placeName></affiliation></author></analytic><series><title level="j">International Journal of Vascular Medicine</title><idno type="ISSN">2090-2824</idno><idno type="eISSN">2090-2832</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective</title><p> The aim of this study was to identify strategies to transfer responsibility of the maintenance of the results of lymphedema treatment to the patient.</p></sec><sec><title> Methods</title><p> Maintenance of the reduction of edema was evaluated in a prospective clinical trial in patients with Stage II leg lymphedema. Twenty-one lymphedematous lower limbs were evaluated in Clínica Godoy in 2014 and 2016. The evaluation was done by volumetry at baseline and weekly thereafter for volume control. Patients wore Venosan® cotton 20/30 and 30/40 mmHg elastic compression stockings followed by a custom-made inelastic stocking made of grosgrain fabric. The Friedman test for multiple comparisons and Conover post hoc test were used for statistical analysis with an alpha error of 5%.</p></sec><sec><title> Results</title><p> On comparing leg volume changes using the different types of stockings, the 20/30 mmHg elastic compression stockings failed in the first week to maintain the volume reductions but the 30/40 mmHg compression stockings did not allow significant increases in volume (<italic>p</italic> value > 0.05). During one week, the grosgrain stocking reduced leg volumes to baseline values (<italic>p</italic> value = 0.24).</p></sec><sec><title> Conclusion</title><p> Higher compression of elastic stockings is better than lower compression but the inelastic grosgrain stocking is even better than both to maintain the results.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Lee, B B" uniqKey="Lee B">B. B. Lee</name></author><author><name sortKey="Andrade, M" uniqKey="Andrade M">M. Andrade</name></author><author><name sortKey="Antignani, P L" uniqKey="Antignani P">P. L. Antignani</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Belczak, C E Q" uniqKey="Belczak C">C. E. Q. Belczak</name></author><author><name sortKey="De Godoy, J M P" uniqKey="De Godoy J">J. M. P. de Godoy</name></author><author><name sortKey="Ramos, R N" uniqKey="Ramos R">R. N. Ramos</name></author><author><name sortKey="De Oliveira, M A" uniqKey="De Oliveira M">M. A. de Oliveira</name></author><author><name sortKey="Belczak, S Q" uniqKey="Belczak S">S. Q. Belczak</name></author><author><name sortKey="Caffaro, R A" uniqKey="Caffaro R">R. A. Caffaro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pereira De Godoy, J M" uniqKey="Pereira De Godoy J">J. M. Pereira De Godoy</name></author><author><name sortKey="Franco Brigidio, P A" uniqKey="Franco Brigidio P">P. A. Franco Brigidio</name></author><author><name sortKey="Salles Cunha, S X" uniqKey="Salles Cunha S">S. X. Salles Cunha</name></author><author><name sortKey="Batigalia, F" uniqKey="Batigalia F">F. Batigália</name></author><author><name sortKey="De Fatima Guerreiro Godoy, M" uniqKey="De Fatima Guerreiro Godoy M">M. De Fatima Guerreiro Godoy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Belczak, C E Q" uniqKey="Belczak C">C. E. Q. Belczak</name></author><author><name sortKey="De Godoy, J M P" uniqKey="De Godoy J">J. M. P. de Godoy</name></author><author><name sortKey="Belzack, S Q" uniqKey="Belzack S">S. Q. Belzack</name></author><author><name sortKey="Silva, M A D M" uniqKey="Silva M">M. A. D. M. Silva</name></author><author><name sortKey="Caffaro, R A" uniqKey="Caffaro R">R. A. Caffaro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="De Godoy, J M P" uniqKey="De Godoy J">J. M. P. De Godoy</name></author><author><name sortKey="Lopes Pinto, R" uniqKey="Lopes Pinto R">R. Lopes Pinto</name></author><author><name sortKey="Pereira De Godoy, A C" uniqKey="Pereira De Godoy A">A. C. Pereira De Godoy</name></author><author><name sortKey="De Fatima Guerreiro Godoy, M" uniqKey="De Fatima Guerreiro Godoy M">M. De Fátima Guerreiro Godoy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="De Godoy, J M P" uniqKey="De Godoy J">J. M. 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Godoy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Couzan, S" uniqKey="Couzan S">S. Couzan</name></author><author><name sortKey="Leizorovicz, A" uniqKey="Leizorovicz A">A. Leizorovicz</name></author><author><name sortKey="Laporte, S" uniqKey="Laporte S">S. Laporte</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Brésil</li></country><region><li>Mato Grosso</li><li>État de São Paulo</li></region></list><tree><country name="Brésil"><region name="État de São Paulo"><name sortKey="Pereira De Godoy, Jose Maria" sort="Pereira De Godoy, Jose Maria" uniqKey="Pereira De Godoy J" first="Jose Maria" last="Pereira De Godoy">Jose Maria Pereira De Godoy</name></region><name sortKey="Facio, Fernando Nestor" sort="Facio, Fernando Nestor" uniqKey="Facio F" first="Fernando Nestor" last="Facio">Fernando Nestor Facio</name><name sortKey="Guerreiro Godoy, Maria De Fatima" sort="Guerreiro Godoy, Maria De Fatima" uniqKey="Guerreiro Godoy M" first="Maria De Fatima" last="Guerreiro Godoy">Maria De Fatima Guerreiro Godoy</name><name sortKey="Lopes Pinto, Renata" sort="Lopes Pinto, Renata" uniqKey="Lopes Pinto R" first="Renata" last="Lopes Pinto">Renata Lopes Pinto</name><name sortKey="Pereira De Godoy, Henrique Jose" sort="Pereira De Godoy, Henrique Jose" uniqKey="Pereira De Godoy H" first="Henrique Jose" last="Pereira De Godoy">Henrique Jose Pereira De Godoy</name><name sortKey="Pereira De Godoy, Henrique Jose" sort="Pereira De Godoy, Henrique Jose" uniqKey="Pereira De Godoy H" first="Henrique Jose" last="Pereira De Godoy">Henrique Jose Pereira De Godoy</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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