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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Intermittent Pneumatic Compression Enhances Formation of Edema Tissue Fluid Channels in Lymphedema of Lower Limbs</title><author><name sortKey="Zaleska, Marzanna" sort="Zaleska, Marzanna" uniqKey="Zaleska M" first="Marzanna" last="Zaleska">Marzanna Zaleska</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation><affiliation><nlm:aff id="aff2"></nlm:aff></affiliation></author><author><name sortKey="Olszewski, Waldemar L" sort="Olszewski, Waldemar L" uniqKey="Olszewski W" first="Waldemar L." last="Olszewski">Waldemar L. Olszewski</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation><affiliation><nlm:aff id="aff2"></nlm:aff></affiliation></author><author><name sortKey="Cakala, Marta" sort="Cakala, Marta" uniqKey="Cakala M" first="Marta" last="Cakala">Marta Cakala</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation><affiliation><nlm:aff id="aff2"></nlm:aff></affiliation></author><author><name sortKey="Cwikla, Jaroslaw" sort="Cwikla, Jaroslaw" uniqKey="Cwikla J" first="Jaroslaw" last="Cwikla">Jaroslaw Cwikla</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Budlewski, Tadeusz" sort="Budlewski, Tadeusz" uniqKey="Budlewski T" first="Tadeusz" last="Budlewski">Tadeusz Budlewski</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25748341</idno><idno type="pmc">4492553</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4492553</idno><idno type="RBID">PMC:4492553</idno><idno type="doi">10.1089/lrb.2014.0010</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000297</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000297</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Intermittent Pneumatic Compression Enhances Formation of Edema Tissue Fluid Channels in Lymphedema of Lower Limbs</title><author><name sortKey="Zaleska, Marzanna" sort="Zaleska, Marzanna" uniqKey="Zaleska M" first="Marzanna" last="Zaleska">Marzanna Zaleska</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation><affiliation><nlm:aff id="aff2"></nlm:aff></affiliation></author><author><name sortKey="Olszewski, Waldemar L" sort="Olszewski, Waldemar L" uniqKey="Olszewski W" first="Waldemar L." last="Olszewski">Waldemar L. Olszewski</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation><affiliation><nlm:aff id="aff2"></nlm:aff></affiliation></author><author><name sortKey="Cakala, Marta" sort="Cakala, Marta" uniqKey="Cakala M" first="Marta" last="Cakala">Marta Cakala</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation><affiliation><nlm:aff id="aff2"></nlm:aff></affiliation></author><author><name sortKey="Cwikla, Jaroslaw" sort="Cwikla, Jaroslaw" uniqKey="Cwikla J" first="Jaroslaw" last="Cwikla">Jaroslaw Cwikla</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Budlewski, Tadeusz" sort="Budlewski, Tadeusz" uniqKey="Budlewski T" first="Tadeusz" last="Budlewski">Tadeusz Budlewski</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></analytic><series><title level="j">Lymphatic Research and Biology</title><idno type="ISSN">1539-6851</idno><idno type="eISSN">1557-8585</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Abstract</title><p><bold><italic>Background:</italic></bold> In lymphedema, tissue fluid steadily accumulates in the subcutaneous space containing loose connective tissue. We documented previously that deformation of the structure of subcutaneous collagen bundles and fat by excess fluid leads to formation of “lakes” and interconnected channels with irregular shape. Since there is no force that could mobilize and propel stagnant fluid to the regions where lymphatics absorb and contract, this task should be taken over by external massage. The most effective in this respect seems to be the sequential intermittent pneumatic compression (IPC).</p><p><bold><italic>Aim:</italic></bold> The aim of the study was to observe whether IPC would enhance and accelerate formation of tissue fluid channels.</p><p><bold><italic>Methods:</italic></bold> Together with the Biocompression Systems (Moonachie, NJ), we designed a high pressure intermittent compression device and used in it our therapy protocol for patients with obstructive lymphedema of lower limbs. The study was carried out on 18 patients with lymphedema stages II–IV. The IPC was applied daily for 1–2 hours. The follow up time was 24–36 months. Lymphoscintigraphy and immunohistopathology of tissue biopsies were used for evaluation of channel formation process.</p><p><bold><italic>Results:</italic></bold> The forced fluid flow brought about increase of the area of fluid channels in the thigh and groin, with a decrease in the calf. Concomitantly, with decrease of channel area in the calf, there was a decrease of calf circumference. No new lymphatic collectors were observed.</p><p><bold><italic>Conclusions:</italic></bold> Compression of limb lymphedema tissues leads to formation of tissue channels as pathways for evacuation of edema fluid.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Lymphat Res Biol</journal-id><journal-id journal-id-type="iso-abbrev">Lymphat Res Biol</journal-id><journal-id journal-id-type="publisher-id">lrb</journal-id><journal-title-group><journal-title>Lymphatic Research and Biology</journal-title></journal-title-group><issn pub-type="ppub">1539-6851</issn><issn pub-type="epub">1557-8585</issn><publisher><publisher-name>Mary Ann Liebert, Inc.</publisher-name><publisher-loc>140 Huguenot Street, 3rd FloorNew Rochelle, NY 10801USA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25748341</article-id><article-id pub-id-type="pmc">4492553</article-id><article-id pub-id-type="publisher-id">10.1089/lrb.2014.0010</article-id><article-id pub-id-type="doi">10.1089/lrb.2014.0010</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Articles</subject></subj-group></article-categories><title-group><article-title>Intermittent Pneumatic Compression Enhances Formation of Edema Tissue Fluid Channels in Lymphedema of Lower Limbs</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Zaleska</surname><given-names>Marzanna</given-names></name><xref ref-type="aff" rid="aff1"><sup>1,</sup></xref><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Olszewski</surname><given-names>Waldemar L.</given-names></name><xref ref-type="aff" rid="aff1"><sup>1,</sup></xref><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Cakala</surname><given-names>Marta</given-names></name><xref ref-type="aff" rid="aff1"><sup>1,</sup></xref><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Cwikla</surname><given-names>Jaroslaw</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Budlewski</surname><given-names>Tadeusz</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><aff id="aff1"><label><sup>1</sup></label>Department of Vascular and General Surgery and Radiology,<institution>Central Clinical Hospital</institution>, Ministry of Internal Affairs, Warsaw,<country>Poland</country>.</aff><aff id="aff2"><label><sup>2</sup></label><institution>Medical Research Center</institution>, Department of Epigenetics, Polish Academy of Sciences, Warsaw,<country>Poland</country>.</aff></contrib-group><author-notes><corresp><addr-line>Address correspondence to:</addr-line><addr-line><italic>Dr. Waldemar L. Olszewski</italic></addr-line><addr-line><italic>Departments of Surgical Research,</italic></addr-line><addr-line><italic>Transplantology, and Epigenetics,</italic></addr-line><institution><italic>Medical Research Center</italic></institution><addr-line><italic>Polish Academy of Sciences,</italic></addr-line><addr-line><italic>Pawinskiego 5</italic></addr-line><addr-line><italic>02–106 Warsaw</italic></addr-line><country>Poland</country><break></break><italic>E-mail:</italic><email xlink:href="mailto:waldemar.l.olszewski@gmail.com">waldemar.l.olszewski@gmail.com</email></corresp></author-notes><pub-date pub-type="ppub"><day>01</day><month>6</month><year>2015</year><pmc-comment>string-date: June 2015</pmc-comment>
</pub-date><volume>13</volume><issue>2</issue><fpage>146</fpage><lpage>153</lpage><permissions><copyright-statement>Copyright 2015, Mary Ann Liebert, Inc.</copyright-statement><copyright-year>2015</copyright-year></permissions><self-uri content-type="pdf" xlink:type="simple" xlink:href="lrb.2014.0010.pdf"></self-uri><abstract><title>Abstract</title><p><bold><italic>Background:</italic></bold> In lymphedema, tissue fluid steadily accumulates in the subcutaneous space containing loose connective tissue. We documented previously that deformation of the structure of subcutaneous collagen bundles and fat by excess fluid leads to formation of “lakes” and interconnected channels with irregular shape. Since there is no force that could mobilize and propel stagnant fluid to the regions where lymphatics absorb and contract, this task should be taken over by external massage. The most effective in this respect seems to be the sequential intermittent pneumatic compression (IPC).</p><p><bold><italic>Aim:</italic></bold> The aim of the study was to observe whether IPC would enhance and accelerate formation of tissue fluid channels.</p><p><bold><italic>Methods:</italic></bold> Together with the Biocompression Systems (Moonachie, NJ), we designed a high pressure intermittent compression device and used in it our therapy protocol for patients with obstructive lymphedema of lower limbs. The study was carried out on 18 patients with lymphedema stages II–IV. The IPC was applied daily for 1–2 hours. The follow up time was 24–36 months. Lymphoscintigraphy and immunohistopathology of tissue biopsies were used for evaluation of channel formation process.</p><p><bold><italic>Results:</italic></bold> The forced fluid flow brought about increase of the area of fluid channels in the thigh and groin, with a decrease in the calf. Concomitantly, with decrease of channel area in the calf, there was a decrease of calf circumference. No new lymphatic collectors were observed.</p><p><bold><italic>Conclusions:</italic></bold> Compression of limb lymphedema tissues leads to formation of tissue channels as pathways for evacuation of edema fluid.</p></abstract><counts><fig-count count="8"></fig-count><ref-count count="19"></ref-count><page-count count="8"></page-count></counts></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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