Ultrasound Examination of Skin, Fasciae and Subcutaneous Tissue: Optimizing Rehabilitation for Secondary Upper Limb Lymphedema DOI Creative Commons
Carmelo Pirri,

Chiara Ferraretto,

Nina Pirri

и другие.

Diagnostics, Год журнала: 2024, Номер 14(24), С. 2824 - 2824

Опубликована: Дек. 15, 2024

Background: Lymphedema represents a frequent cause of disability for patients undergoing oncological treatments and, being chronic, non-reversible pathology, requires targeted and continuous rehabilitation treatments. To date, the studies available on use ultrasound in with lymphedema mainly report descriptive data; therefore, this study, we wanted to describe more objective way typical alterations found these patients, measuring thickness different superficial structures, defining subcutis echogenicity. Methods: 14 affected by secondary upper limbs were enrolled cross-sectional observational study (12 had breast cancer 2 melanoma as their primary diagnosis). All classified stage II according ISL classification. Patients examined between March July 2023 clinical an evaluation. Ultrasound evaluation was performed following protocol took into consideration cutis, subcutis, deep fascia, Results: The cutis thicker distal anterior region arm throughout forearm. subcutaneous tissue posterior forearm, including dorsum hand excluding only proximal Fascial structures did not demonstrate statistically significant differences pathological healthy limbs, despite changes from qualitative point view (loss trilaminar skin appearance development anechoic areas due fluid accumulation around hyperechoic adipose lobule). A difference echogenicity at entire Conclusions: High-resolution has been confirmed be tool capable supporting diagnosis identifying most compromised regions limb. tailored plan can developed based non-uniform tissue, where some are earlier than others. This compartmentalization should considered staging management. may provide early detection changes, guiding precise therapeutic approach.

Язык: Английский

Biflex Self Adjust: a compression wrap system for lymphoedema and venous leg ulcers DOI

Mark Greener

British Journal of Community Nursing, Год журнала: 2025, Номер 30(2), С. 60 - 66

Опубликована: Фев. 2, 2025

Compression is the foundation of treatment for chronic oedema, including lymphoedema and venous insufficiency (CVI). However, adherence with conventional compression wraps often poor. This article introduces Biflex Self Adjust, a new wrap system leg ulcers, common consequence CVI. A Velcro an integrated loop ensures patients can easily quickly take Adjust on off. uses patented device that allows healthcare professionals to adjust pressure. In addition, completely covers limb using optimised number overlapping bandages, which helps prevent oedema migration. The open-cell foam used in moisture transfer, enhances comfort. Case studies illustrate effectiveness clinical practice.

Язык: Английский

Процитировано

0
Ultrasound Examination of Skin, Fasciae and Subcutaneous Tissue: Optimizing Rehabilitation for Secondary Upper Limb Lymphedema DOI Creative Commons
Carmelo Pirri,

Chiara Ferraretto,

Nina Pirri

и другие.

Diagnostics, Год журнала: 2024, Номер 14(24), С. 2824 - 2824

Опубликована: Дек. 15, 2024

Background: Lymphedema represents a frequent cause of disability for patients undergoing oncological treatments and, being chronic, non-reversible pathology, requires targeted and continuous rehabilitation treatments. To date, the studies available on use ultrasound in with lymphedema mainly report descriptive data; therefore, this study, we wanted to describe more objective way typical alterations found these patients, measuring thickness different superficial structures, defining subcutis echogenicity. Methods: 14 affected by secondary upper limbs were enrolled cross-sectional observational study (12 had breast cancer 2 melanoma as their primary diagnosis). All classified stage II according ISL classification. Patients examined between March July 2023 clinical an evaluation. Ultrasound evaluation was performed following protocol took into consideration cutis, subcutis, deep fascia, Results: The cutis thicker distal anterior region arm throughout forearm. subcutaneous tissue posterior forearm, including dorsum hand excluding only proximal Fascial structures did not demonstrate statistically significant differences pathological healthy limbs, despite changes from qualitative point view (loss trilaminar skin appearance development anechoic areas due fluid accumulation around hyperechoic adipose lobule). A difference echogenicity at entire Conclusions: High-resolution has been confirmed be tool capable supporting diagnosis identifying most compromised regions limb. tailored plan can developed based non-uniform tissue, where some are earlier than others. This compartmentalization should considered staging management. may provide early detection changes, guiding precise therapeutic approach.

Язык: Английский

Процитировано

0