Lymphedema

The second edition of this book serves as a central source of theoretical and practical knowledge to optimize the evaluation and treatment of patients with lymphedema. The book covers all aspects of the disease from anatomical and histological features to diagnosis as well as physical/medical and surgical management of the disease.

Updated from the first edition to reflect the substantial progress in diagnostics, medical care and surgical intervention for this patient population, this volume has been reorganized to meet today s practice requirements. It addresses the challenges faced by clinicians in the management of chronic lymphedema enabling them to meet the medical needs of this large patient community.

Section I - Introduction. - 1. General Considerations. - 2. Etiology and Classification of Lymphatic Disorders. - 3. Hereditary and Familial Lymphedemas. -Section II - Embryology, Anatomy, & Histology. - 4. Embryology of the Lymphatic System and Lymphangiogenesis. - 5. Anatomy of the Lymphatic System and Its Structural Disorders in Lymphoedema. - Section III - Physiology, Pathophysiology and Lymphodynamic. - 6. General Overview. - 7. Lymphodynamics. - 8. Physiology- Lymph Flow. - 9. Biomechanics of the Lymphatic Circulation. - 10. Pathology & Histochemistry. - 11. Lymph Formation and Composition. - Section IV - Clinical Diagnosis. - 12. General Overview. - 13. Lymphedema Epidemiology. -14. Clinical Staging. - 15. Combined Clinical and Laboratory (Lymphoscintigraphic) Staging. - 16. Early Diagnosis in the Latent Phase. - 17. Cutaneous Manifestations of Edema. - 18. The Diagnosis of Edema and Its Pathogenesis. - 19. Differential Diagnosis: Venous Edema. - 20. Differential Diagnosis: Lipedema. -Section V - Laboratory/Imaging Diagnosis. - 21. General Guidelines. - 22. Radionuclide Lymphoscintigraphy. - 23. Duplex ultrasonography. - 24. Oil Contrast Lymphangiography. - 25. Microscopic Lymphoangiography. - 26. Near Infrared Fluorescent Lymphography. - 27. MR Lymphangiography . - 28. Combined role of the lymphoscintigraphy, Xray Computed Tomography, Magnetic Resonance Imaging, and Positron Emission Tomography in the Management of Lymphedematous Disease. - 29. Alternative Assessment & Measurement Tools. - Section VI - Physical and Medical Management. - 30. General Overview. - 31. Complete Decongestive Physiotherapy. - 32. Decongestive Lymphatic Therapy. - 33. Compression Therapy. - 34. Intermittent Pneumatic Compression Therapy. - 35. Other contemporary Treatment Modalities. - 36. Medical Treatment Options. - 37. Diagnosis and Managment of Infection in Lymphedema. - 38. The Prospect for Genetic and Growth Factor Therapy. - 39. Adherence and Quality of Life. - 40. Lymphedemawithin the Healthcare System. - Section VII - Practical issues in the Physiotherapeutic Approach to Lymphedema. - 41. Lower Limb Lymphedema. - 42. Upper Limb Lymphedema. - 43. Head, Face and Neck Lymphedema. - 44. Genital Lymphedema. - Section VIII - Surgical Treatment - Reconstructive Surgery. - 45. General Overview. - 46. Principles of Patient Selection for Surgical Management of Lymphedema. - 47. Lymphatic-Venous Derivative and Reconstructive Microsurgery. - 48. Lymphatic-Lymphatic Reconstructive Microsurgery. - 49. Lymph Node-Venous Microvascular Reconstructive Surgery: Filariasis Lymphedema. - 50. Vascularized Lymph Node Transfer for the Treatment of Lymphedema. - 51. A Combined Microsurgical Reconstruction Approach for Lymphedema. - 52. Current Dilemmas and Controversy in Reconstructive Surgery for Lymphedema. - 53. Future Prospects in Lymphatic Reconstructive Surgery. - Section IX - Surgical treatment: Excisional and Debulking Techniques. - 54. General Principles. - 55. Contemporary Indicationsand Controversies in Excisional Surgery. - 56. From Lymph to Fat Liposuction as a Treatment for Complete Reduction of Lymphedema. - 57. Surgical Management of Lipedema. - Section X - Congenital Vascular Malformation with Lymphatic Involvement. - 58. General Overview. - 59. Primary lymphedema and Lymphatic Malformation. - 60. Molecular Genetics of Lymphatic and Complex Vascular Malformations. - 61. Syndromic Lymphedema and Complex Vascular Malformations with Lymphatic Involvement. - 62. An Atlas of Neonatal and Infantile Lymphedema. - Section XII - Management of Chyle Reflux and Effusions. -63. Pathophysiology and Medical Management of Chylous Disorders. - 64. Surgical Management of Chylous Reflux and Effusions. - 65. Endovascular Catheter-based Management of Chylous Effusions. -Section XII - Lymphatic Filariasis. - 66. Epidemiology. - 67. Etiology & Pathophysiology. - 68. Clinical Overview- Diagnosis and Management. - Section XIII - Oncology and Lymphedema. - 69. Breast Cancer. -70. Lower ExtremityCancers. - 71. Radiation Considerations. - Section XIV Phlebolymphedema. - 72. Diagnosis and Management of Primary Phlebolymphedema. - 73. Diagnosis and Management of Secondary Phlebolymphedema. - 74. Management of Phlebolymphedema Ulcer.