In a recent
lymphatics presentation by Christine Fisher, M.D., Board Certified Plastic
Surgeon, participants gleaned answers that many had sought from specialist
after specialist with little or no success. She provided a clear understanding
of what lymph looks like, what helps and what impedes its flow, and what can be
done to support one’s lymphatic system.
Lymphatics
that are damaged from radiation and/or trauma impair immunity because they
limit white blood cells’ ability to reach invasive bacteria. When lymph cannot
flow properly, swelling results. There are modalities of treatment, and
surgeries to address damaged lymphatics.
Dr. Fisher
provided an overview of lymph transfer surgery.
She shared “east” vs. “west” beliefs; to generalize, Asian surgeons
embrace the stump theory, believing that the implanted lymph tissue soaks up
chyle, (lymph fluid,) like stumps, while European surgeons espouse the bulb
theory…over time, from one (trans)plant many can grow.
Dr. Fisher studied lymph node transfer and
anastomies (reconnecting lymphatic channels and bypassing damaged lymph) in
Paris with Dr. Corinne Becker, a pioneer in her field. She is deeply involved in research and
communication with other lymphatic surgeons around the world. Her willingness
to bring medical knowledge out of the “vaults,” to lay persons seeking
knowledge is a paradigm shift that is desperately needed. Education is key in
effecting positive change.
Evidence-based
studies reveal interesting facts:
Having a
partner decreases the severity of lymphedema. Having a high socio-economic status
increases the severity. The dominant arm is less impacted, and, repetitive
muscular compression, moving the chyle, is always beneficial.
The bad news
is that there is no perfect treatment or cure for lymphedema, but research is
ongoing and there are many innovative therapies currently in place. Lymphedema and lipedema negatively impact
quality of life for millions of women, worldwide.
Christine Maynard, medical
journalist
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