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Education is Key in Lymphedema Care

                         

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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