Effect of Postoperative Compression Therapy on the Success of Liposuction in Patients with Advanced Lower Limb Lymphedema

Objective: There is limited information on postoperative care after liposuction for lymphedema limb. The aim of this retrospective study was to identify the threshold compression pressure and other factors that lead liposuction for lower limb lymphedema to success. Materials and Methods: Patients we...

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Autores principales:	Shuhei Yoshida, Isao Koshima, Hirofumi Imai, Solji Roh, Toshiro Mese, Toshio Uchiki, Ayano Sasaki, Shogo Nagamatsu
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	lymphedema liposuction compression therapy lower limb postoperative care Medicine R
Acceso en línea:	https://doaj.org/article/2ef024351dc54f49ac548f254342e850
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spelling	oai:doaj.org-article:2ef024351dc54f49ac548f254342e8502021-11-11T17:31:01ZEffect of Postoperative Compression Therapy on the Success of Liposuction in Patients with Advanced Lower Limb Lymphedema10.3390/jcm102148522077-0383https://doaj.org/article/2ef024351dc54f49ac548f254342e8502021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/4852https://doaj.org/toc/2077-0383Objective: There is limited information on postoperative care after liposuction for lymphedema limb. The aim of this retrospective study was to identify the threshold compression pressure and other factors that lead liposuction for lower limb lymphedema to success. Materials and Methods: Patients were divided according to whether they underwent compression therapy with both stockings and bandaging (SB group), stockings alone (S group), or bandaging alone (B group) for 6 months after liposuction. The postoperative compression pressure and rate of improvement were compared according to the postoperative compression method. We also investigated whether it was possible to decrease the compression pressure after 6 months. Liposuction was considered successful if improvement rate was >15. Results: Mean compression pressure was significantly lower in the S group than in the SB group or B group. The liposuction success rate was significantly higher in the SB group than in the B group or S group. There was not a significant difference between the values at 6 months after liposuction and at 6 months after a decrease in compression pressure in the successful group. Conclusion: Our results suggest that stable high-pressure postoperative compression therapy is key to the success of liposuction for lower limb lymphedema and is best achieved by using both stockings and bandages. The postoperative compression pressure required for liposuction to be successful was >40 mmHg on the lower leg and >20 mmHg on the thigh. These pressures could be decreased after 6 months.Shuhei YoshidaIsao KoshimaHirofumi ImaiSolji RohToshiro MeseToshio UchikiAyano SasakiShogo NagamatsuMDPI AGarticlelymphedemaliposuctioncompression therapylower limbpostoperative careMedicineRENJournal of Clinical Medicine, Vol 10, Iss 4852, p 4852 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	lymphedema liposuction compression therapy lower limb postoperative care Medicine R
spellingShingle	lymphedema liposuction compression therapy lower limb postoperative care Medicine R Shuhei Yoshida Isao Koshima Hirofumi Imai Solji Roh Toshiro Mese Toshio Uchiki Ayano Sasaki Shogo Nagamatsu Effect of Postoperative Compression Therapy on the Success of Liposuction in Patients with Advanced Lower Limb Lymphedema
description	Objective: There is limited information on postoperative care after liposuction for lymphedema limb. The aim of this retrospective study was to identify the threshold compression pressure and other factors that lead liposuction for lower limb lymphedema to success. Materials and Methods: Patients were divided according to whether they underwent compression therapy with both stockings and bandaging (SB group), stockings alone (S group), or bandaging alone (B group) for 6 months after liposuction. The postoperative compression pressure and rate of improvement were compared according to the postoperative compression method. We also investigated whether it was possible to decrease the compression pressure after 6 months. Liposuction was considered successful if improvement rate was >15. Results: Mean compression pressure was significantly lower in the S group than in the SB group or B group. The liposuction success rate was significantly higher in the SB group than in the B group or S group. There was not a significant difference between the values at 6 months after liposuction and at 6 months after a decrease in compression pressure in the successful group. Conclusion: Our results suggest that stable high-pressure postoperative compression therapy is key to the success of liposuction for lower limb lymphedema and is best achieved by using both stockings and bandages. The postoperative compression pressure required for liposuction to be successful was >40 mmHg on the lower leg and >20 mmHg on the thigh. These pressures could be decreased after 6 months.
format	article
author	Shuhei Yoshida Isao Koshima Hirofumi Imai Solji Roh Toshiro Mese Toshio Uchiki Ayano Sasaki Shogo Nagamatsu
author_facet	Shuhei Yoshida Isao Koshima Hirofumi Imai Solji Roh Toshiro Mese Toshio Uchiki Ayano Sasaki Shogo Nagamatsu
author_sort	Shuhei Yoshida
title	Effect of Postoperative Compression Therapy on the Success of Liposuction in Patients with Advanced Lower Limb Lymphedema
title_short	Effect of Postoperative Compression Therapy on the Success of Liposuction in Patients with Advanced Lower Limb Lymphedema
title_full	Effect of Postoperative Compression Therapy on the Success of Liposuction in Patients with Advanced Lower Limb Lymphedema
title_fullStr	Effect of Postoperative Compression Therapy on the Success of Liposuction in Patients with Advanced Lower Limb Lymphedema
title_full_unstemmed	Effect of Postoperative Compression Therapy on the Success of Liposuction in Patients with Advanced Lower Limb Lymphedema
title_sort	effect of postoperative compression therapy on the success of liposuction in patients with advanced lower limb lymphedema
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/2ef024351dc54f49ac548f254342e850
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Effect of Postoperative Compression Therapy on the Success of Liposuction in Patients with Advanced Lower Limb Lymphedema

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