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A Journal on Phlebology
Acta Phlebologica 2005 December;6(3):125-8
New apparatus for mechanical lymph drainage in association of therapies in the treatment of lymphoedema
Pereira de Godoy J. M. 1, de Fátima Guerreiro Godoy M. 2
1 Departament of Cardiology and Vascular Surgery of Medical School of São José do Rio Preto-São Paulo-Brazil;
2 Clinic Godoy, São José do Rio Preto-São Paulo-Brazil
AIM: The principles of the concepts of hydraulics, anatomy and physiology allowed the creation of an apparatus which in turn gave origin to a new concept of mechanical lymph drainage. This apparatus reproduces the physiological movements of lymphovenous drainage, improving its return. The device has been used both for treatment in the clinical practice and in the residence of the patient.
METHODS: Experience of at-home treatment consists of 10 patients who used the apparatus for 10 to 12 months, associated with bandages and self-applied lymph drainage. The patients were evaluated at the start of treatment and then at every two months by the team responsible for the treatment. As the patients come from a large region, a local physiotherapist, who was trained by the medical team and monitored initially weekly for two months then every other week, accompanied the patient.
RESULTS: Adhesion to the treatment occurred with all the patients and the clinical results were better than without the device, both in terms of adhesion to treatment and in relation to the anthropometric reductions. At a clinical level the volumetric and anthropometric reduction is greater than in the isolated use of manual lymph drainage, when performed over a three-month period for three hours daily.
CONCLUSION: In conclusion mechanical lymph drainage is a facilitating tool in the treatment of lymphoedema, improving the clinical results and the adhesion of the patients to the treatment.