J Vasc Surg. 1992 Oct;16(4):555-62; discussion 562-4.
Long-term results of compression treatment for lymphedema.
Pappas CJ, O’Donnell TF Jr.
The long-term courses of 49 patients managed by one surgeon were reviewed to assess the long-term effects of a program entailing Lympha Press, and elastic compression stockings to maintain the post-treatment girth, and daily skin care. Limb girths measured at nine levels on the limb were obtained serially in follow-up visits (mean: 25 months) by an independent observer to provide an objective response to therapy. The relative reduction was determined by the difference between the pretreatment, postacute treatment, and long-term treatment girths. In longterm follow-up, 26 of the patients maintained a full response (reduction at >3 levels), whereas 10 maintained a partial response (reduction at <=3 levels). At late follow-up, calf and ankle girths were reduced by an absolute value of 5.37 +- 1.01, and 4.63 +- 0.88 cm in the full-response group and 5.43 +- 1.58 and 3.98 +- 1.18 cm in the partial response group over pretreatment measurements. The degree of subcutaneous fibrosis in relationship to the duration of the edema appeared to influence results greatly. The treatment of lymphedema with SEP and compression stockings is associated with long-term maintenance of reduced limb girth in 90% of patients.
Results: Long term follow up showed that treatment of lymphedema of the legs with Lympha Press® and compression stockings reduced edema volume significantly and maintained reduction in 90% of patients.