Role of Decongestive Therapy For Lymphedema In A Patient After Liver Transplantation: A Case Report

Year 2023, Volume: 45 Issue: 1, 130 - 134, 23.01.2023

Merve Akdeniz Leblebicier , Gülsüm Bakçepınar , Emine Cihan

https://doi.org/10.20515/otd.1184310

Abstract

Lymphedema is defined as the abnormal accumulation of protein-rich fluid in the interstitial space as a result of deterioration in lymphatic system functions. In our case, we describe a patient that developed lymphedema symptoms in his right upper extremity following liver transplantation. After the lymphedema diagnosis, the patient underwent complex decongestive therapy, which included 30 sessions of manual lymphatic drainage (30 minutes a day) and 30 sessions of multilayer bandaging (five days a week). There was an improvement in both the shoulder joint range of motion and circumferences measurements of the hand and arm after treatment.Based on this case, we recommend manual lymph drainage as a preventative in the early period after organ transplants affecting the lymphatic system.

Keywords

Lymphedema, transplantation, liver lymph, decongestive therapy

Karaciğer Nakli Sonrası Bir Hastada Lenfödem İçin Dekonjestif Tedavinin Rolü: Bir Olgu Sunumu

Abstract

Lenfödem, lenfatik sistem fonksiyonlarındaki bozulma sonucu interstisyel boşlukta proteinden zengin sıvının anormal birikimi olarak tanımlanır. Olgumuzda karaciğer nakli sonrası sağ üst ekstremitede lenfödem semptomları gelişen bir hastayı tanımladık. Lenfödem tanısından sonra hastaya 30 seans manuel lenfatik drenaj (günde 30 dakika) ve 30 seans çok katmanlı bandaj (haftada beş gün) içeren dekonjestif tedavi uygulandı. Tedaviden sonra hem omuz eklemi hareket açıklığı hem de el ve kol çevre ölçümlerinde iyileşme oldu. Bu olgudan hareketle lenfatik sistemi etkileyen organ nakillerinden sonra erken dönemde koruyucu olarak manuel lenf drenajını öneriyoruz.

Keywords

Lenfödem, transplantasyon, karaciğer lenfi, dekonjestif tedavi

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