Lymphedema is often an overlooked issue in healthcare, despite its high prevalence and impact on individuals’ lives. It is not a diagnosis but a symptom of underlying conditions and can be primary or secondary, for example, after cancer treatment. The term "chronic edema" was introduced in 2019 to encompass a broader spectrum of patients with long-term fluid retention. Understanding the different causes is crucial for an effective treatment plan.
Ad investigated a new compression protocol for postoperative care in total knee arthroplasty (TKA) patients. The protocol showed a significant reduction in swelling on day 14, which can be important for patients with persistent swelling, especially if muscle function is lagging. This compression tool can also be useful later in the rehabilitation process.
Additionally, Ad Hendrickx examined the effects of bariatric surgery, procedures for significant weight loss, in patients with end-stage lymphedema. The results showed a considerable reduction in both body weight and leg volume, making bariatric surgery a valuable treatment option for this patient population.
The "Lymphedema Research Project Friesland" (LOF) focused on the early detection and treatment of lymphedema in breast cancer patients and examined the prevalence and risk factors. The findings support the use of "watchful waiting", after an initial manifestation of lymphedema in the first year after surgery.
Finally, the research highlighted the value of the Subjective Health Experience model for personalized care. By using the scores on acceptance and control, care can be better tailored to individual needs.
