Peripheral Lymphedema

Ningfei Liu Department of plastic & reconstructive surgery Shanghai Ninth Peolple's Hospital, Shanghai Jiao Tong University School of Medicine Shanghai, China liuningfei@126.com

Part 1 Overview of lymphatic system.- 1 Physiology of lymphatic system (physiology of capillary filtrate flow to lymphatics).- 2 Anatomy of lymphatic system.- 3 Formation and transport of lymph.- 4 Function of the lymphatic system.- Part 2 Lymphedema.- 5 Introduction.- 6 Etiology of primary lymphedema.- 7 Secondary lymphedema of different types.- 8 Stage of lymphedema.- Part 3 Pathogenesis of lymphatic system in lymphedema.- 9 Changes in lymphatic vessels in primary lymphedema.- 10 Changes in lymph node in primary lymphedema.- 11 Pathology of collecting lymph vessels in secondary lymphedema.- 12 Pathology of the initial lymph vessels in lymphedematous skin.- 13 Co-malformations of venous and lymphatic vessels in primary lymphedema.- Part 4 Pathology of lymphedematous tissue.- 14 Lymphedema fluid.- 15  Inflammation.- 16 Tissue overgrowth in lymphedema.- Part 5 Diagnosis of lymphedema - Assistant in diagnosis.- 17 Clinical diagnosis and differential diagnosis.- 18 MR lymphangiography (MRL).- 19 Nuclear Medicine imaging in the diagnosis of Peripheral lymphedema – Lymphoscintigraphy.- 20 Indocyanine green lymphography.- 21 Nuclear Medicine imaging in the diagnosis of Peripheral lymphedema – Single-Photon Emission Computed Tomography/Computed Tomography(SPECT/CT).- 22 Comparison of current imaging methods in diagnosis of peripheral lymphedema.- Part 6 Treatment of lymphedema - conservative treatment.- 23 Compression Therapy.- 24 Complex Physical Decongestive Therapy for Lymphedema (CDT).- 25 Far infrared radiation thermotherapy.- Part 7 Treatment of lymphedema -  Surgical treatment.- 26   Suction Assisted Lipectomy with simultaneous skin excision for lymphedema.- 27 Microsurgery - Vascularized Lymph Vessel Transfer.- 28 Microsurgery - Lymphaticovenular anastomosis for the treatment of lymphedema.- 29 Microsurgery - Lymph node/flap transplantation.- 30 Microsurgery - Lymphatic Tissue Transfer for the Treatment of Axillary Dissection Related Lymphedema.- 31 Silicone tube implantation.- 32 Liposuction.- Part 8 Curative effect assessment.- 33 Circumference measurement.- 34 Bioelectrical impedance analysis.-  35 Skin fibrometer and Lymph Scanner.- Part 9 Lymphedema in children.- 36 Lymphedema in childhood.- Part 10 Prevention of tumor treatment related lymphedema.- 37 Prevention of lymphedema after breast cancer surgery.- 38 Prevention of pelvic malignancies and related lymphedema.