English Polski
Vol 23, No 3 (2017)
Case report
Published online: 2017-09-28

open access

Page views 1229
Article views/downloads 3676
Get Citation

Connect on Social Media

Connect on Social Media

The decongestive lymphatic therapy in the massive primary lower limb lymphedema treatment

Katarzyna Drozdz12, Angelika Chachaj, Andrzej Szuba12
Acta Angiologica 2017;23(3):130-134.


The decongestive lymphatic therapy is recommended by the International Society of Lymphology, the International Union of Phlebology and the International Lymphoedema Framework as the conservative treatment of choice in the lymphedema patients. This method enables effective treatment even in patients with difficult and complicated lymphedema. We present a case of a young man with a massive, primary right lower limb lymphedema, effectively treated with the DLT.


  1. Lee BB, Antignani PL, Baroncelli TA, et al. IUA-ISVI consensus for diagnosis guideline of chronic lymphedema of the limbs. Int Angiol. 2015; 34(4): 311–332.
  2. Moffatt C, Partsch H, Schuren J, et al. Compression Therapy. A position document on compression bandaging. The International Lymphoedema Framework’s. 2012.
  3. Lamprou DAA, Damstra RJ, Partsch H. Prospective, randomized, controlled trial comparing a new two-component compression system with inelastic multicomponent compression bandages in the treatment of leg lymphedema. Dermatol Surg. 2011; 37(7): 985–991.
  4. Stout N, Partsch H, Szolnoky G, et al. Chronic edema of the lower extremities: international consensus recommendations for compression therapy clinical research trials. Int Angiol. 2012; 31(4): 316–329.
  5. Partsch H, Stout N, Forner-Cordero I, et al. Clinical trials needed to evaluate compression therapy in breast cancer related lymphedema (BCRL). Proposals from an expert group. Int Angiol. 2010; 29(5): 442–453.
  6. Damstra RJ, Partsch H. Compression therapy in breast cancer-related lymphedema: A randomized, controlled comparative study of relation between volume and interface pressure changes. J Vasc Surg. 2009; 49(5): 1256–1263.
  7. Hampton S, Gray S. Selecting a compression wrap when treating lymphoedema. Br J Community Nurs. 2016; 21(Suppl 10): S37–S39.
  8. Partsch H, Damstra RJ, Mosti G. Dose finding for an optimal compression pressure to reduce chronic edema of the extremities. Int Angiol. 2011; 30(6): 527–533.
  9. Feldman JL, Stout NL, Wanchai A, et al. Intermittent pneumatic compression therapy: a systematic review. Lymphology. 2012; 45(1): 13–25.
  10. Gloviczki P. Principles of surgical treatment of chronic lymphoedema. Int Angiol. 1999; 18(1): 42–46.
  11. Becker C. Autologous lymph node transfers. J Reconstr Microsurg. 2016; 32(1): 28–33.
  12. Lee BB, Kim YW, Kim DI, et al. Supplemental surgical treatment to end stage (stage IV-V) of chronic lymphedema. Int Angiol. 2008; 27(5): 389–395.
  13. Szuba A, Achalu R, Rockson SG. Decongestive lymphatic therapy for patients with breast carcinoma-associated lymphedema. A randomized, prospective study of a role for adjunctive intermittent pneumatic compression. Cancer. 2002; 95(11): 2260–2267.
  14. Szuba A, Cooke JP, Yousuf S, et al. Decongestive lymphatic therapy for patients with cancer-related or primary lymphedema. Am J Med. 2000; 109(4): 296–300.