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This book is written as a guide for patients suffering from lipedema. Known as a common, painful fat distribution disorder characterised by a disproportional fat accumulation, lipedema represents an unmet medical need where scientific evidence on both pathophysiology and its treatment is still lacking. As the number of affected patients is increasing, besides striving to map the conundrum of clinical signs and relate these to their underlying mechanisms, developing standardised approaches addressing both fat mass reduction and body contouring are key issues able to warrant therapeutic success. In this book, our intention was to look at this complex disease from all its actual perspectives and provide a concise summary of the actual state of knowledge for all those affected. After looking into the most actual data on the aetiology, pathophysiology and course of the disease, the book then focuses on our complex treatment protocols wherecurrent conservative and surgical treatment options are systematically analyzed, considering their long-term chances of success as well as associated risks and side effects. We propose a three step treatment approach. 1st step initiates with weight control and addresses obesity, if present. 2nd step is an individual liposuction therapy plan to treat all lipedema areas, and more. 3rd step includes body contouring surgery, only in patients with massive skin laxity after liposuction and / or massive weight loss.
Lipedema is a fat disorder that affects women and is often mistaken for simple obesity. Believed to be hormonal in nature, lipedema usually develops at puberty, but can develop or worsen later in life due to hormonal changes associated with pregnancy, menopause, or gynecological surgery. Estimates of the incidence of lipedema range as high as 11% of the post-pubertal female population, which is approximately 17 million women in the United States alone.Lipedema - The Disease They Call FAT: An Overview for Clinicians is a monograph that provides a clinical synopsis of this condition. This monograph covers the history of lipedema and includes sections on epidemiology, etiology, pathogenesis, clinical features, diagnosis and how to differentiation between lipedema and other disorders, such as lymphedema and obesity. Treatment options, both conservative and surgical, and prognosis are also reviewed. Written with the clinician in mind, it is a practical overview of the condition and provides important information for healthcare providers who treat women.
Did you know that approximately 1 out of every 9 adult females are diagnosed with lipedema worldwide? Lipedema is a chronic disease in which the fatty tissue under the skin starts accumulating abnormally. It is also called lipoedema or lipodema. Women are more often affected than men, and it appears almost always after puberty. Typically, the feet and legs are most severely affected at first, but over time the disease can progress to include the hips, buttocks and upper limbs. In later stages it may also affect other parts of the body such as the abdomen, breasts and hands. In women with lipedema, fat tissue accumulates at a rate that is much lower than normal after puberty, but not as low as in obesity. The affected areas become enlarged and the skin of the affected parts of the body distends, becoming smooth and dimpled. These changes resemble those of normal pregnancy. Lipedema must neither be confused with obesity nor with lymphedema. In obesity, fat accumulates in the whole body, and in lymphedema accumulation and swelling occur on one side of the body. While in the case of lipedema fat occurs in the limbs, sparing the hands and feet. It is also not edema but a related adipose tissue disorder also known as Adiposis Dolorosa. It is important to spread awareness, conduct research, and identify better diagnostic and treatment methods for lipedema so the affected women can obtain the care that they need and deserve. If you want to get more information about the disorder, how it is diagnosed, its treatments, and cures, eating habits and relation to this particular condition, continue reading. In this guide, you will come to discover... What lipedema is Differences between lipedema, obesity, edema, and lymphedema Treatment and medication for lipedema Foods to eat and avoid if you have lipedema A 3-week diet plan with sample recipes
This timely and most comprehensive reference available on the topic covers all the different aspects vital in the fight against the global obesity epidemic. Following a look at adipose tissue development and morphology, the authors go on to examine its metabolic and endocrine functions and its role in disease. The final section deals with comparative and evolutionary aspects of the tissue. The result is an essential resource for cell and molecular biologists, physiologists, biochemists, pharmacologists, and those working in the pharmaceutical industry.
This new book on vascular malformations brings together international experts to present advances and discuss controversies in the multidisciplinary management of patients with congenital vascular malformations. Major advances in recent years in medical genetics, and tremendous progress in the fields of imaging and minimally invasive percutaneous interventions have revolutionized both evaluation and management of vascular malformations. The six major parts of this state of the art book ensure that the reader has the most up to date valuable clinical information to ensure the delivery of world class clinical practice. Beautifully illustrated with color line drawings, numerous photographs and informative tables, the advances and controversies of the full spectrum of vascular malformations are presented in 90 definitive chapters. Vascular Malformations brings new information and unparalleled insights to vascular specialists and physicians, trainees and allied health professionals who participate in the care of patients with vascular malformations, either in a private practice setting or at a major institution in an interdisciplinary vascular center.
The second edition of this book serves as a central source of theoretical and practical knowledge to optimize the evaluation and treatment of patients with lymphedema. The book covers all aspects of the disease from anatomical and histological features to diagnosis as well as physical/medical and surgical management of the disease. Updated from the first edition to reflect the substantial progress in diagnostics, medical care and surgical intervention for this patient population, this volume has been reorganized to meet today’s practice requirements. It addresses the challenges faced by clinicians in the management of chronic lymphedema enabling them to meet the medical needs of this large patient community. Edited by world leaders in Vascular Medicine and Surgery, this comprehensive volume provides clear, concise background and recommendations in an easy-to-use format. It is a valuable reference tool for clinical practitioners (physicians/nurse practitioners/technicians) who wish to deliver state-of-the-art health care to their patients with lymphatic and venous disorders.
This manual lymph drainage guide covers the anatomy, physiology, and pathophysiology of the lymphatic system, providing key background information necessary for effective treatment. Chapters are structured according to anatomic regions, focusing on the lymphatic knots and their tributary regions in the throat, armpit, trunk, and groin. Photographs illustrate the lymphatic knots and lymphatic courses, which are drawn on the human body, and provide a clear picture of the structures to be treated. Designated points are numbered to illustrate the progression of treatment in each region. Also includes coverage of complete decongestive therapy (CDT). - Explains procedures in a detailed, step-by-step format. - Features a helpful chart of lymph node groups and their tributary regions that outlines each lymph node as it pertains to a specific anatomical region. - Key information is summarized in the margins, making it easier for readers to review what they've read and focus on important topics. - Self-test questions provide an excellent means for readers to assess their comprehension and review key material in the book. These questions are also helpful in preparing for exams. - Two-color illustrations help the reader visualize and learn theoretical aspects of this therapy. - The text has been completely updated to reflect the latest techniques in lymph drainage therapy. - Coverage of individual treatment strokes and stroke sequences have been updated, with more comprehensive descriptions and detailed photos that illustrate proper hand placement, pressure, and movement. - Expanded coverage of complete decongestive therapy, including a CDT survey — consisting of the case history, examination, and palpation — that can be used to gather valuable information to formulate therapeutic goals and evaluate treatment results.
"Lymphedema treatment is an expanding topic on a condition that has been historically misunderstood and underdiagnosed. The condition is characterized by fluid retention and chronic swelling that significantly impacts the daily lives of approximately 10 million North Americans. It can be caused by infection, injury or genetic disorder and may occur as a complication of cancer treatment. In The Complete Lymphedema Management and Nutrition Guide, physiotherapist Ann DiMenna and dietitian Jean LaMantia share their expert knowledge of the condition, explaining its link with diet and exercise. Together they offer lifestyle adjustments and self-management strategies that may help those living with lymphedema gain control of their conditions, lessen their symptoms and improve the overall quality of their lives."--
The contributors to this book have spent time and effort presenting the cosmetic and plastic surgeon with information on the techniques and uses of liposuction for cosmetic and non-cosmetic surgery purposes. This constitutes the first book on cosmetic and non-cosmetic liposuction. It provides a how-to-do manual for all procedures of cosmetic and non-cosmetic liposuction and is abundantly illustrated. Although new technology helps improve results, it is experience, care, and skill of the cosmetic surgeon that is necessary to obtain optimal results that satisfy the patient.
Lіреdеmа (or Lіроеdеmа аѕ it іѕ ѕреllеd in the Eurореаn соmmunіtу) is а рrоgrеѕѕіvе сhrоnіс dіѕеаѕе оf fаt tіѕѕuе that аffесtѕ more than 11 percent woman аnd less thаn 1 реrсеnt оf men wоrldwіdе. Thіѕ adipose tissue disorder іѕ characterized by bilateral symmetrical ѕwеllіng оf the legs, thіghѕ and hірѕ. While thе uрреr torso uѕuаllу rеmаіnѕ thе ѕаmе, thе hірѕ аnd thіghѕ uѕuаllу ѕtаrt еnlаrgіng disproportionately tо thе rеѕt оf thе body thus gіvіng you а реаr shaped bоdу арреаrаnсе. Clіnісіаnѕ аnd patients соmmоnlу соnfuѕе Lіреdеmа wіth gеnеrаl оbеѕіtу, whісh сlаѕѕісаllу hаѕ аn аррlе ѕhареd bоdу арреаrаnсе.Lipedema іѕ оftеn саllеd thе "раіnful fat ѕуndrоmе" аѕ аbnоrmаl fаt сеllѕ cluster tоgеthеr and expand undеr thе skin. Intеrѕtіtіаl fluid іnсrеаѕеѕ bеtwееn thе сluѕtеrѕ сrеаtіng раіn tо tоuсh or when standing. Pеорlе in thе lаtеr stages оftеn complain аbоut раіn whеn bеіng tоuсhеd whеrе pockets of fаt press оn nеrvеѕ.Thеу may аlѕо еаѕіlу bruіѕе еіthеr frоm bumріng іntо thіngѕ оr оvеrѕtrеtсhіng уоur lіmb when саріllаrіеѕ еmbеddеd in the fаt сluѕtеr burѕt. Sіnсе Lіреdеmа саn also bе present іn the upper аrmѕ whеrе touch іѕ раіnful, реорlе ѕhоuld nеvеr hаvе thеіr blооd рrеѕѕurе tаkеn in the uрреr arm.Dіеt рlауѕ а huge role іn а соndіtіоn ѕuсh аѕ lіреdеmа. Cоnѕumіng tоо mаnу оf thе "wrong" foods саn make thе condition progressively wоrѕе. Thе ѕуmрtоmѕ оf lіреdеmа can оnlу bе revered іn thе еаrlу ѕtаgеѕ. Fоr example, mоѕt patients fіnd thаt the ѕwеllіng саuѕеd bу lіреdеmа rеduсеѕ аftеr thеу had а gооd rеѕt. Hоwеvеr, thе lаtеr stages of lіреdеmа can оnlу bе reversed with the соrrесt trеаtmеnt. Fоr раtіеntѕ whо аrе аffесtеd bу the соndіtіоn tо thе роіnt whеrе it аffесtѕ thеіr dаіlу live, lіроѕuсtіоn trеаtmеnt саn bе recommended.