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The problem is that after the regeneration of cancer survivors, they suffer unexpected sequelae. Generally speaking, swelling of the lymph or swollen limbs after surgery for bad and gynecological cancer may be mentioned.
"Lymphatic edema is a disease characterized by limb blockage or lymphatic insufficiency, usually swollen," said a plastic surgery professor, Woori Economy, from Mokdong Hospital. "The situation worsens with time, it's difficult." "20% of patients with bad cancer, ovarian cancer or other 39, uterine cancer suffer from lymphedema, but most of them are not treated. " Lymphedema is caused by swelling of the arms and legs. I miss the time. "
The number of patients with edema of domestic lymphoma is estimated to be around 100,000. The number of patients seems to increase further if you add patients who hide symptoms. Lymphedema may be conbad, but in Korea it is more likely that more patients will be exposed to the disease after lymphatic resection following cancer surgery. After bad cancer surgery, it tends to occur mainly in the legs after an arm, uterine cancer, ovarian cancer and prostate cancer.
The increase in the incidence of lymphatic edema after cancer surgery is due to the inevitable elimination of lymph nodes to completely eliminate cancer cells during surgery. It is known that the older the patient is, the more frequently the arm cancer is used, the more frequently the weight, the higher the incidence of lymphatic edema. In addition, it should be noted that it ranges from several months to three to four years after cancer surgery.
Lymphatic edema is divided into 0 to 3, the higher the stage, the harder the skin, the more the barrier function of the skin decreases. At first, I want to pay. Then, it becomes more and more difficult. When symptoms worsen, the volume is 2 to 3 times greater than normal arms and legs. If the limb swelling is severe to the legs, the size of the two shoes may be different.
In the past, there was no special way to treat lymphatic edema, so I had to suffer from diseases such as mbadage. But recently, the atmosphere has changed. Various treatments have been introduced to improve the quality of life of patients, including "high-risk microsurgery" and "lymphatic venous anastomosis".
The Ewha Womans University Mokdong Hospital cures the suffering of patients through a center of lymphatic edema specializing in lymphedema surgery. Above all, it is linked to this hospital for women with cancer to diagnose early postoperative lymphatic edema. Rehabilitation Medicine – Through plastic surgery consultations, we also prescribe treatment programs tailored to the patient's situation, such as complex lymphatic rehabilitation, sequential air compression, the prescription of secondary supplies and management therapy. Provide a kind of total lymphatic edema of medical care.
In recent years, plastic surgeons have contributed to functional recovery of the lymphatic circulation by performing "ultrafine surgery", a "lymphatic venous anastomosis", in patients with severe symptoms. The center right person is a professor of economics in Wu, one of the youngest.
Lymphatic vein anastomosis is a "break-in" procedure that connects subcutaneous lymph vessels to surrounding veins and allows lymphatic fluid to disappear along the blood vessels. At this time, the vein or lymphatic vein of connection is 1 ~ 2 in diameter, the subcutaneous vein of 1 mm in diameter is used as clinical is a rule that is applied by a plastic surgeon who has a lot of pain. clinical experience. According to Wu, the patient can feel the change within two weeks as soon as possible after the procedure.
Lymphatic venous anastomosis has a small incision area of 2-3 cm, mild postoperative pain, and fairly rapid recovery for 2 and 3 day admission. If you do not want general anesthesia, you can proceed to local anesthesia. In particular, it is possible to reduce the burden on the patient due to the insurance operation. The average patient will cover about 20% of the cost of treatment and about 5% of patients who develop less than 5 years after a cancer operation.
However, it is disadvantageous that the effectiveness can be reduced in terminally ill patients, such as the third stage of lymphadenopathy. Early diagnosis is preferable because this surgery has the best prognosis in stage I patients. Professor Woo Kyung said: "In a patient with more than three cases, a normal lymph node can be taken from another site and a transplant. of a lymph node can be considered, which implant in the edema of the arm or leg. " "He said.
The lymphatic edema center of Mokdong Hospital of Daejeon University will be the first in Korea to introduce a lymphoscopic camera in plastic surgeons to more accurately badess lymphatic function. On this basis, the operation time was minimized and the recovery rate was increased. "If patients with lymphatic edema are reluctant to come into the world, there will be more patients lurking," said Professor Woo Kyung-woo. "He said.
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