Download - Lymphedema treatment palmieri beniamino
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FIBER OPTIC LASER TREATMENT OF LYMPHOEDEMA
Prof. Beniamino PalmieriDott. Gregorio Fistetto
Dott. ssa Valentina RottigniDott. Alessandro Di Cerbo
Università di Modena e Reggio Emilia Dipartimento di chirurgia generale
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C.E., FEMALE, 77 YEARS OLD
- RIGHT BIQUADRANTECTOMY
- AXILLARY LYMPHADENECTOMY WITH SURGERY COMPLICATIONS (2011)
- RADIOTHERAPY CYCLE (OCTOBER 2011)
- LYMPHEDEMA OF THE RIGHT UPPER LIMB (IN NOVEMBER), EXTENDED TO THE METACARPAL AREA UNTIL THE AXILLA WITH DIFFERENT STIFFNESS LEVELS
- THE CONTROLATERAL LIMB IS UNAFFECTED
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I° Treatment
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Right arm (lymphoedema) pre treatment, diameter 36 cm
Left arm (control), diameter 30 cm
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Lidocain injection
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The fiber optic and the laser
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Power: 14 W
Energy: 145 mJ
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The fiber optic is inserted into the arm, which is cooled
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Removal of the fiber optic
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Increased arm motility soon after the treatment
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Principle: 20 MHz, 3.7 mm penetration
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LYMPHOEDEMA CONTROL
IN THE ARM AFFECTED BY LYMPHOEDEMA, LESS SOFT DERMAL TISSUE AND FIBROSIS
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LYMPHOEDEMA CONTROL
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1° Follow up
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BEFORE
AFTER
Diameter – 2 cm
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BEFORE AFTER
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BEFORE AFTER
POST TREATMENT WE OBSERVE AN INCREASE OF THE DERMAL TISSUE IF COMPARED BEFORE THE TREATMENT
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2°Treatment
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BEFORE AFTER
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BEFORE AFTER
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Lidocain injection
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Cooling arm
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The fiber optic
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PENETRATION POINT OF THE FIBER OPTIC
END-POINT OF THE FIBER OPTIC
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Arm appearance at the end of the treatment
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2° Follow up
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BEFORE AFTER 2 LASER TREATMENTS
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Before: 33 cm
After 2 treatments: 30 cm
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RIGHT ARM
LEFT ARM RIGHT FOREARM
LEFT FOREARM RIGHT WRIST
LEFT WRIST
1° TREATMENT 36 cm 30 cm 33 cm 26 cm 22 cm 19 cm
1° FOLLOW UP 34 cm 30 cm 31 cm 26 cm 22 cm 19 cm
2° TREATMENT 34 cm 30 cm 31 cm 26 cm 20 cm 19 cm
2° FOLLOW UP 34 cm 30 cm 30 cm 26 cm 20 cm 19 cm
Arm, forearm and wrist circumference
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MOVIE
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Thank you!