The Role of Surgery in the Treatment of Lymphoedema
Friday, May 3, 2:00pm – 2:50pm
It is well known that lymphoedema affects quality of life (QoL). However, there is very little published on the impact of surgical management of lymphoedema on QoL. This presentation will review various QoL questionnaires and data on the variability of QoL perception by patients. Also discussed will be the different types of surgical management of lymphoedema, changes experienced following surgical intervention, and the impairment experienced despite maximal conservative therapy. Dr. Munnoch will also describe his own experience of managing lymphoedema with liposuction and compression.
Venous Congestion in Lymphedema
Saturday, May 4, 11:30am – 12:00pm
Lymphedema usually occurs as a result of impaired lymphatic drainage. However, venous congestion can overload a functioning/struggling lymphatic system which can then cause peripheral oedema. The most common reason for venous congestion is venous incompetence. Other causes include thrombosis, anatomical variation, and external compression, the latter which may be caused by fibrosis and scarring subsequent to lymph node dissection and associated radiotherapy for cancer management. The effect of cancer treatments on the venous system is often overlooked. This presentation will review the anatomy of the axillary and iliac veins, the various aetiologies and the current therapeutic strategies for venous congestion.