Post on 04-Jul-2015
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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
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
I° Treatment
Right arm (lymphoedema) pre treatment, diameter 36 cm
Left arm (control), diameter 30 cm
Lidocain injection
The fiber optic and the laser
Power: 14 W
Energy: 145 mJ
The fiber optic is inserted into the arm, which is cooled
Removal of the fiber optic
Increased arm motility soon after the treatment
Principle: 20 MHz, 3.7 mm penetration
LYMPHOEDEMA CONTROL
IN THE ARM AFFECTED BY LYMPHOEDEMA, LESS SOFT DERMAL TISSUE AND FIBROSIS
LYMPHOEDEMA CONTROL
1° Follow up
BEFORE
AFTER
Diameter – 2 cm
BEFORE AFTER
BEFORE AFTER
POST TREATMENT WE OBSERVE AN INCREASE OF THE DERMAL TISSUE IF COMPARED BEFORE THE TREATMENT
2°Treatment
BEFORE AFTER
BEFORE AFTER
Lidocain injection
Cooling arm
The fiber optic
PENETRATION POINT OF THE FIBER OPTIC
END-POINT OF THE FIBER OPTIC
Arm appearance at the end of the treatment
2° Follow up
BEFORE AFTER 2 LASER TREATMENTS
Before: 33 cm
After 2 treatments: 30 cm
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
MOVIE
Thank you!