Lymph Stasis Pathophysiology, Diagnosis, and Treatment Routledge Revivals Series

First published 1991. Lymph Stasis: Pathophysiology, Diagnosis, and Treatment provides a reintroduction to the lymphatic system and its primary disease-lymph stasis-to practitioners who treat patients with lymph stasis of the limbs. Topics discussed include an introduction to the lymphatic system in man, the structure of lymphatics and the mechanism of lymph formation based on animal and human studies, chemical and cellular composition of lymph in humans, pathological factors affecting lymph flow, treatment of lymphedema, and clinical studies on antibiotic penetration to tissue fluid and lymph. Angiologists, vascular surgeons, dermatologists, radiologists, and nuclear medicine specialists are among those physicians who will find a wealth of useful information in this book.

INTRODUCTION. Lymphology and the Lymphatic System. STRUCTURE OF LYMPHATICS, LYMPH FORMATION AND FLOW. Structure of Initial and Collecting Lymphatic Vessels. Interstitial Edema-Preventing Mechanisms. Dynamics of Lymph Formation and Its Modification. Influence of Autonomic Nerves on Lymph Flow. Lymph Pressure and Flow in Limbs. Dermal Lymph and Lymphatics. Pulmonary Lymph and Lymphatics. Gastrointestinal Lymphatics. CHEMICAL AND CELLULAR COMPOSITION OF LYMPH. Chemistry of Lymph. Cells in Lymph. PATHOLOGICAL FACTORS AFFECTING LYMPH FLOW. Injury of Lymphatics. Lymphangitis. Lymph Stasis After Lymph Node Dissection. Lymphatic Spread of Cancer. Thoracic Duct: Conditions Affecting Function. Pathophysiology of Lymphatic Insufficiency and Principles of Treatment. CLINICAL PICTURE OF LYMPH STASIS IN LIMBS. Clinical Picture of Lymphedema. Histological and Ultrastructural Evaluation of the Crural Lymph Nodes in Primary Lymphedema of the Lower Limbs. Malformations of the Lymphatic System. DIAGNOSTIC PROCEDURES. Radionuclide Lymphography. Computerized Tomography, Xeroradiography, Lymphography and Xerolymphography in Diagnosis of Lymph Stasis. Indirect Lymphangiography. Volumetry of Limbs. Diagnosis of Lymphatic Invasion by Tumors. TREATMENT OF LYMPHEDEMA. Conservative Treatment of Lymphedema. Postmastectomy Lymphedema-Medical Therapy Using Intermittent Compression and a Pressure Gradient Prosthesis. Heating and Bandaging in the Treatment of Chronic Lymphedema of the Extremities. Pharmacological Treatment of Lymph Stasis. Surgical Lympho-Venous Anastomoses for Treatment of Lymphedema. A Technique of Lymphatic Vessel-Vein Anastomosis for the Treatment of Lymphedema of Limbs. Microsurgical Autologous Lymph-Vessel Grafting. The Autologous Vein Grafts in Reconstructive Microsurgery for Lymph Stasis. Drug Penetration to Peripheral Lymph in Man. Endolymphatic Therapy. Collection of Peripheral Lymph in Man.

Professional

Waldemar L. Olszewski, M.D., Ph.D. is Professor of Surgery and Director of the Department of Surgical Research and Transplantology at the Medical Research Center, Polish Academy of Sciences in Warsaw, Poland. Dr. Olszewski graduated from the Medical Faculty, Medical Academy in Warsaw, receiving his M.D. degree in 1954 and Ph.D. degree in 1962. He obtained his surgical training in the Surgical Division, Warsaw City Hospital and then Department of Surgery, Medical Academy, Warsaw. He served as an Assistant Professor at the Medical Academy and the Medical Research Center from 1962 to 1968 and as Associate Professor from 1968 to 1978. In 1978 he became Professor of Surgery. From 1962 to 1975 he was Deputy Director of the Department of Surgical Research, Medical Research Center and in 1975 he assumed the position of Director. Since 1974 he has been associated with the Laboratory of Hematology and Lymphology, Norwegian Radium Hospital, in Oslo, Norway., Dr. Olszewski was a Research Fellow at the Royal Postgraduate Medical School in London from 1962 to 1963 and at the Peter Bent Brigham Hospital, Harvard Medical School, Boston, in 1968 and 1969. Dr. Olszewski is a member of the European Society for Surgical Research, International Lymphological Society, International Microsurgical Society, and the International Transplantation Society. He served as President of the European Society for Surgical Research from 1977 to 1978 and as a member of the Executive Committee until 1982. He was elected President of the International Society of Lymphology for the term 1989–1993. He is Associate Editor of Lymphology, Zeitschrift für Experimentelle Chirurgie, Transplant International, Angiology International , and Immunologia Polska. He is also Honorary Member of the Brazilian Vascular Society and the Korean Medical Association. Recently he founded the Polish-Japanese Surgical Society, and started cooperation in treatment of lymphedema with the National Lymphedema Network of America and