Lenfödemde Konservatif ve Cerrahi Tedavi Yöntemleri: Geleneksel Derleme ve Bibliyometrik Analiz

Abstract

Lenfödem, lenfatik drenajın bozulması sonucunda proteinden zengin interstisyel sıvının subkutanöz alanda birikmesi ile karakterize kronik ve ilerleyici bir hastalıktır. Lenfatik sistemin konjenital malformasyonu sonucunda primer ya da enfeksiyon, travma, cerrahi gibi nedenlerle edinilmiş tıkanıklık veya sistem bütünlüğünün bozulması sonucunda sekonder olarak açığa çıkabilir. Hastalık, şişlik ve zamanla ülserasyona kadar ilerleyen cilt değişiklikleri ile günlük yaşam aktivitelerinde problemlere yol açarak yaşam kalitesini olumsuz etkiler. Lenfödem tedavisinde erken teşhis ve müdahale önemlidir. Tanı öncelikle hikâye ve klinik bulgulara dayanmakla birlikte, görüntüleme yöntemleri de kullanılabilir. Lenfödem tedavisinde konservatif ve cerrahi yöntemler kullanılır. Konservatif tedaviler aynı zamanda cerrahi tedaviyi tamamlayıcı bir rol üstlenir. Tedavi başarısı, erken teşhis, doğru tedavi yönteminin doğru zamanda uygulanması ve disiplinler arası iş birliği ile ilişkilidir. Bu literatür taraması, periferik lenfödem ve güncel tedavi yöntemleri hakkında bir bakış açısı sunmayı amaçlamaktadır. Ayrıca, lenfödemde konservatif ve cerrahi tedavi yöntemleri hakkında bibliyometrik veri sunarak araştırmacılara katkıda bulunmayı hedeflemektedir.

Keywords

• lenfödem
• konservatif tedavi
• cerrahi tedavi

Conservative and Surgical Treatment Methods in Lymphedema: Traditional Review and Bibliometric Analysis

Abstract

Lymphedema is a chronic and progressive disease characterized by the accumulation of protein-rich interstitial fluid in the subcutaneous area as a result of impaired lymphatic drainage. It may occur primary as a result of congenital malformation of the lymphatic system, or secondary as a result of obstruction, or disruption of system integrity due to reasons such as infection, trauma, surgery. The disease negatively affects the quality of life by causing problems in daily living activities with swelling, and skin changes that progress to ulceration over time. Early diagnosis and intervention are important in the treatment of lymphedema. Diagnosis primarily relies on history and clinical findings, but imaging methods can also be used. Conservative and surgical methods are used in the treatment of lymphedema. Conservative treatments also play a complementary role to surgical treatment. Treatment success is associated with early diagnosis, the correct application of the appropriate treatment method at the right time and multidisciplinary collaboration. This literature review aims to provide an overview of peripheral lymphedema and current treatment methods. Additionally, it aims to contribute to researchers by presenting bibliometric data on conservative and surgical treatment methods in lymphedema.

Keywords

• lymphedema
• conservative treatment
• surgical treatment

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