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	I n f o C o u r r i e r
	2006 - №3	N. Shmatkov, MD, PhD

• Lymphostasis, lymphedema, elephantiasis – examples of treatment results.

   Patient T.A.V., born in 1962, lives in Klaipeda, Lithuania, was hospitalizes in our Medical Center for 42 days during 29.03.2006 – 10.05.2006.
   Diagnosis: Secondary (post-surgery and post-radiation therapy) lymphedema of the lower extremities, pelvis and frontal abdominal wall which was accompanied by frequent purpuric rash attacks mainly on the right side, without progressing ocnological process.
   Sick from 2001. Uterus cancer surgery – removal of uterus with additions in 2001. Diagnosis was verified. Received prior- and post-surgery gamma radiation treatment. First edema appeared on the right lower extremity and then on the left lower extremity, pelvis and abdomen. Yearly purpuric rash attacks. Six times during the last year. With every purpuric rash attack an increase in edema was observed, appeared pain associated with heaviness in lower extremities, abrupt decrease in movement. Received conservative treatment at the place of living – diuretics, Detralex, elastics socks, multiple cycles of pneumo-compression therapy. As a result of these conservative treatments no improvement in the state of the patient was observed, lymphostasis and purpuric rash progressed.
   Patient contacted our Medical Center via email and all initial negotiations were done also via email. After arrival to the Medical Center patient underwent full diagnostic procedure and the state of the lymphostasis was determined. Next, on 04.04.2006 patient was subjected to a surgery: 1). Single-time dermolypectomy, dissection and plastics of the fascia of the right calf, autodermatoplastics; 2). Thigh-abdominal tunneling, spiral draining of the lymph of the right lower extremity using type 2 protocol developed in the Medical Center (patent issued to N. Shmatkov №1811409); 3). Lymph-venous anastomosis performed without sutures (patent issued to N. Shmatkov №74093).
   During healing period after surgery patient presented no complications. Patient received powerful magnetotherapy, pneumo-massage of the abdomen, lower extremities and pelvis with the “Lokad” device, back massage, plasmapheresis (detoxification of blood), hydrocolonoscopy, desensitizing and anti-inflamatory treatment.
   Patient was discharged after 42 days with good positive effect. Patient was registered with the clinic and remains in contact with the Medical Center.

Before surgery and treatment
After surgery and treatment

See next issue №8.