Education, Science, Technology, Innovation and Life
Open Access
Sign In

Progress in Chinese and Western Medicine Treatment of Postoperative Lower Limb Lymphedema in Gynecologic Malignancies

Download as PDF

DOI: 10.23977/medcm.2023.050613 | Downloads: 25 | Views: 364

Author(s)

Rong Tang 1, Ke Luo 1, Qing Yan 1, Ge Wang 1, Fei Li 2

Affiliation(s)

1 Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, 712046, China
2 Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, 712000, China

Corresponding Author

Fei Li

ABSTRACT

Lower limb lymphedema is one of the common postoperative complications of gynecologic malignancies, which brings great physical pain and psychological pressure to patients. In clinical treatment, Western medicine is mainly based on conservative treatment, drug treatment and surgery. Chinese medicine is based on "evidence" and has various intervention methods, including internal and external application of Chinese medicine, acupuncture and moxibustion, and tui-na, etc., which are targeted and individualized. Therefore, this paper will review the treatment of this disease from both Chinese medicine and Western medicine, and aim to provide reference for the selection of treatment options for patients with various stages of lymphedema.

KEYWORDS

Gynecologic malignancies; Lower extremity lymphedema; Traditional Chinese medicine treatment; Western medicine treatment

CITE THIS PAPER

Rong Tang, Ke Luo, Qing Yan, Ge Wang, Fei Li, Progress in Chinese and Western Medicine Treatment of Postoperative Lower Limb Lymphedema in Gynecologic Malignancies. MEDS Chinese Medicine (2023) Vol. 5: 72-80. DOI: http://dx.doi.org/10.23977/medcm.2023.050613.

REFERENCES

[1] Masato Yoshihara, Ryoko Shimono, Satoko Tsuru, Kaoru Kitamura, Hiromi Sakuda, Hidenori Oguchi, Akio Hirota. Risk factors for late-onset lower limb lymphedema after gynecological cancer treatment: A multi-institutional retrospective study [J]. European Journal of Surgical Oncology, 2020, 46(7). 
[2] Sandra C. Hayes, Monika Janda, Leigh C. Ward, Hildegard Reul-Hirche, Megan L. Steele, Johnathan Carter, Michael Quinn, Bruce Cornish, Andreas Obermair. Lymphedema following gynecological cancer: Results from a prospective, longitudinal cohort study on prevalence, incidence and risk factors [J]. Gynecologic Oncology, 2017, 146(3). 
[3] Huang Cheng, Hu Xueqing. Research progress in the treatment of lymphedema [J]. Journal of Tissue Engineering and Reconstructive Surgery, 2022, 18(01):38-41. 
[4] Hu Yilin. Study of Lower Extremity Lymphedema after Surgery for Gynecological Malignant Tumor [J]. Advances in Clinical Medicine, 2021, 11(6):2650-2655. 
[5] Shin K H, Kim M, Park S W, et al. Breast cancer-related lymphedema after neoadjuvant chemotherapy, surgery and radiotherapy[C]//9th European Breast Cancer Conference (EBCC). 2014. 
[6] Kong Weiming, Zhang He. Expert consensus on lower limb lymphedema after gynecological tumor treatment [J]. Chinese Journal for Clinicians, 2021, 49(2):149-155. 
[7] Hu Jin, Zhu Jialiang, Liu Gaoming, et al. Research Progress in Pathogenesis and Risk Factors of Lower Limb Lymphedema after Cervical Cancer Surgery[J]. Anti-Tumor Pharmacy, 2021, 11(2):146-152. 
[8] Bo Tie, Chen Lei, Liu Zhaozhe, et al. Analysis of the pathogenesis and risk factors of limb lymphedema after gynecological malignant tumor surgery[J]. Trauma and Critical Care Medicine, 2017, 5(002):91-97. 
[9] Cheng Qun, Bai Jian, Jin Lei. The therapeutic effect of complex decongestive physiotherapy for lower limb lymphedema after gynecological malignant tumor operation [J]. Chinese Journal of Health Care and Medicine, 2020, 22(5): 473-476. 
[10] Luo Qinghua, Zhang Lijuan, Liu Feng, et al. Application of six-step comprehensive detumescence therapy in patients with lower extremity lymphedema after cervical cancer surgery[J]. Journal of Nursing Science, 2020, 35(23):27-30
[11] Huang Liemi, Ren Guoxing, Wu nian, et al. Analysis of the curative effect of modified complex decongestion therapy on moderate to severe lower limb lymphedema after gynecological pelvic tumor surgery[J]. Journal of Hebei Medical University, 2022, 43(08):935-939+949. 
[12] Li Ke, Liu Ningfei, Zhang Yixin. Therapeutic effects of far-infrared ray in treating chronic lower extremity lymphedema with dermatolymphangioadenitis [J]. Journal of Shanghai Jiaotong University (Medical Science), 2018, 38(09): 1060-1065+1059. 
[13] Wang Xiaodian, Cui Chunxiao, Xia Liang, et al. Efficacy and safety of far infrared radiation in the treatment of gynecological cancer-related lymphedema[J]. Journal of Tissue Engineering and Reconstructive Surgery, 2022, 18(1): 19-24. 
[14] Luo Yao, Xiong Yuanhuan, Xie Wenyang, et al. A clinical research of low-frequency neuromuscular therapy for lower limb lymphedema after cervical cancer surgery and/or radiotherapy[J]. Chinese Journal of Practical Gynecology and Obstetrics, 2021, 37(2):228-232. 
[15] Zheng Huizhe, Huang Huaqing, Lin Zhenmeng, et al. DSA-guided lumbar sympathetic nerve block for treating lower limb lymphedema after surgical resection of gynecological tumors[J]. Chinese Journal of Interventional Imaging and Therapy, 2021, 18(9):517-520. 
[16] Menzer C, Aleisa A, Wilson B, et al. Efficacy of laser CO2treatment for refractory lymphedema secondary to cancer treatments[J]. Lasers in surgery and medicine, 2021. 
[17] Zhu Shufang, Huang Chunlan, Liu Huazhi. Intervention effect of microwave combined physiotherapy on lymphedema after radiotherapy in patients with cervical cancer[J]. Contemporary Medicine, 2019, 25(20):10-13. 
[18] Wang Jixue, Yu Wenhui, Zhao Gang. Interventional treatment of 23 cases of secondary lower limb lymphedema with defibrillation and anticoagulation therapy [J]. Chinese Journal of Surgery of Integrated Traditional and Western Medicine, 2019, 25(6):1048-1050. 
[19] Guo Qu, Mao Yurong, Lin Yaying, et al. Effect of preserving external iliac terminal lymph nodes combined with pelvic injection of pseudomonas aeruginosa on pelvic lymphatic cyst and lower extremity lymphedema after operation for early cervical cancer[J]. Progress in Obstetrics and Gynecology, 2022, 31(5):326-329. 
[20] Han Linghua, Liu Ningfei, Wang Li, et al. The Nursing Efficacy of Four Kinds of Cream in the CDT Treatment of the Lower Limb Lymphedema [J]. Journal of Tissue Engineering and Reconstructive Surgery, 2017, 13(4):198-200. 
[21] Garza R, Skoracki R, Hock K, et al. A comprehensive overview on the surgical management of secondary lymphedema of the upper and lower extremities related to prior oncologic therapies[J]. Bmc Cancer, 2017, 17(1):468. 
[22] Cheng Gechang. Progress in surgical treatment of lower limb lymphedema after gynecological malignant tumour radical operation [J]. Chinese Journal of Microsurgery, 2022, 45(2):230-235. 
[23] Schaverien M V,  Asaad M,  Selber J C, et al. Outcomes of Vascularized Lymph Node Transplantation for Treatment of Lymphedema[J]. Journal of the American College of Surgeons, 2021(6):232. 
[24] Ciudad, PedroManrique, Oscar J. Adabi, Kian Huang, Tony Chieh-TingAgko, Mouchammed Trignano, Emilio Chang, Weiling Chen, Tsung-WeiSalgado, Christopher J. Chen, Hung-Chi. Combined double vascularized lymph node transfers and modified radical reduction with preservation of perforators for advanced stages of lymphedema [J]. Journal of Surgical Oncology, 2019, 119(4). 
[25] Wang Xinyu, Du Jianshi, Han Dongmei. The effect of Lymphatic vessel vein anastomosis in the treatment of lower limb lymphedema after gynecological tumor surgery [J]. Chinese Journal of Gerontology, 2017, 37(24):6149-6151. 
[26] Olszewski WL. Lymphovenous microsurgical shunts in treatment of lymphedema of lower limbs: a 45-year experience of one surgeon/one center. Eur J Vasc Endovasc Surg. 2013; 45(3):282-290. 
[27] Chen Yingying. Perioperative nursing strategies and effectiveness evaluation of liposuction and volume reduction surgery for lower limb lymphedema[J]. Chinese Journal of Cancer Prevention and Treatment, 2016, 0(S1):365-366. 
[28] Moshref S S, F. R C S. The Use of Lympholiposuction in Management of Lymphedema of Upper and Lower Extremities[J]. [2023-06-08]. 
[29] Wang Cancan, Yang Lili, Shi Qiao, et al. Treatment of Lower Extremity Lymphedema after Cervical Cancer Surgery Based on"Unsmooth Blood Circulation Resulting in Water"[J]. Acta Chinese Medicine, 2022, 37(9):1819-1824. 
[30] Wu Jianping. Professor Cui Gongrang's Experience Formula for Treating 60 Cases of Lower Limb Lymphedema [J]. Guangming Journal of Chinese Medicine, 2014(2):243-244. 
[31] Li Jin. Clinical Observation on the Treatment of Limb Lymphedema (Damp Heat Blocking Type) with Bixie Xiaozhong Pill [D]. Heilongjiang University of Chinese Medicine, 2017. 
[32] Dong Juanjuan, Qi Rong, Zhang Xiaohua, et al. Professor Wu Quansheng's Experience in Treating Lower Limb Lymphedema After Radical Surgery for Gynecological Malignant Tumors Based on Qi and Blood Differentiation [J]. Guangming Journal of Chinese Medicine, 2016, 31(20):2941-2943. 
[33] Li Nan. Clinical Research on Xihong Decoction Combined with Xiaozhong Zhitong Plaster in the Treatment of Lower Limb Lymphedema of Malignant Tumors[J]. China Journal of Chinese Medicine, 2011, 26(6):651-651708. 
[34] Wang Haijing, He Fengjie, Zhu Hongli, et al. Effect of Wuling Powder combined with Wupi Decoction for internal and external use combined with free hand massage and external application of traditional Chinese medicine in the treatment of lower limb lymphedema after radical operation of gynecological cancer[J]. China Medical Herald, 2021, 18(16): 113-116124. 
[35] Ding Yanyan, Wang Wenping. Curative Effect of Modified Wuling San Wan on Lower Limb Edema of Malignant Tumor [J]. Jiangxi Journal of Traditional Chinese Medicine, 2016, 47(9):61-63. 
[36] Wang Bowen. Clinical Study on the Treatment of Lower Limb Lymphedema with Modified Fangji Fuling Decoction [D]. Shandong University of Chinese Medicine, 2022. 
[37] Yang Guobin, Liu Chaosheng. Illustration on Successful Cases of National TCM Master XIONG Jibo in the Diagnosis and Treatment of Tumor Complications[J]. Journal of Hunan University of Chinese Medicine, 2019, 39(9): 1061-1063. 
[38] Huang Li, Xiang Minhong, Li Qingsong, et al. The Clinical Experience on Simiao Yongan Decoction in the Treatment of Lower Limb Edema after Cervical Carcinoma Surgery[J]. Chinese Medicine Modern Distance Education of China, 2018, 16(1):84-86. 
[39] Guo Haoran, Zhao Tianyi, Zhao Meidan, et al. Clinical research progress of the treatment of lowerlimb lymphedema after gynecological malignant tumor surgery with traditional Chinese medicine and western medicine[J]. Global Traditional Chinese Medicine, 2020, 13(3):511-517. 
[40] Feng Kai, Hou Junming. Research progress in treatment of upper limb lymphedema after breast cancer surgery with traditional Chinese medicine [J]. Hebei Journal of Traditional Chinese Medicine, 2022, 44(6):1052-1056. 
[41] Wang Xiaodong, Yin Dongfeng, Tang Guangyi. Observation on Effect of External Application with Jiawei Bingxiao San for Treatment of Cancer Patients with Limited over Extremity Edema[J]. Journal of Liaoning University of Traditional Chinese Medicine, 2015, 17(4):101-103. 
[42] Bing Rui, Pei Ke. Observation on the therapeutic effect of Bingniaoshan external application on 60 patients with malignant tumor induced lower limb edema[J]. Chinese Journal of Clinical Rational Drug Use, 2017, 10(31):94-95. 
[43] Zheng Tongli. Clinical observation on the treatment of early lower limb lymphedema with external application of mirabilite and borneol [J]. China's Naturopathy, 2016, 24(7):41-42. 
[44] Ye Min, Qiao Chengping, Zhang Aixia, et al. Nursing care to a cervical cancer patient with subcutaneous emphysema and lymphedema from laparoscopic radical surgery[J]. Modern Clinical Nursing, 2017, 16(12):68-71. 
[45] Niu Shaohui, Cao Gang, Chen Yunjing, et al. Exploring CAO Jian-chun's Experience in Treating Secondary Lymphedema of Limbs Based on the Theory of"Eliminating Pathogenic"[J]. Guiding Journal of Traditional Chinese Medicine and Pharmacy, 2020, 26(3):106-108. 
[46] Song Kuiquan, Sun Qing, Zhang Henglong, et al. Clinical Observation on Huoxue Lotion Fumigation in Treatment of Lower Extremity Lymphedema [J]. Medical Innovation of China, 2019, 16(18):62-66. 
[47] Zheng Shuo, LI Shiyi, Zhang Lei, et al. Clinical study on the treatment of limb lymphedema with hot-needle pricking combined with acupuncture drainage[J]. China Journal of Traditional Chinese Medicine and Pharmacy, 2020, 35(11): 5846-5850. 
[48] Lv Hongyan. Cases of postoperative lower limb edema in ovarian cancer [J]. Chinese Acupuncture & Moxibustion, 2014, 34(10):946-946. 
[49] Dong Dexi. Effect of warm acupuncture and moxibustion combined with Elastic therapeutic tape on the recovery of lower limb lymphedema after cervical cancer surgery[J]. Qinghai Medical Journal, 2022, 52(5):50-52. 
[50] Chen Yunjing. Clinical study on the treatment of secondary lymphedema in limbs with deep puncture and external drainage therapy [D]. Beijing University of Chinese Medicine, 2019. 
[51] Lei Shaohua, Liu Lixiu, Hou Yueli. Chinese Medicine Characteristic Nursing Care for a Patient with Lower Limb Lymphedema After Radical Cervical Cancer Surgery[J]. Modern Nurse, 2019, 26(11):129-131. 
[52] Zhao Yanan, Liu Ming. Classic discussion and modern clinical practice of Traditional Chinese medicine on limb lymphedema[C]//. Collected Essays on the Fourth Academic Conference of the Peripheral Vascular Disease Branch of the Chinese Society of Traditional Chinese Medicine and the 25th Anniversary of the Peripheral Vascular Disease Branch of the Chinese Society of Traditional Chinese Medicine, 2011:314-317. 
[53] Qiang Caoxia. Clinical Observation on Tonifying Kidney and Strengthening Spleen for Dredging Channels Prescription in the Treatment of Lower Limb Lymphedema after Cervical Cancer Operation[J]. Guangming Journal of Chinese Medicine, 2022, 37(22):4097-4099. 
[54] Zheng Yuling, Chen Li. Therapy of Warming Kidney and Activating Qi in Treatment of Lower Extremity Edema After Gynecological Tumor Operation and Radiotherapy:A Report of Two Cases[J]. Journal of Oncology in Chinese Medicine, 2019, 0(4):74-76.

Downloads: 4235
Visits: 167825

Sponsors, Associates, and Links


All published work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright © 2016 - 2031 Clausius Scientific Press Inc. All Rights Reserved.