Società Italiana di Linfangiologia. Founded in 1965 by Prof. Egidio Tosatti, in 1989 it joined the “Latin-Mediterranean Chapter (LMC) of ISL”. Its official journal is the “European Journal of Lymphology and Related Problems (EJLRP)”, the same journal as “G.E.L.”  and “LMC-ISL”.

 

A modern technique, mostly developed thanks to progress in radioisotopic technology, only recently has it become part of standard clinical practice. Following injection of a lymphotropic radioactive tracer – the same as the one used in lymphoscintigraphy – coupled with a portable gamma-camera, preferential lymphatic drainage pathways are detected, with a good level of accuracy, as well as reference lymph nodes for a specific body region, generally close to the site of a malignant tumor (the “sentinel” lymph node is the first drainage lymph node). The goal is to support the surgeon in performing a surgical lymphadenectomy by targeting lymphatic-lymph node structures at a higher risk of tumor invasion, while limiting surgical invasiveness, and, indirectly, reducing its complications.

 

This is the most popular and effective medical-physical treatment of limb lymphostasis and related disorders, such as for example acute lymphangitis. In chronic patients, it is often replaced with compression stockings (that patients can handle more easily), which have the same function of bandages, especially with reference to their compression action, but which, even when made to order, cannot be as resilient and effective as daily fashioned bandages. For this reason, some physicians and physiotherapists teach patients to apply these bandages themselves at home, often in association with mechanical lymphatic drainage also done at home. Lymphedema bandages are defined as “short stretch-functional”, because they must permit the affected extremity to move comfortably, thus supporting the physical-elastic drainage function of the bandage in a non-traumatic way. There are many different ways and techniques to fashion these bandages: normally, a multi-layer approach is recommended, namely on top of a first layer of foam or padding material, for protection and remodeling, several layers of mostly short stretch bandages are applied, to modulate compression action. In acute lymphangitis therapy, conventional short-stretch functional bandages may be coupled with medicated paste bandages, containing zinc oxide and other antibiotic-cortisone substances.

SHORT STRETCH FUNCTIONAL BANDAGES SHORT STRETCH FUNCTIONAL BANDAGES SHORT STRETCH FUNCTIONAL BANDAGES FUNCTIONAL BANDAGES

Pathognomonic sign in lymphedema semeiotics, featuring – in the extremity affected by lymphatic stasis – a thickened skin fold at the base of the second toe which cannot be lifted. It is due to fibrous-sclerotic involution processes of subcutaneous tissues.

 

STEMMER SIGN

Eponym used to define chronic lymphedema and the subsequent overlapping of angiosarcoma grown out of lymphatic endothelium (see also Lymphangiosarcoma).

 

It is formed by the junction between the left internal jugular vein and the left subclavian vein. It is where the thoracic duct ends and where it flows into the venous system, with the lymph it contains.

SUBCLAVIAN-JUGULAR ANGLE