{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T05:38:36Z","timestamp":1740202716365,"version":"3.37.3"},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dtsch Med Wochenschr"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Was ist neu?<\/jats:title><jats:p>Der Verzicht auf Kompression in der Therapie chronischer Extremit\u00e4ten-Lymph\u00f6deme steigert das Risiko erysipelbedingter Komplikationen und f\u00fchrt zu einer hohen gesundheits\u00f6konomischen Belastung. N\u00e4chtliche Kompressionsverfahren zeigen Vorteile und eine hohe Therapieadh\u00e4renz.<\/jats:p><jats:p>Aufgehoben wurde die Empfehlung, bei Erysipel auf Kompression zu verzichten. Im Gegenteil, Kompression ist explizit erw\u00fcnscht.<\/jats:p><jats:p>Lymph\u00f6dembetroffene Extremit\u00e4ten zeigen im Vergleich zu nicht betroffenen Extremit\u00e4ten eine starke Assoziation zu malignen Hauttumoren.<\/jats:p><jats:p>Mittels ICG-Lymphografie wurden 4 verschiedene anatomische Lymphbahnregionen am Bein differenziert, deren funktioneller Ausfall je nach betroffenem B\u00fcndel mit dem Schweregrad des Lymph\u00f6dems korreliert.<\/jats:p><jats:p>Dem vaskularisierten Lymphknotentransfer wurde bez\u00fcglich Volumenreduktion, Funktionalit\u00e4t und Lebensqualit\u00e4t hinreichend Evidenz bescheinigt.<\/jats:p><jats:p>Je h\u00f6her der BMI, umso h\u00f6her das Risiko f\u00fcr Lymph\u00f6deme.<\/jats:p><jats:p>Metaanalysen belegen den Nutzen eines aktiven Lebensstils mit Bewegung und sportlichen Aktivit\u00e4ten, in Einheit mit umfassender Patientenedukation. Tragbare apparative Kompressionssysteme sind eine vielversprechende Alternative zu bisherigen pneumatischen Kompressionsapparaten.<\/jats:p><jats:p>Das St.-George\u2019s-Klassifikationssystem zeigt erstmals umfassend Zusammenh\u00e4nge zwischen prim\u00e4ren Lymph\u00f6demen und systemischen bzw. syndromalen Erkrankungen sowie vaskul\u00e4ren Malformationen. Als \u201eWork-in-progress\u201c-Algorithmus ist es eine wertvolle Hilfe zur Diagnosesicherung und um therapeutische Ans\u00e4tze zu finden. Klassifikationen, die sich an der zeitlichen Manifestierung prim\u00e4rer Lymph\u00f6deme orientieren, wurden verlassen.<\/jats:p>","DOI":"10.1055\/a-2361-0838","type":"journal-article","created":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T00:12:46Z","timestamp":1740183166000},"page":"253-259","source":"Crossref","is-referenced-by-count":0,"title":["Lymph\u00f6dem"],"prefix":"10.1055","volume":"150","author":[{"given":"Katja Sibylle","family":"M\u00fchlberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,2,21]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1007\/978-3-319-14493-1_4","volume-title":"Epidemiology and Morbidity of Lymphedema","author":"AK Greene","year":"2015"},{"issue":"04","key":"ref2","doi-asserted-by":"publisher","first-page":"676","DOI":"10.1016\/j.jvsv.2020.03.006","article-title":"A systematic review of guidelines for lymphedema and the need for contemporary intersocietal guidelines for the management of lymphedema","volume":"8","author":"TF O\u2019Donnell Jr","year":"2020","journal-title":"J Vasc Surg Venous Lymphat Disord"},{"issue":"02","key":"ref4","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1089\/lrb.2022.0029","article-title":"Compression Therapy Is Cost-Saving in the Prevention of Lower Limb Recurrent Cellulitis in Patients with Chronic Edema","volume":"21","author":"E Webb","year":"2023","journal-title":"Lymphat Res Biol"},{"issue":"07","key":"ref5","doi-asserted-by":"publisher","first-page":"897","DOI":"10.1080\/0284186X.2022.2081932","article-title":"Early intervention with compression garments prevents progression in mild breast cancer-related arm lymphedema: a randomized controlled trial","volume":"61","author":"KY Blom","year":"2022","journal-title":"Acta Oncol"},{"issue":"03","key":"ref6","doi-asserted-by":"publisher","first-page":"587","DOI":"10.1002\/cncr.33943","article-title":"Nighttime compression supports improved self-management of breast cancer-related lymphedema: A multicenter randomized controlled trial","volume":"128","author":"ML McNeely","year":"2022","journal-title":"Cancer"},{"issue":"S 02","key":"ref7","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1007\/s00105-020-04706-z","article-title":"Medical compression therapy of the extremities with medical compression stockings (MCS), phlebological compression bandages (PCB), and medical adaptive compression systems (MAC): S2k guideline of the German Phlebology Society (DGP) in cooperation with the following professional associations: DDG, DGA, DGG, GDL, DGL, BVP","volume":"72","author":"E Rabe","year":"2021","journal-title":"Hautarzt"},{"issue":"07","key":"ref8","doi-asserted-by":"publisher","first-page":"447","DOI":"10.1177\/0268355520909066","article-title":"Risks and contraindications of medical compression treatment \u2013 A critical reappraisal. 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