{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:50:13Z","timestamp":1777881013308,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,5,1]],"date-time":"2020-05-01T00:00:00Z","timestamp":1588291200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2020,5,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>\n                      Perioperative swelling and edema are the main factors that influence the time to definitive operative care, healing rate, as well as postoperative infection rate. Device-based negative pressure treatment is a new method to reduce post-traumatic and postoperative swelling of the upper extremities. The objective of this study was to evaluate a new negative pressure treatment with LymphaTouch\n                      <jats:sup>\u00ae<\/jats:sup>\n                      (Helsinki, Finland) to reduce perioperative swelling in upper extremity injuries.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      We analyzed 45 patients (26 female and 19 male) after operative treatment of upper extremity injuries. A predefined treatment algorithm of 30 min using LymphaTouch\n                      <jats:sup>\u00ae<\/jats:sup>\n                      was performed on the patients every day for five consecutive days. Swelling was measured according to the neutral-zero method with six points of measurement.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 16 patients underwent an operation on their upper arm. An average of 3.5 measurements was performed per patient, with the start of therapy at a mean of 5.13 days after the operation. All of the measured circumferences except the elbow and 10 cm below the elbow were reduced from day 0 to 3. The percent reduction of swelling (relative to day 0) was 10.36%, 11.35%, 17.34%, and 3.25% for days 1\u20134, respectively. The greatest reduction of circumference was obtained in the metacarpus (\u221251.6%) and wrist (\u221233.1%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>\n                      The LymphaTouch\n                      <jats:sup>\u00ae<\/jats:sup>\n                      system and a 30-min treatment program can reduce postoperative swelling of the upper arm, wrist, and hand on the first 5 days after surgery. The ease of learning and self-applicability of LymphaTouch\n                      <jats:sup>\u00ae<\/jats:sup>\n                      makes it interesting for further controlled randomized trials.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2309499020929166","type":"journal-article","created":{"date-parts":[[2020,6,5]],"date-time":"2020-06-05T07:14:31Z","timestamp":1591341271000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Reduction of postoperative swelling with a negative pressure treatment\u2014A prospective study"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0673-3710","authenticated-orcid":false,"given":"Dominik","family":"Saul","sequence":"first","affiliation":[{"name":"Department of Trauma, Orthopedics and Plastic Surgery, Georg-August-University of Goettingen, Goettingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann-Christin","family":"Fischer","sequence":"additional","affiliation":[{"name":"Department of Trauma, Orthopedics and Plastic Surgery, Georg-August-University of Goettingen, Goettingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolfgang","family":"Lehmann","sequence":"additional","affiliation":[{"name":"Department of Trauma, Orthopedics and Plastic Surgery, Georg-August-University of Goettingen, Goettingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Klaus","family":"Dresing","sequence":"additional","affiliation":[{"name":"Department of Trauma, Orthopedics and Plastic Surgery, Georg-August-University of Goettingen, Goettingen, 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