Eur J Plast Surg (2006) 29: 19–21 DOI 10.1007/s00238-006-0034-5 INVITED COMMENTARY Leo Clodius Commentary on “A modified therapeutic option for long-lasting success in the treatment of genital lymphedema” by Lang, et al. Published online: 25 March 2006 # Springer-Verlag 2006 Every plastic surgeon who sees a patient with chronic lymphovenous anastomoses may open; macrophages are lymphedema in his office is confronted with a different activated within lymphedematous tissues to split the problem. The scientific considerations are: 1) Can I help increasing high molecular proteins [5, 12]. my patient by complex decongestive therapy; or 2) by With this report, the authors exemplify an often not surgery? Often patients also want a prediction: will I be realized principle in medicine: the patient is not cured of his cured or just better? problem, but he is satisfied with the available therapy as he The authors present an impressive series of 24 patients feels much better. Usually, we think in terms of black and with rare genital lymphedema, treated by a new conserva- white, positive or negative, yes or no. But, as this paper tive concept pre- and postop combined with an adjuvant demonstrates, a cure, a stable and long-term sufficient operation. Also,
European Journal of Plastic Surgery – Springer Journals
Published: Jun 1, 2006
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