Eur J Plast Surg (2005) 28: 376 DOI 10.1007/s00238-005-0773-8 BOOK REVIEW L. Clodius J. E. Zuther: Lymphedema management: comprehensive guide for practitioners, Thieme, Stuttgart, New York 2005, Hard cover, pp 270 (ISBN 3-13-139481-1), $110.00 USD Accepted: 22 March 2005 / Published online: 27 July 2005 Springer-Verlag 2005 Lymphology often has been called the ‘‘step-child’’ of clinical photographs, does not easily help in the indi- medicine. Sir Harald Gillies, one of the founders of vidual patient. Experience and common sense is needed. modern plastic and reconstructive surgery  used to Complex or complete decongestive therapy is more than say: plastic surgeons take care of what others have manual lymph drainage and a prescription for an elastic thrown into the ‘‘medical waste basket’’. For exam- stockings. This book demonstrates and explains, that ple—today Cecil’s classic ‘‘Textbook of Medicine’’ (21st successful complete decongestive therapy requires care- edition, Saunders, 2000) contains no chapter on diseases ful examination of the individual patient, and consid- of the lymphatic system. Nevertheless the step-child eration of the local and general contraindication of lymphology, for decades, provides a great deal of fas- various elements of treatment. In this therapeutic ﬁeld, cination in the plastic surgery community [1, 2]. Medical so expertly presented, lies the great strength of this book. knowledge is forever changing and progressing, from The plastic surgeon may look for a section on sur- initial scientiﬁc ignorance to new horizons. This book gery. There is but half a page on this treatment modality. certainly demonstrates this in the care of patients with Thus, the reader may look at ‘‘lymphedema common lymphedema problems. Speciﬁcally, it not only explains sense’’  published recently in this journal, or he may and teaches, it also encourages the search for tomor- check on surgery as integral part of lifetime management row’s progress. Thus, this text is much more than a of lymphedema, with long-term results . This com- cook-book or a manual on ‘‘how it must be done’’. It is prehensive guide with so much good advice will be of an up-to-date text on lymphedema and all of its many much practical value to all who care for lymphedema- relevant problems. It also addresses itself to the inter- patients and their diﬃcult problems. ested nonmedical reader, who perhaps is concerned with his own lymphedema or that of a relative or friend. References What is lymphedema? Winiwarter published his book on advanced forms of lymphedema in 1892 . Halsted 1. Gillies H, Millard DR (1957) The principles and art of plastic introduced the term ‘‘Elephantiasis Chirurgica’’ . surgery. Little Brown, Boston Fo¨ ldi  provided us with a further essential: the modern 2. Clodius L (1977) Lymphedema. Thieme, Stuttgart 3. Winiwarter A (1892) Die elephantiasis. Enke, Stuttgart lymphatic language, based on life-long experience both 4. Halsted WS (1921) The swelling of the arm, elephantiasis chir- clinical and in the laboratory . The aim of this most urgica. Bull Johns Hopkins Hosp 32:309 recent book is to explain the conservative management 5. Fo¨ ldi M (1969) Diseases of lymphatics and lymphatic circula- of chronic lymphedema by ‘‘complete decongestive tion. Academic Press, Budapest 6. Fo¨ ldi M (2004) Textbook of lymphology. Urban & Fischer, therapy’’. To understand this treatment, the necessary Munich basics involved: anatomy, physiology, and pathophysi- 7. Clodius L (2002) Lymphedema common sense. Eur J Plast Surg ology are provided and expertly illustrated to please the 25:66 interested reader. The application of the theoretical 8. Miller TA et al. (1988) Staged skin and subcutaneous excision basis, highlighted by good illustrations and excellent for lymphedema. Longterm results. Plast Reconstr Surg L. Clodius Weid 17, 8126 Zumikon, Switzerland
European Journal of Plastic Surgery – Springer Journals
Published: Dec 1, 2005
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