Eur J Plast Surg (2004) 27:267 DOI 10.1007/s00238-003-0579-5 BOOK REVIEW L. Clodius Urban & Fischer (Elsevier) Munich, Amsterdam, New York, 2004, hard cover, pp 689 (ISBN 0-9729535-0-7), $110.00 US Published online: 25 September 2004 Springer-Verlag 2004 It is great pleasure for this reviewer to provide informa- theoretical aspects of their problem, but they will re- tion on this book, because the reviewer has the pleasure to member how excellent their treatment was. know and to have collaborated with the three authors The design of this book is unique: the contents are since the late 1960s. Kubik, long-time professor of anat- divided into a scientific and a practical section. The sci- omy, has enriched the book with an abundance of mag- entific part includes chapters on the anatomy of the nificent illustrations, in multiple colors, when necessary. lymphatic system; the interstice with its microcirculation; These illustrations are in the line with Mascagni (1787) lymphostatic diseases with their morphological changes; and Rouviere (1932). Whenever, as a plastic surgeon, I fundamentals on comparative lymphology; lipedema; had a lympho-anatomic problem, e.g., with free omental benign symmetrical lipomatosis; chronic venous insuffi- flaps for lymph drainage, Kubik was happy to help. ciency; angiodysplasia; molecular lymphology; and ge- Whenever there was a physiological or a pathophysio- netics of lymphedema. Most chapters are concluded by logical problem, the organizer of this volume, M. Fldi, suggestions for further reading and by a reference list. gave his best theoretical and practical advice. M. Fldi, The practical section includes instructions for conserva- who devoted all of his lifetime to lymphology, also cre- tive treatment, and there are general remarks on tech- ated the commonly used lymphatic language: lymphatic niques with many practical tips, therapeutic effects, con- load; lymphatic transport capacity; lymphatic safety-valve traindications, everything about manual lymphdrainage, insufficiency; and high output failure. For 20 years, his decongestive kinesiotherapy, respiratory therapy, various wife, E. Fldi, has directed a 120-bed hospital exclusively kinds of physiotherapy, and compressive therapy. The for lymphatic diseases. She has contributed the “Practi- practicality of conservative treatment also depends and cal Section” of this book: pages 495–638. Any severe may differ depending on the various areas of the body; lymphedema problem, protein-losing entereopathy, and therefore, there are specific guidelines concerning, for suicidal lympho-lipedema: the patients always returned example, the head and neck region, the trunk, the arm, most satisfied from her hospital. There, for the first time, and the leg. complex decongestive therapy (including manual lym- Lymphology has been called the stepchild of medicine. phdrainage) is combined with the broad field of physical The twenty-first, most recent edition of Cecil’s Textbook medicine. Together, both specialities help the individual of Medicine does not contain a chapter on lymphedema, patient to achieve the best therapeutic result. This book is which affects about 250 million people. Like the lym- the product of 60 years of fascination with the field of phatic system, plastic surgery is not limited by anatomical lymphology and of life-long therapeutic experiences with areas or by periods of our body’s lifetime. For plastic patients, presenting all the frequently facets of lym- surgeons handling tissues with their lymphatic system in phopathology. Patients may forget the many described so many ways, this system continues to fascinate. L. Clodius ( ) Weid 17, 8126 Zumikon, Switzerland Tel.: +41-1-9182117
European Journal of Plastic Surgery – Springer Journals
Published: Oct 1, 2004
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