A Re-evaluation of the Importance of the Lymphatic System in the Treatment of Post-mastectomy Lymphoedema

Abstract

The physiology and pathophysiology of the lymphatic system are discussed. Complex decongestive physiotherapy is presented as an alternative approach to the treatment of post-mastectomy lymphoedema. This is seen to be an effective method of treatment, but good patient compliance (hygienic measures, wearing elastic support while working, compression bandaging while at rest and remedial exercises), is a prerequisite. This may be achieved by intensive patient education.