<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3.dtd">
<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">asurgery</journal-id><journal-title-group><journal-title xml:lang="ru">Амбулаторная хирургия</journal-title><trans-title-group xml:lang="en"><trans-title>Ambulatornaya khirurgiya = Ambulatory Surgery (Russia)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2712-8741</issn><issn pub-type="epub">2782-2591</issn><publisher><publisher-name>ООО «ГРУППА РЕМЕДИУМ»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21518/1995-1477-2020-1-2-71-78</article-id><article-id custom-type="elpub" pub-id-type="custom">asurgery-178</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБМЕН ОПЫТОМ | ПРАКТИКА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>EXCHANGE OF EXPERIENCE  |  PRACTICE</subject></subj-group></article-categories><title-group><article-title>Первый опыт применения системы регулируемого нерастяжимого компрессионного бандажа в лечении лимфедемы верхних и нижних конечностей</article-title><trans-title-group xml:lang="en"><trans-title>The first experience of using a system of adjustable inelastic compression wraps in the treatment of upper and lower limb lymphedema</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9478-8414</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Прядко</surname><given-names>С. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Pryadko</surname><given-names>S. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Прядко Сергей Иванович, к.м.н., заведующий отделением венозной патологии и микрососудистой хирургии с лабораторией комплексной реабилитации</p><p>121552, Россия, Москва, Рублевское шоссе, д. 135</p></bio><bio xml:lang="en"><p>Sergey I. Pryadko, Cand. of Sci. (Med.), Head of Department of Venous Disorders &amp; Microvascular Surgery with Comprehensive Rehabilitation Laboratory</p></bio><email xlink:type="simple">sipryadko@bakulev.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4652-4590</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Малинин</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Malinin</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Малинин Александр Александрович, д.м.н., главный научный сотрудник отделения венозной патологии и микрососудистой хирургии с лабораторией комплексной реабилитации</p><p>121552, Россия, Москва, Рублевское шоссе, д. 135</p></bio><bio xml:lang="en"><p>Alexander A. Malinin, Dr. of Sci. (Med.), Head of Department of Venous Disorders &amp; Microvascular Surgery with Comprehensive Rehabilitation Laboratory</p><p>135, Rublevskoe Shosse, Moscow, 121552, Russia</p></bio><email xlink:type="simple">aamalinin@bakulev.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Национальный медицинский исследовательский центр сердечно-сосудистой хирургии им. А.Н. Бакулева</institution><country>Россия</country></aff><aff xml:lang="en"><institution>A.N. Bakulev National Medical Research Center of Cardiovascular Surgery</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2020</year></pub-date><pub-date pub-type="epub"><day>08</day><month>06</month><year>2020</year></pub-date><volume>0</volume><issue>1-2</issue><fpage>71</fpage><lpage>78</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Прядко С.И., Малинин А.А., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Прядко С.И., Малинин А.А.</copyright-holder><copyright-holder xml:lang="en">Pryadko S.I., Malinin A.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.a-surgeon.ru/jour/article/view/178">https://www.a-surgeon.ru/jour/article/view/178</self-uri><abstract><p>Публикация представляет результаты клинического применения системы регулируемого нерастяжимого компрессионного бандажа в лечении лимфедемы верхних и нижних конечностей у 14 пациентов в сроки от 2 до 34 месяцев. Регулируемый нерастяжимый компрессионный бандаж использовали в качестве монотерапии при врожденной лимфедеме конечностей I–IIa стадии у пяти пациентов вне стационара. Прогрессирования отека не зарегистрировано ни в одном случае в сроки наблюдения до 34 месяцев. у семи пациентов с лимфедемой конечностей IIb – III стадии, а также у пациентки 41 года с диагнозом «врожденная патология развития лимфатической системы, нейрофиброматоз 1 типа – болезнь Реклингхаузена» регулируемое нерастяжимое компрессионное изделие использовали в сочетании с медицинским компрессионным трикотажем 1–2 класса компрессии международного стандарта RAL-Gz 387 начиная с раннего (первый сеанс спустя 9–11 сут. после операции) и продолжая в отдаленном (срок пользования до 22 месяцев) послеоперационном периодах. Возврат отека (более чем на 1 см при измерении окружности) ремоделированной конечности отмечен у трех пациентов после 4 месяцев наблюдения. На 22-м месяце (максимальный срок наблюдений) у двух больных констатировано увеличение окружности оперированной конечности до 2,5 см. Система регулируемого нерастяжимого компрессионного бандажа в реальной клинической практике показывает высокую эффективность в достижении редукции отека при лимфедеме конечностей I стадии на протяжении не менее 24 месяцев. Использование системы адаптивного компрессионного бандажирования в целях профилактики регресса отека после хирургических вмешательств по поводу лимфедемы конечностей III стадии достоверно эффективно в течение 12 месяцев.</p></abstract><trans-abstract xml:lang="en"><p>This publication presents the results of clinical application of the system of non-extensible compression adjustable bandage in the treatment of upper and lower limb lymphedema in 14 patients over a period of 2 to 34 months. An adjustable non-extensible compression bandage was used as monotherapy for stage I–IIa congenital limb lymphedema in 5 out-of-hospital patients. Progression of edema was not registered in any case during the follow-up period of up to 34 months. In 7 patients with stage IIB-III limb lymphedema, as well as in a 41-year-old patient with a diagnosis Of: Congenital abnormality development of the lymphatic system, Neurofibromatosis type 1, a disease Recklinghausen adjustable non-stretchable compression the product is used in combination with medical compression hosiery 1–2 compression class international standard RAL-Gz 387 from early (first show after 9–11 days after surgery) and continuing in the distant (period of use up to 22 months) postoperative periods. The return of edema (more than 1 cm when measuring the circumference) of the remodeled limb was observed in 3 patients after 4 months of follow-up. At 22 months (the maximum observation period), 2 patients showed an increase in the circumference of the operated limb to 2.5 cm. The system of non-extensible compression adjustable bandage in real clinical practice shows high efficiency in achieving edema reduction in stage I lymphedema of the extremities for at least 24 months. The use of adaptive compression banding system for the prevention of edema regression after surgical interventions for stage III limb lymphedema was reliably effective for 12 months.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>лимфедема</kwd><kwd>регулируемый нерастяжимый компрессионный бандаж</kwd><kwd>отек конечности</kwd><kwd>лимфодренаж</kwd><kwd>полная противоотечная терапия</kwd><kwd>лимфатико-венулярный анастомоз</kwd><kwd>дермо-липэктомия</kwd><kwd>болезнь Реклингхаузена</kwd><kwd>папилломатоз кожи Готтрона</kwd><kwd>«Shave»-терапия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>lymphedema</kwd><kwd>non-elastic adjustable compression wrap device</kwd><kwd>limb edema</kwd><kwd>lymph drainage</kwd><kwd>complete decongestant therapy</kwd><kwd>lymphatico-venular anastomosis</kwd><kwd>dermo-lipectomy</kwd><kwd>Recklinghausen’s disease</kwd><kwd>Gottron’s skin papillomatosis</kwd><kwd>shave-therapy</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Greene A.K. Epidemiology and Morbidity of Lymphedema. In: Greene A., Slavin S., Brorson H. (ed.) Lymphedema. Springer, Cham; 2015. doi: 10.1007/978-3-319-14493-1_4.</mixed-citation><mixed-citation xml:lang="en">Greene A.K. Epidemiology and Morbidity of Lymphedema. In: Greene A., Slavin S., Brorson H. (ed.) Lymphedema. Springer, Cham; 2015. doi: 10.1007/978-3-319-14493-1_4.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Mendoza N., Li A., Gill A., Tyring S. Filariasis: diagnosis and treatmen. Dermatol Ther. 2009;22(6):475–490. doi: 10.1111/j.1529-8019.2009.01271.x.</mixed-citation><mixed-citation xml:lang="en">Mendoza N., Li A., Gill A., Tyring S. Filariasis: diagnosis and treatmen. Dermatol Ther. 2009;22(6):475–490. doi: 10.1111/j.1529-8019.2009.01271.x.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Kim Il-K., Chang H. Surgical treatment of lymphedema. J Korean Med Assoc. 2020;63(4):206–213. doi: 10.5124/jkma.2020.63.4.206.</mixed-citation><mixed-citation xml:lang="en">Kim Il-K., Chang H. Surgical treatment of lymphedema. J Korean Med Assoc. 2020;63(4):206–213. doi: 10.5124/jkma.2020.63.4.206.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Малинин А.А., Сергеев С.Ю. Радикальное лечение деформирующих форм слоновости поэтапным методом компрессионной и резекционнопластической редукции лимфедематозных тканей. Анналы хирургии. 2017;22(3): 181–186. Режим доступа: http://www.medlit.ru/journalsview/annalsofsurgery/view/journal/2017/issue-3/331-radikalnoelechenie-deformiruyuschih-form-slonovosti-poetapnym-metodom-kompressionnoy-i-rezekcionnoplasticheskoy-redukcii-limfedematoznyh-tkaney/.</mixed-citation><mixed-citation xml:lang="en">Malinin A.A., Sergeev S.Yu. Radical treatment of deforming forms of elephantia by a phased method of compression and resection and plastic reduction of lymphadematous tissues. Annaly khirurgii = Annals of Surgery. 2017;22(3):181–186. (In Russ.) Available at: http://www.medlit.ru/journalsview/annalsofsurgery/view/journal/2017/issue-3/331-radikal-noe-lechenie-deformiruyus-chih-form-slonovosti-poetapnym-metodom-kompressionnoy-i-rezekcionnoplasticheskoy-redukcii-limfedematoznyh-tkaney/.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Schaverien M.V., Coroneos C.J. Surgical treatment of lymphedema. Plast Reconstr Surg. 2019;144(3):738–758. doi: 10.1097/PRS.0000000000005993.</mixed-citation><mixed-citation xml:lang="en">Schaverien M.V., Coroneos C.J. Surgical treatment of lymphedema. Plast Reconstr Surg. 2019;144(3):738–758. doi: 10.1097/PRS.0000000000005993.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Lasinski B.B., McKillip Thrift K., Squire D., Austin M.K., Smith K.M., wanchai A. et al. A Systematic Review of the Evidence for Complete Decongestive Therapy in the Treatment of Lymphedema From 2004 to 2011. PM&amp;R. 2012;4(8):580–601. doi: 10.1016/j.pmrj.2012.05.003.</mixed-citation><mixed-citation xml:lang="en">Lasinski B.B., McKillip Thrift K., Squire D., Austin M.K., Smith K.M., wanchai A. et al. A Systematic Review of the Evidence for Complete Decongestive Therapy in the Treatment of Lymphedema From 2004 to 2011. PM&amp;R. 2012;4(8):580–601. doi: 10.1016/j.pmrj.2012.05.003.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Mosti G., Partsch H. Self-management by firm, non-elastic adjustable compression wrap device [Translation of Druckmessungen unter Klettverschluss-Kompression – Selbstbehandlung durch feste, unelastische Beinwickelung]. Veins and Lymphatics. 2017;6(3). doi: 10.4081/vl.2017.7003.</mixed-citation><mixed-citation xml:lang="en">Mosti G., Partsch H. Self-management by firm, non-elastic adjustable compression wrap device [Translation of Druckmessungen unter Klettverschluss-Kompression – Selbstbehandlung durch feste, unelastische Beinwickelung]. Veins and Lymphatics. 2017;6(3). doi: 10.4081/vl.2017.7003.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">The Diagnosis and Treatment of Peripheral Lymphedema: 2016 Consensus Document of the International Society of Lymphology. Lymphology. 2016;49(4):170–184. Available at: https://pubmed.ncbi.nlm.nih.gov/29908550/</mixed-citation><mixed-citation xml:lang="en">The Diagnosis and Treatment of Peripheral Lymphedema: 2016 Consensus Document of the International Society of Lymphology. Lymphology. 2016;49(4):170–184. Available at: https://pubmed.ncbi.nlm.nih.gov/29908550/</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Chang D.w., Suami H., Skoracki R. A prospective analysis of 100 consecutive lymphovenous bypass cases for treatment of extremity lymphedema. Plast Reconstr Surg. 2013;132(5):1305–1314. doi: 10.1097/PRS.0b013e3182a4d626.</mixed-citation><mixed-citation xml:lang="en">Chang D.w., Suami H., Skoracki R. A prospective analysis of 100 consecutive lymphovenous bypass cases for treatment of extremity lymphedema. Plast Reconstr Surg. 2013;132(5):1305–1314. doi: 10.1097/PRS.0b013e3182a4d626.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Granzow J.w., Soderberg J.M., Kaji A.H., Dauphineet C. An Effective System of Surgical Treatment of Lymphedema. Ann Surg Oncol. 2014;21(4):1189–1194. doi: 10.1245/s10434-014-3515-y.</mixed-citation><mixed-citation xml:lang="en">Granzow J.w., Soderberg J.M., Kaji A.H., Dauphineet C. An Effective System of Surgical Treatment of Lymphedema. Ann Surg Oncol. 2014;21(4):1189–1194. doi: 10.1245/s10434-014-3515-y.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Salgado C.J., Sassu P., Gharb B.B., di Spilimbergo S.S., Mardini S., Chen H.C. Radical reduction of upper extremity lymphedema with preservation of perforators. Ann Plast Surg. 2009;63(3):302–306. doi: 10.1097/SAP.0b013e31818d45aa.</mixed-citation><mixed-citation xml:lang="en">Salgado C.J., Sassu P., Gharb B.B., di Spilimbergo S.S., Mardini S., Chen H.C. Radical reduction of upper extremity lymphedema with preservation of perforators. Ann Plast Surg. 2009;63(3):302–306. doi: 10.1097/SAP.0b013e31818d45aa.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Karri V., Yang M.C., Lee I.J., Chen S.H., Hong J.P., Xu E.S. et al. Optimizing outcome of charles procedure for chronic lower extremity lymphoedema. Ann Plast Surg. 2011;66(4):393–402. doi: 10.1097/sap.0b013e3181d6e45e.</mixed-citation><mixed-citation xml:lang="en">Karri V., Yang M.C., Lee I.J., Chen S.H., Hong J.P., Xu E.S. et al. Optimizing outcome of charles procedure for chronic lower extremity lymphoedema. Ann Plast Surg. 2011;66(4):393–402. doi: 10.1097/sap.0b013e3181d6e45e.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Williams A. A review of the evidence for adjustable compression wrap devices. J Wound Care. 2016;25(5):242–247. doi: 10.12968/jowc.2016.25.5.242.</mixed-citation><mixed-citation xml:lang="en">Williams A. A review of the evidence for adjustable compression wrap devices. J Wound Care. 2016;25(5):242–247. doi: 10.12968/jowc.2016.25.5.242.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Богачев В.Ю., Капериз К.А. Некоторые практические аспекты применения регулируемых нерастяжимых компрессионных бандажей (РНКб). Стационарозамещающие технологии: Амбулаторная хирургия. 2019;(1–2):45–51. doi: 10.21518/1995-1477-2019-1-2-45-51.</mixed-citation><mixed-citation xml:lang="en">Богачев В.Ю., Капериз К.А. Некоторые практические аспекты применения регулируемых нерастяжимых компрессионных бандажей (РНКб). Стационарозамещающие технологии: Амбулаторная хирургия. 2019;(1–2):45–51. doi: 10.21518/1995-1477-2019-1-2-45-51.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Bogachev V.Y., Kaperiz K.A. Several practical aspects of the use of adjustable inelastic compression bandages (AICB). Statsionarozameshchayushchie tekhnologii: Ambulatornaya khirurgiya = Нospitalreplacing technologies: Ambulatory surgery. 2019;(1–2):45–51. (In Russ.) doi: 10.21518/1995-1477-2019-1-2-45-51.</mixed-citation><mixed-citation xml:lang="en">Bogachev V.Y., Kaperiz K.A. Several practical aspects of the use of adjustable inelastic compression bandages (AICB). Statsionarozameshchayushchie tekhnologii: Ambulatornaya khirurgiya = Нospitalreplacing technologies: Ambulatory surgery. 2019;(1–2):45–51. (In Russ.) doi: 10.21518/1995-1477-2019-1-2-45-51.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
