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By Jose Maria Pereira de Godoy & Maria de Fatima Guerreiro Godoy

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In other examples, such as deep venous thrombosis or chronic venous insufficiency, edema is due to a difficulty in the reabsorption of liquid by the venous system consequent to its vessel alterations. In these three cases, edema occurs even though the lymphatic system retains its integrity, but its functional capacity is surpassed, and it is working at hypermotility. 5g/dl, this type of edema is poor in proteins. In mechanical lymphatic insufficiency in contrast, the volume to be drained is normal, but the lymphatic system cannot absorb this fluid and its macromolecules; there remains therefore a fluid of high protein concentration.

55 The drainage of the hand and dorsal part of the forearm (radial and posterior ulnar currents) are made in the ascending anterior direction. The drainage of the dorsal region is also performed towaards the asillary lymphnodes 56 The lateral thoracic wall is drained towards the axillary lymph nodes. From the height of the umbilical region on, drainage is made towards the axillary lymph nodes. 57 At navel height is made the transition of the direction of the drainage, above towards the axillary lymph nodes and below, towards the inguinal ones.

The advantages reside in offering the patients an opportunity of treatment at a lesser cost. 43 STEP-BY-STEP DEMONSTRATION OF THE TECHNIQUE On the first figure observe the orientation of the illustrations. On the second, third and fourth illustrations, see the main lymph node chains which are normally drained: axillar, cervical and inguinal. Observe in this illustration the schematic representation of lymph vessels and the direction of flow. Green symbols represent the trajectory of vessels that flow together towards the ganglia.

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A New Approach to Manual Lymphatic Drainage by Jose Maria Pereira de Godoy & Maria de Fatima Guerreiro Godoy

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