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R Cluzan

Publications and source records attributed to R Cluzan.

33 records · Page 2Linked to original sources
PubMedDate not supplied

[Principles and results of physiotherapeutic therapy in mechanical lymphatic insufficiency of secondary or primary nature].

The modern treatment of edemas in mechanical lymphatic insufficiency or lymphedema, combines the restarting of the remaining lymphatic system by manual lymphatic drainage, volumetric reduction by wrapping with bandages and exercise and maintaining the result by wearing a retention device. Intensive courses are necessary, followed by intercurrent course & sometimes a maintenance treatment. In view of the anatomico-functional deficit, all available armamentarium should be used in addition to the measures previously mentioned: hygiene measures, prescription of coumarin (Lysedem). Psychological care is of importance to motivate patients for long-term treatments, if good quality results are to be obtained. However, primary lymphedema seems to respond less favorably than secondary lymphedema.

Arm↗
PubMedDate not supplied

[Contribution of methods of exploration for the diagnosis and physiopathological interpretation of lymphatic insufficiency of whatever origin].

The diagnosis of lymphatic deficiency, essentially in clinic, sometimes necessitates complementary investigations to find out exactly the causes or type of the deficiency. All investigations of lymphatic function rely on the injection at a specific point of a substance which will follow the lymphatic ducts. Besides the injection of patent blue, with incomplete information, the value of direct lymphography in investigating a tumorous cause, and of indirect lymphography with less anatomical precision but allowing a kinetic study, should be emphasized. Oedema, always a sign of lymphatic involvement, can be investigated indirectly on the venous side by the usual known methods. Volumetric investigations ought perhaps to take into account the joint role of the vein and the lymph duct in the return to normal after venous occlusion. None of the known methods is absolutely perfect, but isotopic lymphography is, in our opinion, the most plausible correct method, still far from ideal but which can greatly help with the investigation of patients in emergency cases.

Humans↗