Lipödem - Aktuelles zu einem weitgehend unbekannten krankheitsbild

Abstract

Lipoedema, a disease in women, is characterized by circumscribed accumulation of subcutaneous fat, mainly in the legs, with oedema, pain by tension and pressure and hematomas. Diagnosis can be achieved by clinical signs and symptoms. Up to now, only conservative therapy by manual lymphatic drainage, compression and physiotherapy was possible. Nowadays, surgical therapy with liposuction in tumescent local anaesthesia (TLA) can improve quality of life considerably by correcting morphology and discomfort. The combination of both therapeutic regimens is the new standard of treatment. © Georg Thieme Verlag KG Stuttgart.