Report from LYMPHO 2012

 by prof. Benda from  Czech Society of Lymphology

“LYMPHO 2012” was successful…

The traditional Congress of the Czech Society of Lymphology “LYMPHO 2012” with international participation took place in Brno on 12 and 13 October, for the first time under the auspices of the Minister of Health of the Czech Republic. The venue was in a rotunda of a functionalist architectural monument of the Brno Exhibition Centre. 109 doctors, 170 paramedical staff (nurses and physiotherapists), and 16 companies involved in Lymphology have registered for the congress.

Main topics of the congress meetings included new trends and practical experience in lymphology (anatomy, physiology and pathophysiology, diagnostics, treatment, complex care for patients with lymphedema). The scientific program consisted of 33 lectures, 1 poster, 4 specialized workshops and 3 company presentations. The keynote lectures were presented by leading international experts from Belgium, Italy, Germany, Austria and Slovakia. Their contributions, including discussions, were simultaneously translated.

The scientific program was divided into 6 sections. The first two of them included lectures by invited speakers. The first section was devoted to modern trends and new possibilities of diagnostic imaging of lymphatic system. Dr. Schingale (Germany) and Dr. Belgrado (Belgium) presented a revolutionary method of fluorescence lymphography (lymphofluoroscopy), and suggested possibilities of its clinical use in the algorithm of diagnostic procedures and evaluation of the results of limbs edema treatment. Their presentation provoked an extraordinary attention and a wide discussion. Prof. Bourgeois (Belgium) documented and emphasized the importance of lymphoscintigraphy for diagnostics and treatment evaluation of peripheral edema.

The second section focused on issues concerning principle and effect of manual lymphatic drainage (Prof. Eliška, Prague) and lymphofluoroscopy application in the detection and mapping of substitutional and collateral paths in the course of manual lymphatic drainage (Dr. Belgrado, Belgium). Prof. Partsch (Austria) presented new findings in the area of compression therapy of limb edema, from the perspective of applied pressure optimization, supported by experimental studies. Dr. Schingale (Germany) clearly summarized a complex effect of compression on tissues. There was a rich and fruitful simultaneously interpreted discussion in both sections.

The third section was devoted to the surgical treatment options of limb lymphedema, focused primarily on liposuction and establishment of lymphovenous connections (Assoc. Prof. Wald, Prague). The issue of mixed phlebolymphoedema treatment (Dr. Čepl, Dačice) and long-term problem of etiologic relationship between erysipelas and primary lymphedema (Dr. Džupina, Slovakia) were also discussed.

In the fourth, thematically varied section, problems of current lymphedema pharmacotherapy options (Dr. Ambrózy, Slovakia), perspectives of complex decongestive lymphedema therapy (Dr. Vlasák, Prague), neck lymphedema (Dr. Vojáčková, Prague) and a negative effect of a posttraumatic stress on the lymphatic system and soft tissues (Dr. Loskotová, Brno) were presented.

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