Lymphonet/ Method / MLD
lymph nodes drainage / call up drainage / reabsorption maneuver

 
MANUAL LYMPHATIC DRAINAGE (MLD)
Our team has performed numerous anatomical studies during these past thirty years, using human cadavers  as well as live subjects in order to investigate the various trajectories of the lymphatic collectors (300 human cadavers for upper extremity AL1.32 ; for the head and neck OL1.2 ; for the lower limb (ref.)

We designed Manual Lymph Drainage after experimenting on live animals and healthy subjects (AL1.2, AL1.3, AL1.5, AL1.10, AL1.14, OL1.3, OL1.4, AL2.23).
 

We can summarize our technique as follows:


LYMPH NODES DRAINAGE
     
    Goal : assist  the lymph nodes drainage.
    Lymph nodes are emptied by simple pressure. It is not a stimulation because there is no contraction taking place in lymph nodes.

    The maneuver on lymph nodes clears up these nodes before theye receive the lymph  drained from  the oedmatous area.

     

    inguinal lymph nodes (159 Ko)
    popliteal lymph nodes (167 Ko)

CALL UP INCITING MANEUVER
 
This maneuver increases the frequency of contraction of smooth muscles of lymphangious of the lymphatic collectors of the area considered. This effect was related by lymphoscintigraphy  (OL1.1, OL1.3, OL1.4).

This technique generates  also an acceleration of the drainage of the elements of lymphedema. This is  the reason why we called it " call up technique " or inciting technique ".

 

Call up maneuver (157 Ko)
 

REABSORPTION MANEUVER
 
Goal : Increase the drainage of the lymphedema by lymphatic collectors and veins.

The manual lymph drainage increases significantly the drainage of large mollecules (OL1.3) by the lymphatic system and the drainage  of fluid by the venous system.

This technique must be applied on the site of lymphedema.

 

Reabsorption at the level of the thigh  (177 Ko)
Reabsorption at the level of the foot  (153 Ko)
 
The technique of application of manual lymph drainage must be adapted to the specific pathology to be treated. The substitution pathways must be used only on patients who underwent a lymph nodes removal. In other cases, it is recommended to respect the classic anatomy considering some specific pathways which are not always described in anatomy but that we have  discovered during our cadaveric dissections.
The relative duration of manual lymph drainage in a treatment may vary. For example, for a lower extremity edema, it may last from 15 to 20 minutes in case of edema post trauma, it may last one half hour for a congenital edema and 45 minutes for a lymphedema post oncologic surgery…
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