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Lipoedema

What may appear to an outsider as a trifle, for the person affected it can be a huge problem. Psychological stress is a highly individual feeling and should not be assessed or judged by anybody.

Our team at the Hanse-Klinik takes the matter as seriously as you. Our aim is to help you to feel healthy and more comfortable in your daily life with a well-proportioned body shape and an attractive appearance.

Many lipoedema patients have been struggling with this condition for many years and have numerous visits to doctors behind them. We have a sympathetic ear for your problems. Together with you we consider the further course of the therapy and discuss the ways in which we can improve the quality of your life.

We maintain close contact to counselling centres and self-help groups.

Symptoms

Lipoedema is a condition that occurs almost exclusively in women. It manifests itself as disproportioned voluminous legs often together with a slender trunk. The increasing accumulation of excess fat on the legs usually appears during puberty or after pregnancies and can hardly ever be influenced by a change of diet or by exercise. The causes are unknown though hormones and inheritance are thought to play an important role.

Complaints

In addition to the increase in volume of the legs – more rarely the arms – there is a feeling of tightness and heaviness as well as sensitivity to touch and pressure. This is a result of oedema (water retention) in the subcutaneous fatty tissue, which especially in the evenings is noticeable after long periods of standing or when it is warm. A further symptom is recurrent bruising.

Conservative treatment

The oedema can be removed by lymphatic drainage and using compression stockings (complete decongestive therapy, CDT). This leads to an improvement in symptoms, though the existing abnormal increase in subcutaneous fat will not be rectified.

Operative treatment

Since the introduction of liposuction (fat removal) it is possible for the first time to remove the increased volume of subcutaneous fatty tissue. The development of new techniques of local anaesthesia (tumescent anaesthesia) as well as new suction techniques (vibration-assisted liposuction) using thin and minimally-invasive microprobes have revolutionized the treatment of lipoedema. In this way not only your appearance and body proportions return to normal but there is also a marked improvement of physical and mental complaints.

Progression

For many of those affected the symptoms deteriorate during the course of their lives. Initially, in uniformly soft subcutaneous fatty tissue (stage I) nodules occur and the tissue becomes more solid (stage II). In the worst case extremely fat legs with the formation of bulging fat cuffs can arise (stage III).

Publications (cover)

Baumgartner A., Schmeller W. (2017)
Benigne asymmetrische Lipomatose Launois-Bensaude: Eine Kasuistik
Lymphologie in Forschung und Praxis 21 (2)2017: 2-3
Baumgartner A. (2017)
Magazine Article in the Norwegian Lympheposten “Lipoedema- a heavy burden”
in „Lymfeposten – Norsk Lymfødem og Lipødemforbunds Medlemsblad“, Nr. 3 (2017)
Frambach Y, Baumgartner A, Schmeller W (2016)
Lipödem – eine „schwere“ Diagnose?
Vasomed 5/2016: 2-3
Frambach Y, Baumgartner A, Schmeller W (2015)
Lipödem und LebensqualitätFrambach_26-8-2015.pdf
Vasomed 5/2015: 2-3
Baumgartner A, Hüppe M. Schmeller W (2016)
Long-term benefit of liposuction in patients with lipoedema: a follow-up study after an average of 4 and 8 years
Brit J Dermatol 174: 1061-1067
Schmeller W, Baumgartner A, Frambach Y (2015)
Sekundäres Lymphödem unter dem Bild einer einseitigen Lipohypertrophie (non-pitting lymphedema). Eine Kasuistik
LymphForsch 19 (2): 104-108
Baumgartner A, Hüppe M, Schmeller W (2015)
Wie lange profitieren Lipödempatientinnen von der Liposuktion? Eine Nachuntersuchung nach durchschnittlich vier und acht Jahren.
LymphForsch 19 (1): 8-14
Schmeller W, Baumgartner A (2014)
Operative Aspekte bei Liposuktion des Lipödems: Zwölf Fragen – zwölf Antworten
LymphForsch 18 (1): 6-12
Schmeller W, Baumgartner A (2013)
Benigne symmetrische Lipomatose Launois-Bensaude. Stellenwert der Liposuktion
LymphForsch 17 (2): 83-87
Schmeller W, Hartwig D (2012)
Lipödem mit kongenitaler Analbuminämie
LymphForsch 16 (2): 58-63
Schmeller W, Hueppe M, Meier-Vollrath I (2012)
Tumescent liposuction in lipoedema yields good long-term results
Brit J Dermatol 166: 161-168
Schmeller W, Meier-Vollrath I (2011)
Lipödem. Zertifizierte Fortbildung
vasomed 23 (4): 183-190
Schmeller W, Hüppe M, Meier-Vollrath I (2010)
Langzeitveränderungen nach Liposuktion bei Lipödem
LymphForsch 14 (2): 17-28
Schmeller W, Meier-Vollrath I (2010)
Liposuktion beim Lipödem als kassenärztliche Leistung, Pro und Kontra unter Beachtung gesundheitsökonomischer Aspekte
LymphForsch 14 (1): 9-13
Schmeller W, Meier-Vollrath I (2009)
Lipödem und Liposuktion: Erfahrungen mit dem Medizinischen Dienst der Krankenkassen (MDK)
LymphForsch 13 (2): 95-102
Schmeller W, Meier-Vollrath I (2009)
Lipödem. Moderne Diagnostik und Therapie
Gefässchirurgie 14; 516-522
Schmeller W, Meier-Vollrath I (2008)
Schmerzen beim Lipödem. Versuch einer Annäherung.
LymphForsch 12: 7-11
Schmeller W, Meier-Vollrath I (2008)
Lipödem: Neuer Stellenwert der Physiotherapie durch Kombination konservativer und operativer Maßnahmen.
pt Zeitschrift für Physiotherapeuten 60: 660-666
Schmeller W, Meier-Vollrath I (2007)
Das Lipödem: neue Möglichkeiten der Therapie
Schweiz Med Forum 7: 150-155
Schmeller W, Meier-Vollrath I (2006)
Lymphgefäßschädigung durch Liposuktion? Eine immunhistologische Untersuchung.
LymphForsch 10: 80-84
Schmeller W, Meier-Vollrath I (2005)
Lipödem: Ein Update
Lymphforsch 9: 10-20
Meier-Vollrath I, Schneider W, Schmeller W (2005)
Lipödem: Verbesserte Lebensqualität durch Therapiekombination.
Dt. Ärzteblatt 102: A1061-A1067
Schmeller W, Meier-Vollrath I (2004)
Erfolgreiche Therapie der Lipödems mittels Liposuktion.
Phlebologie 33: 23-29
Schmeller W. Meier-Vollrath I (2002)
Zum aktuellen Stand der Liposuktion
Der Deutsche Dermatologe 9: 590-594

LIPOEDEMA

All you need to know about Lipoedema / publications of the Hanse-Klinik here

Contact:

Hanse-Klinik GmbH
St.-Jürgen-Ring 66
23564 Lübeck
Germany

Phone: 0451 - 50 27 20
Telefax: 0451 - 50 27 219

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