Indications

Primary lymphedema:

• Caused by congenital malformations of the lymph vessels.

Secondary lymphedema:

• Limbs, breast, head/neck, genitalia after cancer treatment and cancer relapses as well as after surgery.

Post-traumatic lymphedema:

• After accidents and severe infections.

Lymphedema associated with obesity:

• Lymphedema caused by severe obesity.

Complex vascular malformations

• with associated lymphedema.

Malformation of the lymph vessels of the inner organs

• with protein-losing enteropathy
• with chylous effusions in the thorax and abdomen; refluxes.

Lymphedema combination forms:

• postthrombotic syndrome with or without open wounds.
• Phlebolymphedema with varicose veins. Edema associated with rheumatic/orthopedic/neurological diseases and complex regional pain syndrome (CRPS).

Lipedema, lipo-lymphedema

Chronic multicausal lymphedema

• in particular in elderly patients.

Generalized edema such as:

• Cyclic-idiopathic edema
• Fluid retention syndrome e.g. in polycystic ovary syndrome or diabetes mellitus type II.