Nursing
Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/24
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Item A review of the literature relating to liposuction in women with lipoedema and Dercum’s disease(Wounds Group, 2019-06-24) Williams, Anne F.This paper reports on a review of the literature in liposuction for women with lipoedema and those with Dercum’s disease. The aims were: to identify the outcomes from liposuction in these two groups and describe adverse effects reported in the studies. A total of 10 studies met the inclusion and exclusion criteria, dated between 2006-2019. Improvements in pain, quality of life and mobility were common outcomes. There were indications that reliance on conservative treatments reduced after liposuction. The incidence of adverse effects appeared modest, including minor haematomas, postoperative swelling, orthostatic reactions, temporary bruising and burning sensations. However, the numbers studied were relatively small, particularly relating to Dercum’s disease. Findings were limited by retrospective evaluations, use of poorly validated tools, and relatively short follow-up periods in some studies. There were no randomised controlled trials. Lack of standardisation made it challenging to analyse and compare outcomes across different studies. Liposuction appears to play a role as a treatment option for some women in managing symptoms, however, further research is required to better explore efficacy and cost-effectiveness, monitor adverse effects, inform decision-making and identify key advice for women who undergo liposuction.Item Lipoedema — a fat disorder: Considerations for GPNs(Wound Care People, 2018-09) Williams, Anne F.Lipoedema is a fat and connective tissue disorder associated with proliferation of diet-resistant inflammatory fat tissue. It predominantly affects women and commonly manifests as symmetrical enlargement of the legs, buttocks and arms. Lipoedema often develops or worsens at key stages of life, such as puberty, pregnancy and menopause, and is associated with a variety of physical and psychosocial problems. It is poorly understood and women may be wrongly diagnosed as having lymphoedema or ‘obesity’, leading to a delay in accessing appropriate treatment and support. Lipoedema aetiology appears to include genetic, immune and endocrine factors, although the science is evolving and research is ongoing and, in the future, a clearer picture of lipoedema pathophysiology will emerge. This paper examines evidence relating to lipoedema pathophysiology, diagnosis, and the psychological impact of lipoedema, providing an overview of current treatment and selfmanagement approaches, and key considerations for general practice nurses (GPNs).