Therapie des Lipödems mittels Liposuktion im Rahmen eines umfassenden Behandlungskonzeptes

Background: Lipedema is a painful, genetically induced, abnormal deposition of subcutaneous fat in the extremities of women. The pathogenesis is unknown. Also unknown is the number of women affected in Germany. This study presents the epidemiology of the disease. There are currently two treatment options available: Complex physical decongestive therapy and liposuction. Liposuction is the only method that removes fat permanently. An additional study proves its effectiveness and highlights its vital role as part of a comprehensive treatment concept. Patients and methods: As part of the epidemiological research, all patients of a general practioner were examined for leg problems. The liposuction study included the pre- and postoperative examination of 85 patients, which was carried out using a questionnaire. Results: Lipedema were diagnosed in 5 % of all patients of the GP practice. In all 85 patients liposuction significantly reduced pain, bruising and the tendency of swelling in the extremities. It therefore led to a significant improvement in the quality of life of the patients. Conclusion: Lipedema is a relatively common disorder among women. Liposuction forms part of an effective treatment plan, when it is used in conjunction with pre- and postoperative complex physical decongestive therapy, a sports program, treatment of concomitant obesity, as well as psychological support, if needed. Therefore a comprehensive treatment plan should be aimed at for a succesful result.