Lymph Drainage Map

Lymphatic Drainage Of Lungs
Lymph Drainage Map Lymph Flow
Lymph Drainage Map
Lymph Node Drainage Map
Lymphatic Map
Lymph Node Drainage Map Dog

After hours researching and comparing all models on the market, we find out the Best lymph drainage map of 2021. Check our ranking and reviews below. Are you looking for the lymph drainage map of 2021? Romance University supports to analyzes, compares, reviews. If you've ever had a surgery on your lymph nodes, your doctor may have suggested lymphatic drainage massage. This is a technique used to remove waste fluids that build up following surgery. Lymphatic drainage of breast originates from breast lobules and flows through intramammary nodes and channels into a subareolar plexus, called Sappey’s plexus.From this plexus, lymphatic drainage takes place through three main routes that parallel venous tributaries. If the lymph system becomes sluggish, or is damaged by surgical removal of lymph nodes, edema can develop. This type of edema is called lymphostatic edema- or a high protein edema. Lymphatic drainage can be helpful in reducing this type of edema because the cause is a reduced functioning of the lymph system.

What is Lymphofluoroscopy?…

At LymphVision we use a near infrared (NIR) camera and Indocyanine Green (ICG) to allow us to see your lymphatics in real time. This world leading practice will allow for the identification and mapping of the functional lymphatic vessels and the observation of any areas of lymphoedema.

On the day…

You will usually be seen by Jane Wigg for an initial consultation, involving a discussion of your lymphoedema history and assessment. At this point we will explain the procedure, discuss any questions you may have and confirm your consent for us to carry out the procedure.

Following the consultation, the fluoroscopy involves injecting a tiny amount of Indocyanine Green (ICG) into the swollen area, usually a hand or foot. We use a Near Infrared camera to watch the initial uptake of the tracer into the lymphatics, this should take around 20 minutes. At this point we may be able to see your immediate drainage pathways, which we ‘map’ on the skin with a skin-safe marker. This is followed by the ‘wait time’, as it can take around 4 hours for the tracer to move through damaged lymphatics. We will ask you to return at an agreed time later in the day. This protocol helps us to ensure that we can fully map all affected areas. There is no reason why during this time you could not go about all usual activities, such as driving, walking, eating etc.

When you return for the mapping we will use the camera again and this time map the lymphatics fully. We use the skin-marker to denote areas of oedema, nodes and related lymphatic findings. These markings will make up an FG-MLD plan which will be sent to you to assist in your Self Lymphatic Drainage (SLD) but it can also be shared with your lymphoedema clinic or MLD therapist.

The Research…

LymphVision works closely with Professor JP Belgrado, who as a world leading expert, has been working with NIR fluoroscopy for over 5 years. His works have been presented globally regarding its technique, applications and outcomes for clinical practice in Lymphoedema and related conditions. This research has examined in excess of 1,600 pathological lymphatic patients through NIR fluoroscopy. This has identified common lymphatic pathways of differing pathologies, leading to a better understanding of lymphatic pathways and subsequent drainage. It has demonstrated what hand contacts, movement and pressure is necessary for effective drainage of the lymphatic system.

At LymphVision, we are committed to providing the very best patient care. We want you to feel relaxed and comfortable at your appointment so please contact us if you would like any additional information and we would be happy to discuss this with you further.

Thoracic lymph nodes are divided into 14 stations as defined by the International Association for the Study of Lung Cancer (IASLC) ¹, principally in the context of oncologic staging. For the purpose of prognostication, the stations may be grouped into seven zones. The IASLC definitions leave some ambiguous regions which can lead to misclassification ³.

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Supraclavicular zone

Lymphatic Drainage Of Lungs

Station 1 (left/right): low cervical, supraclavicular, and sternal notch nodes

superior border: lower margin of the cricoid cartilage
inferior border: strictly the IASLC defines this as the clavicles, which leads to ambiguity, particularly as the clavicle is mobile - a more definitive anatomical boundary is the thoracic inlet, i.e. 1^st rib²
left (1L) and right (1R) are divided by the midline of the trachea
station 1 nodes are outsidethe mediastinum and staged as an N3 disease; despite this, they can sometimes be treated with radical intent if they are encompassable in a radiotherapy field

Upper zone (superior mediastinal nodes)

Station 2 (left/right): upper paratracheal nodes

superior border: apex of lung / pleural space, thoracic inlet ²
left (2L) and right (2R) are divided along the left lateral border of the trachea, not the midline
inferior border of 2R: at the intersection of caudal margin of the left brachiocephalic vein with the trachea, i.e. abuts 4R
inferior border of 2L: superior border of the aortic arch, i.e. abuts 4L

Station 3A and 3P: pre-vascular and retrotracheal nodes

superior border: thoracic inlet
inferior border: carina
3A: prevascular - anterior to the great vessels (superior vena cava on the right, left common carotid artery on the left), posterior to the sternum
3P: retrotracheal - posterior to the trachea

Station 4 (left/right): lower paratracheal nodes

left (4L) and right (4R) are divided along the left lateral border of the trachea,not the midline
4R:
- superior border: intersection of caudal margin of the left brachiocephalic vein with the trachea, i.e. abuts 2R
- inferior border: inferior border of the azygos vein
4L:
- superior border: superior border of the aortic arch, i.e. abuts 2L
- inferior border: superior border of the left main pulmonary artery

pre-carinal nodes
- lymph nodes anterior to the tracheal bifurcation are inferior to the above anatomic definitions and are thus technically unclassified by IASLC
- these nodes are in the mediastinum (N2) and their surgical management mirrors that of 4R/4L lymph nodes, hence, pre-carinal nodes are best classified as part of the 4R/4L stations ²

Aortopulmonary zone

Station 5: subaortic nodes (aortopulmonary window)

lateral to ligamentum arteriosum
superior border: inferior border of the aortic arch
inferior border: superior border of the left main pulmonary artery

Station 6: para-aortic nodes, ascending aorta or phrenic

anterior and lateral to the ascending aorta and aortic arch
superior border: line tangential to the upper border of the aortic arch
inferior border: lower border of the aortic arch