Phlebologie 2012; 41(06): 297-303
DOI: 10.1055/s-0037-1621835
Review
Schattauer GmbH

The “third“ circulation in human limbs – tissue fluid, lymph and lymphatics

Der „dritte“ Kreislauf in menschlichen Extremitäten – Gewebeflüssigkeit, Lymphe und Lymphgefäße
W. L. Olszewski
1   Department of Surgical Research and Transplantology, Medical Research Center, Polish Academy of Sciences
2   Central Clinical Hospital, Ministry of Internal Affairs, Warsaw, Poland
› Author Affiliations
Further Information

Publication History

Publication Date:
30 December 2017 (online)

Zusammenfassung

Der Autor stellt die aktuelle Definition des lymphatischen Systems vor, wie ähnlich und abhängig es vom venösen System ist, was seine Zusammensetzung ist, wie Gewebeflüssigkeit und Lymphe zwischen Zellen und Blutzirkulation ausgetauscht wird, wie sich das in Lymphödemen ändert und im Besonderen, was die Biochemie der Gewebeflüssigkeit bzw. Lymphe ist, deren Druck und Fluss, die Histopathologie und die Lokalisation und schließlich, wie man die häufigsten Komplikationen bei Lymphödemen behandelt, die Dermatolymphangioadentitis.

Summary

The author presents the actual definition of the lymphatic system, how close and dependent it is on the venous system, what is its composition, how does tissue fluid and lymph flow between the cells to the blood circulation, how it is changed in lymphedema, and in particular what is the tissue fluid/ lymph biochemistry, pressure and flow, histo-pathology and tissue location, and finally how to manage the most common complication of lymphedema that is dermato-lymphangioadenitis.

 
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