Patients History  

– Thai woman 54 year old, BW = 64.2 kg, BMI = 25.6

– Right leg swelling for 6 years

– Cervical cancer surgery & radiation in 2008 (7 years ago)

Diagnosis

– Secondary Lymphedema, Stage 2, Grade 3

Treatment

1. Reduction Phase:

– Twisting Tourniquet Technique (TTT) for at lease 5 days at Lymphedema Day Care Center

– Vegan diet (adjuvant therapy)

2. Maintenance Phase:  Apply

– Compression stocking ClassII (20-30 mmHg)

– Self-bandage by use elastic bandage (20-40 mmHg)

– Self-TTT at home during free time

– Vegan diet (All 3 meals a day)

Result  after 5 days of TTT                                      

– Volume reduction          =   3,111 mL

– Volume reduction rate    =    59.0 %