Reduction of edema of lower extremities by subcutaneous, controlled drainage: Eight cases

Abstract

This paper discusses the pathophysiology and modern treatment of edema. Dissatisfied with the treatment available, the authors report on the use of a closed, controlled drainage procedure in eight patients with severe edema of the lower limbs. It is important to note that this technique is used as a palliative procedure. Seven out of the eight patients considered the procedure to have been worthwhile, experienced improvement, and died comfortably. Apart from actual pain and consequent insomnia, the discomfort and misery produced by the constant leaden drag of the paralyzed, inflexible, and bolster-like limbs are important factors in the sum total of misery produced by the disease. 1 W. Sampson Handley, 1908 1