[libribook.com] Traumatic Scar Tissue Management 1st Edition
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[libribook.com] Traumatic Scar Tissue Management 1st Edition

hongchingyee
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16.06.2020 Views

Fig 3.5Brain lymphatic vessels.Given the lymph and immune systems role in wound healing, one can surmise that future work inthis area may reveal significant considerations for scar management.Lymph flow is a one-way system directed toward the heart. The lymphaticsystem begins out in the tissues as small lymphatic vessels (lymph capillaries)and continues with successively larger lymphatic vessels (collectors and trunks),which ultimately connect to the venous part of the blood vascular system.There is no central pump; lymph vessels produce their own propulsion systemwith a network of smooth musculature located in the walls of lymph collectorsand trunks. In addition to phasic contraction of smooth muscle, lymph flow isalso assisted by pressure gradients, skeletal muscle contraction, intestinalmotility, respiration, extrinsic compression forces, movement (active andpassive) and manual lymphatic techniques (Rockson 2001, Knott et al. 2005,Hodge et al. 2007 & 2010, Macdonald et al. 2008, Quick et al. 2008, Davis et al.2009, Huff et al. 2010, Hodge & Downey 2011).

Clinical ConsiderationManual lymphatic techniques improve lymph flow, reduce edema andboost immunity (Knott et al. 2005, Hodge & Downey 2011).Since the lymph vessels work according to the one-way principle and not as aclosed circulatory system, it is more appropriate to speak of lymph transportrather than lymph circulation. While the flow of blood through the blood vesselsis uninterrupted, the transport of lymph through the lymph vessel system isinterrupted by lymph nodes, where the lymph is filtered, cleaned andconcentrated (see Fig. 3.6).

Clinical Consideration

Manual lymphatic techniques improve lymph flow, reduce edema and

boost immunity (Knott et al. 2005, Hodge & Downey 2011).

Since the lymph vessels work according to the one-way principle and not as a

closed circulatory system, it is more appropriate to speak of lymph transport

rather than lymph circulation. While the flow of blood through the blood vessels

is uninterrupted, the transport of lymph through the lymph vessel system is

interrupted by lymph nodes, where the lymph is filtered, cleaned and

concentrated (see Fig. 3.6).

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