Evaluation of Female Leg Edema Through Ultrasonography

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Authors

  • Eri Ikuta, RN, MA Graduate School of Human Nursing,The University of Shiga Prefecture, Shiga, 522-8533, Japan
  • Yumiko Watanabe, CNM, MA Department of Women’s Health, Graduate School of Human Nursing,The University of Shiga Prefecture, Shiga, 522-8533, Japan
  • Nami Yanagisawa, CNM, MA School of Nursing,Tsuruga Nursing University, Fukui, 914-0814, Japan
  • Miwa Nakagawa, RN, MA Graduate School of Human Nursing,The University of Shiga Prefecture, Shiga, 522-8533, Japan
  • Ayumi Ono, RN, MA Graduate School of Human Nursing,The University of Shiga Prefecture, Shiga, 522-8533, Japan
  • Keiko Seki, CNM, MA Graduate School of Human Nursing,The University of Shiga Prefecture, Shiga, 522-8533, Japan
  • Makiko Oowaki, CNM,PhD Graduate School of Human Nursing,The University of Shiga Prefecture, Shiga, 522-8533, Japan
  • Masafumi Koshiyama, MD,PhD Department of Women’s Health, Graduate School of Human Nursing,The University of Shiga Prefecture, Shiga, 522-8533, Japan
  • Shin-ichi Sakamoto, Dr Eng School of Engineering, Department of Electronic Systems Engineering,The University of Shiga Prefecture, Shiga, 522-8533, Japan

DOI:

https://doi.org/10.17140/whoj.2024.v10.i01.pp05-07.6

Keywords:

heart failure, preeclampsia, cirrhosis, pulmonary hypertension, and renal failure

Abstract

Peripheral edema is the swelling of lower legs or hands. Venous edema, which differs from lymphedema, occurs when
something disrupts the usual balance of body fluids1
and involves
the accumulation of fluid in the extracellular compartment, which
results in an increase in the volume of interstitial fluid.2
Physiologically, a balance exists between intravascular hydrostatic and oncotic
pressures and the interstitial pressure.3
Transcapillary hydrostatic
pressure tends to drain fluid from blood vessels, whereas oncotic pressure (hypoalbuminemia) tends to produce fluid retention
in blood vessels. Venous edema consists of excess low-viscosity,
protein-poor interstitial fluid resulting from increased capillary filtration that cannot be accommodated by a normal lymphatic system.4
Thus, fluid movement occurs from the venous system into
the extravascular space. Initially, gravity pulls the fluid down into
both legs and feet.

References

Watanabe Y, koshiyama M, Seki K, Nakagawa M, Ikuta E, Oowaki M, et al. Development and themes of giagnostic and treat-ment procedures for decondary leg lymphedema in patients with gynecologic cancers. Healthcare (Basel). 2019; 7: 1-19. doi: 10.3390/ healthcare7030101

Watanabe Y, Koshiyama M, Yanagisawa N. Treatment of leg and foot edema in women. Women Health Open J. 2017; 3: 68-73. doi: 10.17140/WHOJ-3-124

Priollet P. Venous edema of the lower limbs. Phlebolymphology Website. https://www.phlebolymphology.org/venous-edema-of-the-lower-limbs/. Accessed March 5, 2020.

Gorman WP, Davis KR, Donnelly R. ABC of arterial and ve-nous disease. Swollen lower limb-1: General assessment and deep vein thrombosis. BMJ. 2000; 320: 1453-1456. doi: 10.1136/ bmj.320.7247.1453

Ely JW, Osheroff JA, Chambliss ML, Ebell MH. Approach to leg edema of unclear etiology. J Am Board Fam Med. 2006; 19: 148- 160. doi: 10.3122/jabfm.19.2.148

Suehiro K, Morikage N, Murakami M, Yamashita O, Ueda K, Samura M, et al. Subcutaneous tissue ultrasonography in legs with dependent edema and secondary lymphedema. Ann Vasc Dis. 2014; 7: 21-27. doi: 10.3400/avd.oa.13-00107

Iuchi T, Kobayashi M, Tsuchiya S, Ohno N, Dai M, Matsumoto M, et al. Objective assessment of leg edema using ultrasonogra-phy with a gel pad. PloS One. 2017; 12: 1-11. doi: 10.1371/journal. pone.0182042. eCollection 2017

Volkova AI, Edwards J, Stacey MC, Wallace HJ. High-frequency ultrasound measurement for assessing post-thrombotic syndrome and monitoring compression therapy in chronic venous disease. J Vasc Surg. 2009; 50: 820-825. doi: 10.1016/j.jvs.2009.05.060

Caggiati A. Ultrasonography of skin changes in legs with chron-ic venous disease. Eur J Endovasc Surg. 2016; 52: 534-542. doi:

1016/j.ejvs.2016.03.022 10. Comley K, Fleck NA. A micromechanical model for the Young’s modulus of adipose tissue. Int J Solids Struct. 2010; 47: 2982-2990. doi: 10.1016/j.ijsolstr.2010.07.001

Jain SM, Pandey K, Lahoti A, Rao PK. Evaluation of skin and subcutaneous tissue thickness at insulin injection sites in Indian, insulin naïve, type-2 diabetic adult population. Indian J Endocrinol Metab. 2013; 17: 864-870. doi: 10.4103/2230-8210.117249

Yanagisawa N, Koshiyama M, Watanabe Y, Sato S, Sakamoto S. Submit your article to this journal | https://openventio.org/submit-manuscript/ Koshiyama M et al A quantitative method to measure skin thickness in leg edema in pregnant women using B-scan portable ultrasonography: A com-parison between obese and non-obese women. Med Sci Monit. 2019; 25: 1-9. doi: 10.12659/MSM.911799

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Published

2024-05-20

How to Cite

Eri Ikuta, RN, MA, Yumiko Watanabe, CNM, MA, Nami Yanagisawa, CNM, MA, Miwa Nakagawa, RN, MA, Ayumi Ono, RN, MA, Keiko Seki, CNM, MA, … Shin-ichi Sakamoto, Dr Eng. (2024). Evaluation of Female Leg Edema Through Ultrasonography. Women’s Health, 5–7. https://doi.org/10.17140/whoj.2024.v10.i01.pp05-07.6

Issue

Volume 10 Issue 1 2024

Section

Articles

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