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To the Editor:—
In "The Medical Management of Lymphedema" (Foley, W. T.: Mod. Concepts Cardiovas. Dis.24:255 [Jan.] 1955) the use of Southey tubes is not mentioned, although Southey tubes had been used in lymphedema of the lower extremities many years ago and then were ignored and forgotten when the more spectacular diuretic agents appeared. Recently, this method for decompressing the lower limbs has regained some of its popularity, but, although clinicians are familiar with the use of Southey tubes in the lower extremity, their use for edema of the upper extremity has to my knowledge not been described. At the Cedars of Lebanon Hospital several patients have been so treated. Massive edema of the arm most commonly follows radical mastectomy, although there are many other causes, such as scarring of the axilla following surgical procedures, irradiation, infections, neoplastic invasion, and venous thrombosis, and it must be remembered that
Fox SL. SOUTHEY TUBES IN MANAGEMENT OF LYMPHEDEMA OF ARM. JAMA. 1955;158(9):775. doi:10.1001/jama.1955.02960090069012
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