[Treatment of varicose veins and limb lymphedema].
Identifieur interne : 000097 ( France/Analysis ); précédent : 000096; suivant : 000098[Treatment of varicose veins and limb lymphedema].
Auteurs : S. Vignes [France]Source :
- Journal des maladies vasculaires [ 2214-8116 ] ; 2014.
Descripteurs français
- KwdFr :
- Bas de contention, Cils (malformations), Complications postopératoires (physiopathologie), Complications postopératoires (étiologie), Humains, Insuffisance veineuse (), Lymphadénectomie (effets indésirables), Lymphoedème (), Lymphoedème (imagerie diagnostique), Lymphoedème (physiopathologie), Lymphoedème (étiologie), Lymphographie, Lymphoscintigraphie, Varices ().
- MESH :
- effets indésirables : Lymphadénectomie.
- imagerie diagnostique : Lymphoedème.
- malformations : Cils.
- physiopathologie : Complications postopératoires, Lymphoedème.
- étiologie : Complications postopératoires, Lymphoedème.
- Bas de contention, Humains, Insuffisance veineuse, Lymphoedème, Lymphographie, Lymphoscintigraphie, Varices.
English descriptors
- KwdEn :
- Eyelashes (abnormalities), Humans, Lymph Node Excision (adverse effects), Lymphedema (diagnostic imaging), Lymphedema (etiology), Lymphedema (physiopathology), Lymphedema (therapy), Lymphography, Lymphoscintigraphy, Postoperative Complications (etiology), Postoperative Complications (physiopathology), Stockings, Compression, Varicose Veins (surgery), Venous Insufficiency (surgery).
- MESH :
- abnormalities : Eyelashes.
- adverse effects : Lymph Node Excision.
- diagnostic imaging : Lymphedema.
- etiology : Lymphedema, Postoperative Complications.
- physiopathology : Lymphedema, Postoperative Complications.
- surgery : Varicose Veins, Venous Insufficiency.
- therapy : Lymphedema.
- Humans, Lymphography, Lymphoscintigraphy, Stockings, Compression.
Abstract
Two questions arise when considering the treatment of varicose veins and the development of lymphedema: can the treatment cause lymphedema? Can it worsen it? Primary lymphedema is rarely associated with varicose veins except in the lymphedema-distichiasis syndrome. Data available in the literature is essentially based on surgical treatment. Stripping on a normal limb may induce chronic lymphedema in almost 0.1% of cases. The risk of lymphedema after stripping in patients with previous pelvic surgery including lymph node excision and/or radiotherapy remains unknown. In patients with lower limb lymphedema wearing strong elastic compression stockings, stripping provides little clinical improvement and can worsen volume. The main objective is also to avoid venous complications. Lymphatic lesions related to stripping can be evaluated by lymphography or lymphoscintigraphy. New techniques for treating varicose veins (sclerotherapy, endovenous laser treatment, radiofrequency ablation) seem to induce fewer lymphatic complications. Further studies are required to confirm these results. Indications for treatment should be unquestionable and patients must be alerted to the potential risk of lymphedema or its worsening.
DOI: 10.1016/j.jmv.2013.11.003
PubMed: 24315933
Affiliations:
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pubmed:24315933Le document en format XML
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Vignes</name><affiliation wicri:level="3"><nlm:affiliation>Unité de lymphologie, Centre national de référence des maladies vasculaires rares (lymphœdèmes primaires), hôpital Cognacq-Jay, 15, rue Eugène-Millon, 75015 Paris, France. Electronic address: stephane.vignes@cognacq-jay.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Unité de lymphologie, Centre national de référence des maladies vasculaires rares (lymphœdèmes primaires), hôpital Cognacq-Jay, 15, rue Eugène-Millon, 75015 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author></analytic><series><title level="j">Journal des maladies vasculaires</title><idno type="eISSN">2214-8116</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Eyelashes (abnormalities)</term><term>Humans</term><term>Lymph Node Excision (adverse effects)</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (etiology)</term><term>Lymphedema (physiopathology)</term><term>Lymphedema (therapy)</term><term>Lymphography</term><term>Lymphoscintigraphy</term><term>Postoperative Complications (etiology)</term><term>Postoperative Complications (physiopathology)</term><term>Stockings, Compression</term><term>Varicose Veins (surgery)</term><term>Venous Insufficiency (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Bas de contention</term><term>Cils (malformations)</term><term>Complications postopératoires (physiopathologie)</term><term>Complications postopératoires (étiologie)</term><term>Humains</term><term>Insuffisance veineuse ()</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphoedème ()</term><term>Lymphoedème (imagerie diagnostique)</term><term>Lymphoedème (physiopathologie)</term><term>Lymphoedème (étiologie)</term><term>Lymphographie</term><term>Lymphoscintigraphie</term><term>Varices ()</term></keywords><keywords scheme="MESH" qualifier="abnormalities" xml:lang="en"><term>Eyelashes</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lymphadénectomie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="malformations" xml:lang="fr"><term>Cils</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Complications postopératoires</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Varicose Veins</term><term>Venous Insufficiency</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Complications postopératoires</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Lymphography</term><term>Lymphoscintigraphy</term><term>Stockings, Compression</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Bas de contention</term><term>Humains</term><term>Insuffisance veineuse</term><term>Lymphoedème</term><term>Lymphographie</term><term>Lymphoscintigraphie</term><term>Varices</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Two questions arise when considering the treatment of varicose veins and the development of lymphedema: can the treatment cause lymphedema? Can it worsen it? Primary lymphedema is rarely associated with varicose veins except in the lymphedema-distichiasis syndrome. Data available in the literature is essentially based on surgical treatment. Stripping on a normal limb may induce chronic lymphedema in almost 0.1% of cases. The risk of lymphedema after stripping in patients with previous pelvic surgery including lymph node excision and/or radiotherapy remains unknown. In patients with lower limb lymphedema wearing strong elastic compression stockings, stripping provides little clinical improvement and can worsen volume. The main objective is also to avoid venous complications. Lymphatic lesions related to stripping can be evaluated by lymphography or lymphoscintigraphy. New techniques for treating varicose veins (sclerotherapy, endovenous laser treatment, radiofrequency ablation) seem to induce fewer lymphatic complications. Further studies are required to confirm these results. Indications for treatment should be unquestionable and patients must be alerted to the potential risk of lymphedema or its worsening.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Île-de-France</li></region><settlement><li>Paris</li></settlement></list><tree><country name="France"><region name="Île-de-France"><name sortKey="Vignes, S" sort="Vignes, S" uniqKey="Vignes S" first="S" last="Vignes">S. Vignes</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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