Circumferential suction‐assisted lipectomy for lymphoedema after surgery for breast cancer
Identifieur interne : 006698 ( Main/Curation ); précédent : 006697; suivant : 006699Circumferential suction‐assisted lipectomy for lymphoedema after surgery for breast cancer
Auteurs : R. J. Damstra [Pays-Bas] ; H. G. J. M. Voesten [Pays-Bas] ; P. Klinkert [Pays-Bas] ; H. Brorson [Suède]Source :
- British Journal of Surgery [ 0007-1323 ] ; 2009-08.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Bras, Complications postopératoires (), Complications postopératoires (étiologie), Dispositifs à compression pneumatique intermittente, Durée du séjour, Femelle, Humains, Lipectomie (), Lymphoedème (), Lymphoedème (anatomopathologie), Lymphoedème (étiologie), Soins postopératoires, Sujet âgé, Tissu adipeux (anatomopathologie), Tumeurs du sein (), Tumeurs du sein (anatomopathologie), Études prospectives.
- MESH :
- anatomopathologie : Lymphoedème, Tissu adipeux, Tumeurs du sein.
- étiologie : Complications postopératoires, Lymphoedème.
- Adulte, Adulte d'âge moyen, Bras, Complications postopératoires, Dispositifs à compression pneumatique intermittente, Durée du séjour, Femelle, Humains, Lipectomie, Lymphoedème, Soins postopératoires, Sujet âgé, Tumeurs du sein, Études prospectives.
- Pascal (Inist)
- Wicri :
English descriptors
- KwdEn :
- Adipose Tissue (pathology), Adult, Aged, Arm, Breast Neoplasms (pathology), Breast Neoplasms (surgery), Breast cancer, Female, Humans, Intermittent Pneumatic Compression Devices, Length of Stay, Lipectomy (methods), Liposuction, Lymphedema, Lymphedema (etiology), Lymphedema (pathology), Lymphedema (surgery), Malignant tumor, Mammary gland, Medicine, Middle Aged, Postoperative Care, Postoperative Complications (etiology), Postoperative Complications (surgery), Prospective Studies, Surgery, Treatment.
- MESH :
- etiology : Lymphedema, Postoperative Complications.
- methods : Lipectomy.
- pathology : Adipose Tissue, Breast Neoplasms, Lymphedema.
- surgery : Breast Neoplasms, Lymphedema, Postoperative Complications.
- Adult, Aged, Arm, Female, Humans, Intermittent Pneumatic Compression Devices, Length of Stay, Middle Aged, Postoperative Care, Prospective Studies.
Abstract
The incidence of arm lymphoedema after treatment for breast cancer ranges from 1 to 49 per cent. Although most women can be treated by non‐operative means with satisfying results, end‐stage lymphoedema is often non‐responsive to compression, where hypertrophy of adipose tissue limits the outcome value of compression or massage.
Url:
DOI: 10.1002/bjs.6658
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ISTEX:E7C7786E38BE9E9E7EB3D3F57000139E54A68F25Le document en format XML
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J." last="Damstra">R. J. Damstra</name><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Dermatology, Phlebology and Lymphology</wicri:regionArea><wicri:noRegion>Phlebology and Lymphology</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Dermatology, Phlebology and Lymphology, Nij Smellinghe Hospital, PO Box 20200, 9200 DA Drachten</wicri:regionArea><wicri:noRegion>9200 DA Drachten</wicri:noRegion></affiliation></author><author><name sortKey="Voesten, H G J M" sort="Voesten, H G J M" uniqKey="Voesten H" first="H. G. J. M." last="Voesten">H. G. J. M. Voesten</name><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Vascular Surgery, Nij Smellinghe Hospital, Drachten</wicri:regionArea><wicri:noRegion>Drachten</wicri:noRegion></affiliation></author><author><name sortKey="Klinkert, P" sort="Klinkert, P" uniqKey="Klinkert P" first="P." last="Klinkert">P. Klinkert</name><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Vascular Surgery, Tjongerschans Hospital, Heerenveen</wicri:regionArea><wicri:noRegion>Heerenveen</wicri:noRegion></affiliation></author><author><name sortKey="Brorson, H" sort="Brorson, H" uniqKey="Brorson H" first="H." last="Brorson">H. Brorson</name><affiliation wicri:level="1"><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Clinical Sciences Malmö, Lund University, Plastic and Reconstructive Surgery, Malmö University Hospital, Malmö</wicri:regionArea><wicri:noRegion>Malmö</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">British Journal of Surgery</title><title level="j" type="alt">BRITISH JOURNAL OF SURGERY</title><idno type="ISSN">0007-1323</idno><idno type="eISSN">1365-2168</idno><imprint><biblScope unit="vol">96</biblScope><biblScope unit="issue">8</biblScope><biblScope unit="page" from="859">859</biblScope><biblScope unit="page" to="864">864</biblScope><biblScope unit="page-count">6</biblScope><publisher>John Wiley & Sons, Ltd.</publisher><pubPlace>Chichester, UK</pubPlace><date type="published" when="2009-08">2009-08</date></imprint><idno type="ISSN">0007-1323</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0007-1323</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adipose Tissue (pathology)</term><term>Adult</term><term>Aged</term><term>Arm</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (surgery)</term><term>Breast cancer</term><term>Female</term><term>Humans</term><term>Intermittent Pneumatic Compression Devices</term><term>Length of Stay</term><term>Lipectomy (methods)</term><term>Liposuction</term><term>Lymphedema</term><term>Lymphedema (etiology)</term><term>Lymphedema (pathology)</term><term>Lymphedema (surgery)</term><term>Malignant tumor</term><term>Mammary gland</term><term>Medicine</term><term>Middle Aged</term><term>Postoperative Care</term><term>Postoperative Complications (etiology)</term><term>Postoperative Complications (surgery)</term><term>Prospective Studies</term><term>Surgery</term><term>Treatment</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bras</term><term>Complications postopératoires ()</term><term>Complications postopératoires (étiologie)</term><term>Dispositifs à compression pneumatique intermittente</term><term>Durée du séjour</term><term>Femelle</term><term>Humains</term><term>Lipectomie ()</term><term>Lymphoedème ()</term><term>Lymphoedème (anatomopathologie)</term><term>Lymphoedème (étiologie)</term><term>Soins postopératoires</term><term>Sujet âgé</term><term>Tissu adipeux (anatomopathologie)</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (anatomopathologie)</term><term>Études prospectives</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Lymphoedème</term><term>Tissu adipeux</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lipectomy</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Adipose Tissue</term><term>Breast Neoplasms</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term><term>Lymphedema</term><term>Postoperative Complications</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>Adult</term><term>Aged</term><term>Arm</term><term>Female</term><term>Humans</term><term>Intermittent Pneumatic Compression Devices</term><term>Length of Stay</term><term>Middle Aged</term><term>Postoperative Care</term><term>Prospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bras</term><term>Complications postopératoires</term><term>Dispositifs à compression pneumatique intermittente</term><term>Durée du séjour</term><term>Femelle</term><term>Humains</term><term>Lipectomie</term><term>Lymphoedème</term><term>Soins postopératoires</term><term>Sujet âgé</term><term>Tumeurs du sein</term><term>Études prospectives</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Cancer du sein</term><term>Chirurgie</term><term>Glande mammaire</term><term>Liposuccion</term><term>Lymphoedème</term><term>Médecine</term><term>Traitement</term><term>Tumeur maligne</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term><term>Médecine</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">The incidence of arm lymphoedema after treatment for breast cancer ranges from 1 to 49 per cent. Although most women can be treated by non‐operative means with satisfying results, end‐stage lymphoedema is often non‐responsive to compression, where hypertrophy of adipose tissue limits the outcome value of compression or massage.</div></front></TEI><double idat="0007-1323:2009:Damstra R:circumferential:suction:assisted"><INIST><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Circumferential suction-assisted lipectomy for lymphoedema after surgery for breast cancer</title><author><name sortKey="Damstra, R J" sort="Damstra, R J" uniqKey="Damstra R" first="R. J." last="Damstra">R. J. Damstra</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Departments of Dermatology, Phlebology and Lymphology, Tjongerschans Hospital</s1><s2>Heerenveen</s2><s3>NLD</s3><sZ>1 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Heerenveen</wicri:noRegion></affiliation></author><author><name sortKey="Voesten, H G J M" sort="Voesten, H G J M" uniqKey="Voesten H" first="H. G. J. M." last="Voesten">H. G. J. M. Voesten</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Vascular Surgery, Nij Smellinghe Hospital, Drachten, Tjongerschans Hospital</s1><s2>Heerenveen</s2><s3>NLD</s3><sZ>2 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Heerenveen</wicri:noRegion></affiliation></author><author><name sortKey="Klinkert, P" sort="Klinkert, P" uniqKey="Klinkert P" first="P." last="Klinkert">P. Klinkert</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Vascular Surgery, Tjongerschans Hospital</s1><s2>Heerenveen</s2><s3>NLD</s3><sZ>3 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Heerenveen</wicri:noRegion></affiliation></author><author><name sortKey="Brorson, H" sort="Brorson, H" uniqKey="Brorson H" first="H." last="Brorson">H. Brorson</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Department of Clinical Sciences Malmö, Lund University, Plastic and Reconstructive Surgery, Malmö University Hospital</s1><s2>Malmö</s2><s3>SWE</s3><sZ>4 aut.</sZ></inist:fA14><country>Suède</country><wicri:noRegion>Malmö</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">09-0314465</idno><date when="2009">2009</date><idno type="stanalyst">PASCAL 09-0314465 INIST</idno><idno type="RBID">Pascal:09-0314465</idno><idno type="wicri:Area/PascalFrancis/Corpus">000320</idno><idno type="wicri:Area/PascalFrancis/Curation">000638</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000342</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000342</idno><idno type="wicri:doubleKey">0007-1323:2009:Damstra R:circumferential:suction:assisted</idno><idno type="wicri:Area/Main/Merge">006912</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Circumferential suction-assisted lipectomy for lymphoedema after surgery for breast cancer</title><author><name sortKey="Damstra, R J" sort="Damstra, R J" uniqKey="Damstra R" first="R. J." last="Damstra">R. J. Damstra</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Departments of Dermatology, Phlebology and Lymphology, Tjongerschans Hospital</s1><s2>Heerenveen</s2><s3>NLD</s3><sZ>1 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Heerenveen</wicri:noRegion></affiliation></author><author><name sortKey="Voesten, H G J M" sort="Voesten, H G J M" uniqKey="Voesten H" first="H. G. J. M." last="Voesten">H. G. J. M. Voesten</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Vascular Surgery, Nij Smellinghe Hospital, Drachten, Tjongerschans Hospital</s1><s2>Heerenveen</s2><s3>NLD</s3><sZ>2 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Heerenveen</wicri:noRegion></affiliation></author><author><name sortKey="Klinkert, P" sort="Klinkert, P" uniqKey="Klinkert P" first="P." last="Klinkert">P. Klinkert</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Vascular Surgery, Tjongerschans Hospital</s1><s2>Heerenveen</s2><s3>NLD</s3><sZ>3 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Heerenveen</wicri:noRegion></affiliation></author><author><name sortKey="Brorson, H" sort="Brorson, H" uniqKey="Brorson H" first="H." last="Brorson">H. Brorson</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Department of Clinical Sciences Malmö, Lund University, Plastic and Reconstructive Surgery, Malmö University Hospital</s1><s2>Malmö</s2><s3>SWE</s3><sZ>4 aut.</sZ></inist:fA14><country>Suède</country><wicri:noRegion>Malmö</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">British journal of surgery</title><title level="j" type="abbreviated">Br. j. surg.</title><idno type="ISSN">0007-1323</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">British journal of surgery</title><title level="j" type="abbreviated">Br. j. surg.</title><idno type="ISSN">0007-1323</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Breast cancer</term><term>Liposuction</term><term>Lymphedema</term><term>Malignant tumor</term><term>Mammary gland</term><term>Medicine</term><term>Surgery</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Lymphoedème</term><term>Liposuccion</term><term>Chirurgie</term><term>Tumeur maligne</term><term>Glande mammaire</term><term>Médecine</term><term>Cancer du sein</term><term>Traitement</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term><term>Médecine</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: The incidence of arm lymphoedema after treatment for breast cancer ranges from 1 to 49 per cent. Although most women can be treated by non-operative means with satisfying results, end-stage lymphoedema is often non-responsive to compression, where hypertrophy of adipose tissue limits the outcome value of compression or massage. Methods: This was a prospective study of 37 women with unilateral non-pitting lymphoedema. After initial conservative treatment for 2-4 days, circumferential suction-assisted lipectomy was used to remove excess volume. Limb compression was resumed after surgery with short-stretch bandages, followed by flat-knit compression garments. Results: The mean preoperative excess arm volume was 1399 ml. The total aspirate volume was 2124 ml with 93 per cent aspirate adipose tissue content. After 12 months, the mean reduction in excess volume was 118 per cent. The percentage reduction in excess volume after 12 months was linearly related to the preoperative excess volume but showed no linear relationship with the duration of lymphoedema or surgeon experience. Conclusion: Circumferential lipectomy combined with lifelong compression hose is an effective technique in end-stage lymphoedema after treatment for breast cancer.</div></front></TEI></INIST><ISTEX><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Circumferential suction‐assisted lipectomy for lymphoedema after surgery for breast cancer</title><author><name sortKey="Damstra, R J" sort="Damstra, R J" uniqKey="Damstra R" first="R. J." last="Damstra">R. J. Damstra</name></author><author><name sortKey="Voesten, H G J M" sort="Voesten, H G J M" uniqKey="Voesten H" first="H. G. J. M." last="Voesten">H. G. J. M. Voesten</name></author><author><name sortKey="Klinkert, P" sort="Klinkert, P" uniqKey="Klinkert P" first="P." last="Klinkert">P. Klinkert</name></author><author><name sortKey="Brorson, H" sort="Brorson, H" uniqKey="Brorson H" first="H." last="Brorson">H. Brorson</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:E7C7786E38BE9E9E7EB3D3F57000139E54A68F25</idno><date when="2009" year="2009">2009</date><idno type="doi">10.1002/bjs.6658</idno><idno type="url">https://api.istex.fr/document/E7C7786E38BE9E9E7EB3D3F57000139E54A68F25/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">006C78</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">006C78</idno><idno type="wicri:Area/Istex/Curation">006C78</idno><idno type="wicri:Area/Istex/Checkpoint">000E38</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">000E38</idno><idno type="wicri:doubleKey">0007-1323:2009:Damstra R:circumferential:suction:assisted</idno><idno type="wicri:source">PubMed</idno><idno type="RBID">pubmed:19591161</idno><idno type="wicri:Area/PubMed/Corpus">002E06</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002E06</idno><idno type="wicri:Area/PubMed/Curation">002E06</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">002E06</idno><idno type="wicri:Area/PubMed/Checkpoint">002E06</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">002E06</idno><idno type="wicri:Area/Ncbi/Merge">003506</idno><idno type="wicri:Area/Ncbi/Curation">003506</idno><idno type="wicri:Area/Ncbi/Checkpoint">003506</idno><idno type="wicri:Area/Main/Merge">006776</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Circumferential suction‐assisted lipectomy for lymphoedema after surgery for breast cancer</title><author><name sortKey="Damstra, R J" sort="Damstra, R J" uniqKey="Damstra R" first="R. J." last="Damstra">R. J. Damstra</name><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Dermatology, Phlebology and Lymphology</wicri:regionArea><wicri:noRegion>Phlebology and Lymphology</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Dermatology, Phlebology and Lymphology, Nij Smellinghe Hospital, PO Box 20200, 9200 DA Drachten</wicri:regionArea><wicri:noRegion>9200 DA Drachten</wicri:noRegion></affiliation></author><author><name sortKey="Voesten, H G J M" sort="Voesten, H G J M" uniqKey="Voesten H" first="H. G. J. M." last="Voesten">H. G. J. M. Voesten</name><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Vascular Surgery, Nij Smellinghe Hospital, Drachten</wicri:regionArea><wicri:noRegion>Drachten</wicri:noRegion></affiliation></author><author><name sortKey="Klinkert, P" sort="Klinkert, P" uniqKey="Klinkert P" first="P." last="Klinkert">P. Klinkert</name><affiliation wicri:level="1"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Vascular Surgery, Tjongerschans Hospital, Heerenveen</wicri:regionArea><wicri:noRegion>Heerenveen</wicri:noRegion></affiliation></author><author><name sortKey="Brorson, H" sort="Brorson, H" uniqKey="Brorson H" first="H." last="Brorson">H. Brorson</name><affiliation wicri:level="1"><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Clinical Sciences Malmö, Lund University, Plastic and Reconstructive Surgery, Malmö University Hospital, Malmö</wicri:regionArea><wicri:noRegion>Malmö</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">British Journal of Surgery</title><title level="j" type="alt">BRITISH JOURNAL OF SURGERY</title><idno type="ISSN">0007-1323</idno><idno type="eISSN">1365-2168</idno><imprint><biblScope unit="vol">96</biblScope><biblScope unit="issue">8</biblScope><biblScope unit="page" from="859">859</biblScope><biblScope unit="page" to="864">864</biblScope><biblScope unit="page-count">6</biblScope><publisher>John Wiley & Sons, Ltd.</publisher><pubPlace>Chichester, UK</pubPlace><date type="published" when="2009-08">2009-08</date></imprint><idno type="ISSN">0007-1323</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0007-1323</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adipose Tissue (pathology)</term><term>Adult</term><term>Aged</term><term>Arm</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (surgery)</term><term>Female</term><term>Humans</term><term>Intermittent Pneumatic Compression Devices</term><term>Length of Stay</term><term>Lipectomy (methods)</term><term>Lymphedema (etiology)</term><term>Lymphedema (pathology)</term><term>Lymphedema (surgery)</term><term>Middle Aged</term><term>Postoperative Care</term><term>Postoperative Complications (etiology)</term><term>Postoperative Complications (surgery)</term><term>Prospective Studies</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bras</term><term>Complications postopératoires ()</term><term>Complications postopératoires (étiologie)</term><term>Dispositifs à compression pneumatique intermittente</term><term>Durée du séjour</term><term>Femelle</term><term>Humains</term><term>Lipectomie ()</term><term>Lymphoedème ()</term><term>Lymphoedème (anatomopathologie)</term><term>Lymphoedème (étiologie)</term><term>Soins postopératoires</term><term>Sujet âgé</term><term>Tissu adipeux (anatomopathologie)</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (anatomopathologie)</term><term>Études prospectives</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Lymphoedème</term><term>Tissu adipeux</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lipectomy</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Adipose Tissue</term><term>Breast Neoplasms</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term><term>Lymphedema</term><term>Postoperative Complications</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>Adult</term><term>Aged</term><term>Arm</term><term>Female</term><term>Humans</term><term>Intermittent Pneumatic Compression Devices</term><term>Length of Stay</term><term>Middle Aged</term><term>Postoperative Care</term><term>Prospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bras</term><term>Complications postopératoires</term><term>Dispositifs à compression pneumatique intermittente</term><term>Durée du séjour</term><term>Femelle</term><term>Humains</term><term>Lipectomie</term><term>Lymphoedème</term><term>Soins postopératoires</term><term>Sujet âgé</term><term>Tumeurs du sein</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">The incidence of arm lymphoedema after treatment for breast cancer ranges from 1 to 49 per cent. Although most women can be treated by non‐operative means with satisfying results, end‐stage lymphoedema is often non‐responsive to compression, where hypertrophy of adipose tissue limits the outcome value of compression or massage.</div></front></TEI></ISTEX></double></record>Pour manipuler ce document sous Unix (Dilib)
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