[Planning and monitoring of autologous lymph vessel transplantation by means of nuclear medicine lymphoscintigraphy].
Identifieur interne : 008D41 ( Main/Curation ); précédent : 008D40; suivant : 008D42[Planning and monitoring of autologous lymph vessel transplantation by means of nuclear medicine lymphoscintigraphy].
Auteurs : M. Weiss [Allemagne] ; R G H. Baumeister ; K. HahnSource :
- Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V... [ 0722-1819 ] ; 2003.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Bras (), Bras (imagerie diagnostique), Facteurs temps, Femelle, Humains, Jambe (), Jambe (imagerie diagnostique), Lymphe (physiologie), Lymphoedème (), Lymphoedème (imagerie diagnostique), Lymphographie, Lymphoscintigraphie, Microchirurgie, Monitorage physiologique, Mâle, Sujet âgé, Vaisseaux lymphatiques (imagerie diagnostique), Vaisseaux lymphatiques (transplantation), Études de suivi.
- MESH :
- imagerie diagnostique : Bras, Jambe, Lymphoedème, Vaisseaux lymphatiques.
- physiologie : Lymphe.
- Adulte, Adulte d'âge moyen, Bras, Facteurs temps, Femelle, Humains, Jambe, Lymphoedème, Lymphographie, Lymphoscintigraphie, Microchirurgie, Monitorage physiologique, Mâle, Sujet âgé, Vaisseaux lymphatiques, Études de suivi.
English descriptors
- KwdEn :
- Adult, Aged, Arm (diagnostic imaging), Arm (surgery), Female, Follow-Up Studies, Humans, Leg (diagnostic imaging), Leg (surgery), Lymph (physiology), Lymphatic Vessels (diagnostic imaging), Lymphatic Vessels (transplantation), Lymphedema (diagnostic imaging), Lymphedema (surgery), Lymphography, Lymphoscintigraphy, Male, Microsurgery, Middle Aged, Monitoring, Physiologic, Time Factors.
- MESH :
- diagnostic imaging : Arm, Leg, Lymphatic Vessels, Lymphedema.
- physiology : Lymph.
- surgery : Arm, Leg, Lymphedema.
- transplantation : Lymphatic Vessels.
- Adult, Aged, Female, Follow-Up Studies, Humans, Lymphography, Lymphoscintigraphy, Male, Microsurgery, Middle Aged, Monitoring, Physiologic, Time Factors.
Abstract
Autologous lymph vessel transplantation significantly improves the lymph drainage in patients with primary and secondary lymphedema. The aim of the present study was to prove whether scintigraphic long-term follow-up could demonstrate the function of autologous lymph vessels and the persisting success of this microsurgical technique respectively. In this study, visual and semiquantitative lymphoscintigraphy was used to prove the function of lymphatic vessel grafts in 20 patients comparing a preoperative baseline study with postoperative follow-up investigations once a year for a period of seven years. The reason for microsurgical lymph vessel transplantation was a primary (n = 4) or a secondary (n = 16) lymphedema. In 12 cases the transplantation site was at the upper extremity, in eight cases at the lower limb. In 17/20 patients lymphatic function significantly improved after autologous lymph vessel transplantation compared to the preoperative findings, as verified by visual improvement of lymph drainage and decrease of a numeric transport index. In 5/20 cases the vessel graft could be visualized directly. In these patients with scintigraphic visualization of the vessel graft, the transport index decreased to a significantly greater extent compared to the preoperative baseline study. 3/20 patients did not benefit from microsurgical treatment. Lymphoscintigraphy has shown to be an easy, reliable and readily available technique to assess lymphatic function on the long run. Scintigraphic visualization of the vessel graft showed a significantly better postoperative outcome than those without. The scintigraphic visualization of the vessel graft therefore seems to indicate a favourable prognosis regarding lymph drainage.
DOI: 10.1055/s-2003-42136
PubMed: 12968217
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pubmed:12968217Le document en format XML
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<term>Aged</term>
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<term>Arm (surgery)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Leg (diagnostic imaging)</term>
<term>Leg (surgery)</term>
<term>Lymph (physiology)</term>
<term>Lymphatic Vessels (diagnostic imaging)</term>
<term>Lymphatic Vessels (transplantation)</term>
<term>Lymphedema (diagnostic imaging)</term>
<term>Lymphedema (surgery)</term>
<term>Lymphography</term>
<term>Lymphoscintigraphy</term>
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<term>Microsurgery</term>
<term>Middle Aged</term>
<term>Monitoring, Physiologic</term>
<term>Time Factors</term>
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<term>Adulte d'âge moyen</term>
<term>Bras ()</term>
<term>Bras (imagerie diagnostique)</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jambe ()</term>
<term>Jambe (imagerie diagnostique)</term>
<term>Lymphe (physiologie)</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (imagerie diagnostique)</term>
<term>Lymphographie</term>
<term>Lymphoscintigraphie</term>
<term>Microchirurgie</term>
<term>Monitorage physiologique</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Vaisseaux lymphatiques (imagerie diagnostique)</term>
<term>Vaisseaux lymphatiques (transplantation)</term>
<term>Études de suivi</term>
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<term>Leg</term>
<term>Lymphatic Vessels</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Bras</term>
<term>Jambe</term>
<term>Lymphoedème</term>
<term>Vaisseaux lymphatiques</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Lymphe</term>
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<term>Leg</term>
<term>Lymphedema</term>
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<term>Aged</term>
<term>Female</term>
<term>Follow-Up Studies</term>
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<term>Lymphography</term>
<term>Lymphoscintigraphy</term>
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<term>Microsurgery</term>
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<term>Adulte d'âge moyen</term>
<term>Bras</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jambe</term>
<term>Lymphoedème</term>
<term>Lymphographie</term>
<term>Lymphoscintigraphie</term>
<term>Microchirurgie</term>
<term>Monitorage physiologique</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Vaisseaux lymphatiques</term>
<term>Études de suivi</term>
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<front><div type="abstract" xml:lang="en">Autologous lymph vessel transplantation significantly improves the lymph drainage in patients with primary and secondary lymphedema. The aim of the present study was to prove whether scintigraphic long-term follow-up could demonstrate the function of autologous lymph vessels and the persisting success of this microsurgical technique respectively. In this study, visual and semiquantitative lymphoscintigraphy was used to prove the function of lymphatic vessel grafts in 20 patients comparing a preoperative baseline study with postoperative follow-up investigations once a year for a period of seven years. The reason for microsurgical lymph vessel transplantation was a primary (n = 4) or a secondary (n = 16) lymphedema. In 12 cases the transplantation site was at the upper extremity, in eight cases at the lower limb. In 17/20 patients lymphatic function significantly improved after autologous lymph vessel transplantation compared to the preoperative findings, as verified by visual improvement of lymph drainage and decrease of a numeric transport index. In 5/20 cases the vessel graft could be visualized directly. In these patients with scintigraphic visualization of the vessel graft, the transport index decreased to a significantly greater extent compared to the preoperative baseline study. 3/20 patients did not benefit from microsurgical treatment. Lymphoscintigraphy has shown to be an easy, reliable and readily available technique to assess lymphatic function on the long run. Scintigraphic visualization of the vessel graft showed a significantly better postoperative outcome than those without. The scintigraphic visualization of the vessel graft therefore seems to indicate a favourable prognosis regarding lymph drainage.</div>
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