LymphedemaV1, Main, Exploration, bibRecord, 002825

Microsurgery for groin lymphocele and lymphedema after oncologic surgery.

Identifieur interne : 002825 ( Main/Exploration ); précédent : 002824; suivant : 002826

Microsurgery for groin lymphocele and lymphedema after oncologic surgery.

Auteurs : Francesco Boccardo [Italie] ; Sara Dessalvi ; Corrado Campisi ; Lidia Molinari ; Stefano Spinaci ; Giuseppina Talamo ; Corradino Campisi

Source :

Microsurgery [ 1098-2752 ] ; 2014.

RBID : pubmed:23843265

Descripteurs français

KwdFr :
- Adulte, Adulte d'âge moyen, Aine, Complications postopératoires (), Complications postopératoires (imagerie diagnostique), Humains, Lymphocèle (), Lymphocèle (imagerie diagnostique), Lymphoedème (), Lymphoedème (imagerie diagnostique), Lymphoscintigraphie, Microchirurgie, Tumeurs ().
MESH :
- imagerie diagnostique : Complications postopératoires, Lymphocèle, Lymphoedème.
- Adulte, Adulte d'âge moyen, Aine, Complications postopératoires, Humains, Lymphocèle, Lymphoedème, Lymphoscintigraphie, Microchirurgie, Tumeurs.

English descriptors

KwdEn :
- Adult, Groin, Humans, Lymphedema (diagnostic imaging), Lymphedema (surgery), Lymphocele (diagnostic imaging), Lymphocele (surgery), Lymphoscintigraphy, Microsurgery, Middle Aged, Neoplasms (surgery), Postoperative Complications (diagnostic imaging), Postoperative Complications (surgery).
MESH :
- diagnostic imaging : Lymphedema, Lymphocele, Postoperative Complications.
- surgery : Lymphedema, Lymphocele, Neoplasms, Postoperative Complications.
- Adult, Groin, Humans, Lymphoscintigraphy, Microsurgery, Middle Aged.

Abstract

Groin lymphocele (GL) is a frequent complication of inguinal lymph node dissection, and conservative treatment is not always successful. Different surgical methods have been used to treat lymphoceles arising from lymphatics injured during groin surgery. However, they all involve the closure of lymphatics merging at the lymphocele, increasing the risk of postoperative lower limb lymphedema or of worsening lymphedema if already clinically evident. We assessed the efficacy of a diagnostic and therapeutic protocol to manage inguinal lymphoceles using lymphoscintigraphy (LS) and microsurgical procedures. Sixteen GL [seven associated with leg lymphedema (LL)] were studied by LS preoperatively and treated by complete excision of lymphocele and microsurgical lymphatic-venous anastomoses between afferent lymphatics and a collateral branch of great saphenous vein. Lower limb lymphatics were identified intraoperatively using Patent Blue dye injection. Nine patients without lymphedema had complete healing of lymphocele and no appearance of lower limb postoperative lymphedema. The other seven patients with associated secondary lymphedema had complete disappearance of lymphocele and a remarkable reduction of leg volume. Four of them completely recovered without the need of any compression garment, after the first year postoperative. Inguinal lymphocele nonresponsive to conservative treatment can be advantageously studied by LS and successfully treated by microsurgical reconstructive procedures, above all if associated to LL.

DOI: 10.1002/micr.22129
PubMed: 23843265

Affiliations:

Italie

Le document en format XML

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<term>Lymphedema (surgery)</term>
<term>Lymphocele (diagnostic imaging)</term>
<term>Lymphocele (surgery)</term>
<term>Lymphoscintigraphy</term>
<term>Microsurgery</term>
<term>Middle Aged</term>
<term>Neoplasms (surgery)</term>
<term>Postoperative Complications (diagnostic imaging)</term>
<term>Postoperative Complications (surgery)</term>
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<term>Complications postopératoires (imagerie diagnostique)</term>
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<term>Lymphocèle ()</term>
<term>Lymphocèle (imagerie diagnostique)</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (imagerie diagnostique)</term>
<term>Lymphoscintigraphie</term>
<term>Microchirurgie</term>
<term>Tumeurs ()</term>
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<term>Postoperative Complications</term>
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<term>Lymphocèle</term>
<term>Lymphoedème</term>
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<term>Lymphocele</term>
<term>Neoplasms</term>
<term>Postoperative Complications</term>
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<term>Groin</term>
<term>Humans</term>
<term>Lymphoscintigraphy</term>
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<term>Middle Aged</term>
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<front><div type="abstract" xml:lang="en">Groin lymphocele (GL) is a frequent complication of inguinal lymph node dissection, and conservative treatment is not always successful. Different surgical methods have been used to treat lymphoceles arising from lymphatics injured during groin surgery. However, they all involve the closure of lymphatics merging at the lymphocele, increasing the risk of postoperative lower limb lymphedema or of worsening lymphedema if already clinically evident. We assessed the efficacy of a diagnostic and therapeutic protocol to manage inguinal lymphoceles using lymphoscintigraphy (LS) and microsurgical procedures. Sixteen GL [seven associated with leg lymphedema (LL)] were studied by LS preoperatively and treated by complete excision of lymphocele and microsurgical lymphatic-venous anastomoses between afferent lymphatics and a collateral branch of great saphenous vein. Lower limb lymphatics were identified intraoperatively using Patent Blue dye injection. Nine patients without lymphedema had complete healing of lymphocele and no appearance of lower limb postoperative lymphedema. The other seven patients with associated secondary lymphedema had complete disappearance of lymphocele and a remarkable reduction of leg volume. Four of them completely recovered without the need of any compression garment, after the first year postoperative. Inguinal lymphocele nonresponsive to conservative treatment can be advantageously studied by LS and successfully treated by microsurgical reconstructive procedures, above all if associated to LL.</div>
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<country name="Italie"><noRegion><name sortKey="Boccardo, Francesco" sort="Boccardo, Francesco" uniqKey="Boccardo F" first="Francesco" last="Boccardo">Francesco Boccardo</name>
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Serveur d'exploration sur le lymphœdème

Microsurgery for groin lymphocele and lymphedema after oncologic surgery.

Microsurgery for groin lymphocele and lymphedema after oncologic surgery.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki

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