Diagnosis and treatment of primary lymphedema. Consensus document of the International Union of Phlebology (IUP)-2013.
Identifieur interne : 003721 ( Main/Exploration ); précédent : 003720; suivant : 003722Diagnosis and treatment of primary lymphedema. Consensus document of the International Union of Phlebology (IUP)-2013.
Auteurs : B B Lee [États-Unis] ; M. Andrade ; P L Antignani ; F. Boccardo ; N. Bunke ; C. Campisi ; R. Damstra ; M. Flour ; I. Forner-Cordero ; P. Gloviczki ; J. Laredo ; H. Partsch ; N. Piller ; S. Michelini ; Peter Mortimer (dermatologue) [Royaume-Uni] ; E. Rabe ; S. Rockson ; A. Scuderi ; G. Szolnoky ; J L VillavicencioSource :
- International angiology : a journal of the International Union of Angiology [ 1827-1839 ] ; 2013.
Descripteurs français
- KwdFr :
- Association thérapeutique, Consensus, Drainage (), Drainage (normes), Facteurs de risque, Humains, Lymphoedème (), Lymphoedème (diagnostic), Lymphoedème (physiopathologie), Maladie chronique, Médecine factuelle (normes), Résultat thérapeutique, Types de pratiques des médecins (normes), Valeur prédictive des tests.
- MESH :
- diagnostic : Lymphoedème.
- normes : Drainage, Médecine factuelle, Types de pratiques des médecins.
- physiopathologie : Lymphoedème.
- Association thérapeutique, Consensus, Drainage, Facteurs de risque, Humains, Lymphoedème, Maladie chronique, Résultat thérapeutique, Valeur prédictive des tests.
English descriptors
- KwdEn :
- Chronic Disease, Combined Modality Therapy, Consensus, Drainage (methods), Drainage (standards), Evidence-Based Medicine (standards), Humans, Lymphedema (diagnosis), Lymphedema (physiopathology), Lymphedema (therapy), Practice Patterns, Physicians' (standards), Predictive Value of Tests, Risk Factors, Treatment Outcome.
- MESH :
- diagnosis : Lymphedema.
- methods : Drainage.
- physiopathology : Lymphedema.
- standards : Drainage, Evidence-Based Medicine, Practice Patterns, Physicians'.
- therapy : Lymphedema.
- Chronic Disease, Combined Modality Therapy, Consensus, Humans, Predictive Value of Tests, Risk Factors, Treatment Outcome.
Abstract
Primary lymphedema can be managed effectively as a form of chronic lymphedema by a sequenced and targeted treatment and management program based around a combination of Decongestive Lymphatic Therapy (DLT) with compression therapy, when the latter is desired as an adjunct to DLT. Treatment in the maintenance phase should include compression garments, self-management, including self-massage, meticulous personal hygiene and skin care, in addition to lymphtransport-promoting excercises and activities, and, if desired, pneumatic compression therapy applied in the home. When conservative treatment fails, or gives sub-optimal outcomes, the management of primary lymphedema can be improved, where appropriate, with the proper addition of surgical interventions, either reconstructive or ablative. These two surgical therapies can be more effective when fully integrated with manual lymphatic drainage (MLD)-based DLT postoperatively. Compliance with a long-term commitment to MLD/DLT and particularly compression postoperatively is a critical factor in determining the success of any new treatment strategy involving either reconstructive or palliative surgery. The future of management of primary lymphedema has never been brighter with the new prospect of gene-and perhaps stem-cell oriented management.
PubMed: 24212289
Affiliations:
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Consensus document of the International Union of Phlebology (IUP)-2013.</title><author><name sortKey="Lee, B B" sort="Lee, B B" uniqKey="Lee B" first="B B" last="Lee">B B Lee</name><affiliation wicri:level="1"><nlm:affiliation>Center for Vein, Lymphatics, and Vascular Malformation, Division of Vascular Surgery, Department of Surgery, Georgetown University School of medicine, Washingto DC, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Vein, Lymphatics, and Vascular Malformation, Division of Vascular Surgery, Department of Surgery, Georgetown University School of medicine, Washingto DC</wicri:regionArea><wicri:noRegion>Washingto DC</wicri:noRegion></affiliation></author><author><name sortKey="Andrade, M" sort="Andrade, M" uniqKey="Andrade M" first="M" last="Andrade">M. Andrade</name></author><author><name sortKey="Antignani, P L" sort="Antignani, P L" uniqKey="Antignani P" first="P L" last="Antignani">P L Antignani</name></author><author><name sortKey="Boccardo, F" sort="Boccardo, F" uniqKey="Boccardo F" first="F" last="Boccardo">F. Boccardo</name></author><author><name sortKey="Bunke, N" sort="Bunke, N" uniqKey="Bunke N" first="N" last="Bunke">N. Bunke</name></author><author><name sortKey="Campisi, C" sort="Campisi, C" uniqKey="Campisi C" first="C" last="Campisi">C. Campisi</name></author><author><name sortKey="Damstra, R" sort="Damstra, R" uniqKey="Damstra R" first="R" last="Damstra">R. Damstra</name></author><author><name sortKey="Flour, M" sort="Flour, M" uniqKey="Flour M" first="M" last="Flour">M. Flour</name></author><author><name sortKey="Forner Cordero, I" sort="Forner Cordero, I" uniqKey="Forner Cordero I" first="I" last="Forner-Cordero">I. Forner-Cordero</name></author><author><name sortKey="Gloviczki, P" sort="Gloviczki, P" uniqKey="Gloviczki P" first="P" last="Gloviczki">P. Gloviczki</name></author><author><name sortKey="Laredo, J" sort="Laredo, J" uniqKey="Laredo J" first="J" last="Laredo">J. Laredo</name></author><author><name sortKey="Partsch, H" sort="Partsch, H" uniqKey="Partsch H" first="H" last="Partsch">H. Partsch</name></author><author><name sortKey="Piller, N" sort="Piller, N" uniqKey="Piller N" first="N" last="Piller">N. Piller</name></author><author><name sortKey="Michelini, S" sort="Michelini, S" uniqKey="Michelini S" first="S" last="Michelini">S. Michelini</name></author><author><name sortKey="Mortimer, P" sort="Mortimer, P" uniqKey="Mortimer P" first="P" last="Mortimer">Peter Mortimer (dermatologue)</name><affiliation><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName><orgName type="university">Université de Londres</orgName></affiliation></author><author><name sortKey="Rabe, E" sort="Rabe, E" uniqKey="Rabe E" first="E" last="Rabe">E. Rabe</name></author><author><name sortKey="Rockson, S" sort="Rockson, S" uniqKey="Rockson S" first="S" last="Rockson">S. Rockson</name></author><author><name sortKey="Scuderi, A" sort="Scuderi, A" uniqKey="Scuderi A" first="A" last="Scuderi">A. Scuderi</name></author><author><name sortKey="Szolnoky, G" sort="Szolnoky, G" uniqKey="Szolnoky G" first="G" last="Szolnoky">G. Szolnoky</name></author><author><name sortKey="Villavicencio, J L" sort="Villavicencio, J L" uniqKey="Villavicencio J" first="J L" last="Villavicencio">J L Villavicencio</name></author></analytic><series><title level="j">International angiology : a journal of the International Union of Angiology</title><idno type="eISSN">1827-1839</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Chronic Disease</term><term>Combined Modality Therapy</term><term>Consensus</term><term>Drainage (methods)</term><term>Drainage (standards)</term><term>Evidence-Based Medicine (standards)</term><term>Humans</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (physiopathology)</term><term>Lymphedema (therapy)</term><term>Practice Patterns, Physicians' (standards)</term><term>Predictive Value of Tests</term><term>Risk Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Association thérapeutique</term><term>Consensus</term><term>Drainage ()</term><term>Drainage (normes)</term><term>Facteurs de risque</term><term>Humains</term><term>Lymphoedème ()</term><term>Lymphoedème (diagnostic)</term><term>Lymphoedème (physiopathologie)</term><term>Maladie chronique</term><term>Médecine factuelle (normes)</term><term>Résultat thérapeutique</term><term>Types de pratiques des médecins (normes)</term><term>Valeur prédictive des tests</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Drainage</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Drainage</term><term>Médecine factuelle</term><term>Types de pratiques des médecins</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Drainage</term><term>Evidence-Based Medicine</term><term>Practice Patterns, Physicians'</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Chronic Disease</term><term>Combined Modality Therapy</term><term>Consensus</term><term>Humans</term><term>Predictive Value of Tests</term><term>Risk Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Association thérapeutique</term><term>Consensus</term><term>Drainage</term><term>Facteurs de risque</term><term>Humains</term><term>Lymphoedème</term><term>Maladie chronique</term><term>Résultat thérapeutique</term><term>Valeur prédictive des tests</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Primary lymphedema can be managed effectively as a form of chronic lymphedema by a sequenced and targeted treatment and management program based around a combination of Decongestive Lymphatic Therapy (DLT) with compression therapy, when the latter is desired as an adjunct to DLT. Treatment in the maintenance phase should include compression garments, self-management, including self-massage, meticulous personal hygiene and skin care, in addition to lymphtransport-promoting excercises and activities, and, if desired, pneumatic compression therapy applied in the home. When conservative treatment fails, or gives sub-optimal outcomes, the management of primary lymphedema can be improved, where appropriate, with the proper addition of surgical interventions, either reconstructive or ablative. These two surgical therapies can be more effective when fully integrated with manual lymphatic drainage (MLD)-based DLT postoperatively. Compliance with a long-term commitment to MLD/DLT and particularly compression postoperatively is a critical factor in determining the success of any new treatment strategy involving either reconstructive or palliative surgery. The future of management of primary lymphedema has never been brighter with the new prospect of gene-and perhaps stem-cell oriented management.</div></front></TEI><affiliations><list><country><li>Royaume-Uni</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement><orgName><li>Université de Londres</li></orgName></list><tree><noCountry><name sortKey="Andrade, M" sort="Andrade, M" uniqKey="Andrade M" first="M" last="Andrade">M. Andrade</name><name sortKey="Antignani, P L" sort="Antignani, P L" uniqKey="Antignani P" first="P L" last="Antignani">P L Antignani</name><name sortKey="Boccardo, F" sort="Boccardo, F" uniqKey="Boccardo F" first="F" last="Boccardo">F. Boccardo</name><name sortKey="Bunke, N" sort="Bunke, N" uniqKey="Bunke N" first="N" last="Bunke">N. Bunke</name><name sortKey="Campisi, C" sort="Campisi, C" uniqKey="Campisi C" first="C" last="Campisi">C. Campisi</name><name sortKey="Damstra, R" sort="Damstra, R" uniqKey="Damstra R" first="R" last="Damstra">R. Damstra</name><name sortKey="Flour, M" sort="Flour, M" uniqKey="Flour M" first="M" last="Flour">M. Flour</name><name sortKey="Forner Cordero, I" sort="Forner Cordero, I" uniqKey="Forner Cordero I" first="I" last="Forner-Cordero">I. Forner-Cordero</name><name sortKey="Gloviczki, P" sort="Gloviczki, P" uniqKey="Gloviczki P" first="P" last="Gloviczki">P. Gloviczki</name><name sortKey="Laredo, J" sort="Laredo, J" uniqKey="Laredo J" first="J" last="Laredo">J. Laredo</name><name sortKey="Michelini, S" sort="Michelini, S" uniqKey="Michelini S" first="S" last="Michelini">S. Michelini</name><name sortKey="Partsch, H" sort="Partsch, H" uniqKey="Partsch H" first="H" last="Partsch">H. Partsch</name><name sortKey="Piller, N" sort="Piller, N" uniqKey="Piller N" first="N" last="Piller">N. Piller</name><name sortKey="Rabe, E" sort="Rabe, E" uniqKey="Rabe E" first="E" last="Rabe">E. Rabe</name><name sortKey="Rockson, S" sort="Rockson, S" uniqKey="Rockson S" first="S" last="Rockson">S. Rockson</name><name sortKey="Scuderi, A" sort="Scuderi, A" uniqKey="Scuderi A" first="A" last="Scuderi">A. Scuderi</name><name sortKey="Szolnoky, G" sort="Szolnoky, G" uniqKey="Szolnoky G" first="G" last="Szolnoky">G. Szolnoky</name><name sortKey="Villavicencio, J L" sort="Villavicencio, J L" uniqKey="Villavicencio J" first="J L" last="Villavicencio">J L Villavicencio</name></noCountry><country name="États-Unis"><noRegion><name sortKey="Lee, B B" sort="Lee, B B" uniqKey="Lee B" first="B B" last="Lee">B B Lee</name></noRegion></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Mortimer, P" sort="Mortimer, P" uniqKey="Mortimer P" first="P" last="Mortimer">Peter Mortimer (dermatologue)</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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