Lymphatic complications in surgery: possibility of prevention and therapeutic options.
Identifieur interne : 004173 ( Main/Exploration ); précédent : 004172; suivant : 004174Lymphatic complications in surgery: possibility of prevention and therapeutic options.
Auteurs : Francesco Boccardo [Italie] ; Corrado Cesare Campisi ; Lidia Molinari ; Sara Dessalvi ; Pier Luigi Santi ; Corradino CampisiSource :
- Updates in surgery [ 2038-131X ] ; 2012.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Complications peropératoires (), Complications postopératoires (), Diagnostic par imagerie (), Diagnostic précoce, Femelle, Humains, Maladies lymphatiques (), Maladies lymphatiques (diagnostic), Maladies lymphatiques (étiologie), Mâle, Procédures de chirurgie opératoire (effets indésirables), Sujet âgé, Études de suivi, Études rétrospectives.
- MESH :
- diagnostic : Maladies lymphatiques.
- effets indésirables : Procédures de chirurgie opératoire.
- étiologie : Maladies lymphatiques.
- Adulte, Adulte d'âge moyen, Complications peropératoires, Complications postopératoires, Diagnostic par imagerie, Diagnostic précoce, Femelle, Humains, Maladies lymphatiques, Mâle, Sujet âgé, Études de suivi, Études rétrospectives.
English descriptors
- KwdEn :
- Adult, Aged, Diagnostic Imaging (methods), Early Diagnosis, Female, Follow-Up Studies, Humans, Intraoperative Complications (prevention & control), Lymphatic Diseases (diagnosis), Lymphatic Diseases (etiology), Lymphatic Diseases (prevention & control), Male, Middle Aged, Postoperative Complications (prevention & control), Retrospective Studies, Surgical Procedures, Operative (adverse effects).
- MESH :
- adverse effects : Surgical Procedures, Operative.
- diagnosis : Lymphatic Diseases.
- etiology : Lymphatic Diseases.
- methods : Diagnostic Imaging.
- prevention & control : Intraoperative Complications, Lymphatic Diseases, Postoperative Complications.
- Adult, Aged, Early Diagnosis, Female, Follow-Up Studies, Humans, Male, Middle Aged, Retrospective Studies.
Abstract
The problem of prevention of lymphatic complications in surgery is extremely important if we think about the frequency of both early complications such as lymphorrhea, lymphocele, wound dehiscence and infections and late complications such as lymphangitis and lymphedema. Nowadays, it is possible to identify risk patients and prevent these lesions or treat them at an early stage. This report helps to demonstrate how it is important to integrate diagnostic and clinical findings to better understand how to properly identify risk patients for lymphatic injuries and, therefore, when it is useful and proper to do prevention. Authors report their experiences in the prevention and treatment of lymphatic injuries after surgical operations and trauma. After an accurate diagnostic approach, prevention is based on different technical procedures among which microsurgical procedures. It is very important to follow-up the patient not only clinically but also by lymphoscintigraphy. A protocol of prevention of secondary limb lymphedema was proposed and it includes, from the diagnostic point of view, lymphoscintigraphy and, as concerns therapy, it recognizes also a role to early microsurgery. It is necessary to accurately follow-up the patient who has undergone an operation at risk for the appearance of lymphatic complications and, even better, to assess clinically and by lymphoscintigraphy the patient before surgical operation.
DOI: 10.1007/s13304-012-0165-0
PubMed: 22821181
Affiliations:
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francesco.boccardo@unige.it</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgery, University of Genoa, Lar Genoa</wicri:regionArea><wicri:noRegion>Lar Genoa</wicri:noRegion></affiliation></author><author><name sortKey="Campisi, Corrado Cesare" sort="Campisi, Corrado Cesare" uniqKey="Campisi C" first="Corrado Cesare" last="Campisi">Corrado Cesare Campisi</name></author><author><name sortKey="Molinari, Lidia" sort="Molinari, Lidia" uniqKey="Molinari L" first="Lidia" last="Molinari">Lidia Molinari</name></author><author><name sortKey="Dessalvi, Sara" sort="Dessalvi, Sara" uniqKey="Dessalvi S" first="Sara" last="Dessalvi">Sara Dessalvi</name></author><author><name sortKey="Santi, Pier Luigi" sort="Santi, Pier Luigi" uniqKey="Santi P" first="Pier Luigi" last="Santi">Pier Luigi Santi</name></author><author><name sortKey="Campisi, Corradino" sort="Campisi, Corradino" uniqKey="Campisi C" first="Corradino" last="Campisi">Corradino 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xml:lang="en"><term>Lymphatic Diseases</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Diagnostic Imaging</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Intraoperative Complications</term><term>Lymphatic Diseases</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Maladies lymphatiques</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Early Diagnosis</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Complications peropératoires</term><term>Complications postopératoires</term><term>Diagnostic par imagerie</term><term>Diagnostic précoce</term><term>Femelle</term><term>Humains</term><term>Maladies lymphatiques</term><term>Mâle</term><term>Sujet âgé</term><term>Études de suivi</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The problem of prevention of lymphatic complications in surgery is extremely important if we think about the frequency of both early complications such as lymphorrhea, lymphocele, wound dehiscence and infections and late complications such as lymphangitis and lymphedema. Nowadays, it is possible to identify risk patients and prevent these lesions or treat them at an early stage. This report helps to demonstrate how it is important to integrate diagnostic and clinical findings to better understand how to properly identify risk patients for lymphatic injuries and, therefore, when it is useful and proper to do prevention. Authors report their experiences in the prevention and treatment of lymphatic injuries after surgical operations and trauma. After an accurate diagnostic approach, prevention is based on different technical procedures among which microsurgical procedures. It is very important to follow-up the patient not only clinically but also by lymphoscintigraphy. A protocol of prevention of secondary limb lymphedema was proposed and it includes, from the diagnostic point of view, lymphoscintigraphy and, as concerns therapy, it recognizes also a role to early microsurgery. It is necessary to accurately follow-up the patient who has undergone an operation at risk for the appearance of lymphatic complications and, even better, to assess clinically and by lymphoscintigraphy the patient before surgical operation.</div></front></TEI><affiliations><list><country><li>Italie</li></country></list><tree><noCountry><name sortKey="Campisi, Corradino" sort="Campisi, Corradino" uniqKey="Campisi C" first="Corradino" last="Campisi">Corradino Campisi</name><name sortKey="Campisi, Corrado Cesare" sort="Campisi, Corrado Cesare" uniqKey="Campisi C" first="Corrado Cesare" last="Campisi">Corrado Cesare Campisi</name><name sortKey="Dessalvi, Sara" sort="Dessalvi, Sara" uniqKey="Dessalvi S" first="Sara" last="Dessalvi">Sara Dessalvi</name><name sortKey="Molinari, Lidia" sort="Molinari, Lidia" uniqKey="Molinari L" first="Lidia" last="Molinari">Lidia Molinari</name><name sortKey="Santi, Pier Luigi" sort="Santi, Pier Luigi" uniqKey="Santi P" first="Pier Luigi" last="Santi">Pier Luigi Santi</name></noCountry><country name="Italie"><noRegion><name sortKey="Boccardo, Francesco" sort="Boccardo, Francesco" uniqKey="Boccardo F" first="Francesco" last="Boccardo">Francesco Boccardo</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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