Reconstructive surgery for chronic lymphedema: a viable option, but.
Identifieur interne : 004B92 ( Main/Exploration ); précédent : 004B91; suivant : 004B93Reconstructive surgery for chronic lymphedema: a viable option, but.
Auteurs : B B Lee [États-Unis] ; J. Laredo ; R. NevilleSource :
- Vascular [ 1708-5381 ] ; 2011.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Anastomose chirurgicale, Facteurs de risque, Facteurs temps, Femelle, Humains, Lymphoedème (), Lymphoedème (imagerie diagnostique), Maladie chronique, Mâle, Noeuds lymphatiques (transplantation), Procédures de chirurgie reconstructive (effets indésirables), République de Corée, Résultat thérapeutique, Scintigraphie, Veine fémorale (), Veine poplitée (), Études rétrospectives, Évaluation des risques.
- MESH :
- effets indésirables : Procédures de chirurgie reconstructive.
- imagerie diagnostique : Lymphoedème.
- Adulte, Adulte d'âge moyen, Anastomose chirurgicale, Facteurs de risque, Facteurs temps, Femelle, Humains, Lymphoedème, Maladie chronique, Mâle, Noeuds lymphatiques, République de Corée, Résultat thérapeutique, Scintigraphie, Veine fémorale, Veine poplitée, Études rétrospectives, Évaluation des risques.
English descriptors
- KwdEn :
- Adult, Anastomosis, Surgical, Chronic Disease, Female, Femoral Vein (surgery), Humans, Lymph Nodes (transplantation), Lymphedema (diagnostic imaging), Lymphedema (surgery), Male, Middle Aged, Popliteal Vein (surgery), Radionuclide Imaging, Reconstructive Surgical Procedures (adverse effects), Republic of Korea, Retrospective Studies, Risk Assessment, Risk Factors, Time Factors, Treatment Outcome.
- MESH :
- adverse effects : Reconstructive Surgical Procedures.
- diagnostic imaging : Lymphedema.
- surgery : Femoral Vein, Lymphedema, Popliteal Vein.
- transplantation : Lymph Nodes.
- Adult, Anastomosis, Surgical, Chronic Disease, Female, Humans, Male, Middle Aged, Radionuclide Imaging, Republic of Korea, Retrospective Studies, Risk Assessment, Risk Factors, Time Factors, Treatment Outcome.
Abstract
The aim of the paper is to assess the efficacy of reconstructive lymphatic surgery in the treatment of chronic lymphedema via retrospective analysis. Lymphovenous anastomotic surgery (LVAS) or free lymph node transplant surgery (FLTS) was performed on 32 patients who failed to respond to complex decongestive therapy (CDT) alone for a minimum of a one-year period. In LVAS, three patients with good compliance among 19 were able to maintain initial improvement through the four-year follow-up period. All three had secondary lymphedema in clinical stage II. In FLTS, among 13 patients, three compliant patients with the secondary lymphedema in clinical stage II kept initial improvement through the four-year follow-up. In conclusion, reconstructive lymphatic surgery (LVAS and FLTS) appears to be more effective in secondary lymphedema versus primary lymphedema when performed in the early stages. Patient compliance to maintain CDT postoperatively remains the most critical factor in maintaining durable long-term results. FLTS seems to have an additional risk involved to the donor lymph node harvest and a limited role compared to LVAS. Further extended study on FLTS is required to demonstrate its efficacy compared with LVAS.
DOI: 10.1258/vasc.2010.oa0287
PubMed: 21784876
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 002520
- to stream PubMed, to step Curation: 002520
- to stream PubMed, to step Checkpoint: 002520
- to stream Ncbi, to step Merge: 004548
- to stream Ncbi, to step Curation: 004548
- to stream Ncbi, to step Checkpoint: 004548
- to stream Main, to step Merge: 004C25
- to stream Main, to step Curation: 004B92
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Reconstructive surgery for chronic lymphedema: a viable option, but.</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="2"><nlm:affiliation>Division of Vascular Surgery, Georgetown University School of Medicine, Washington, DC, USA. bblee38@gmail.com</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Vascular Surgery, Georgetown University School of Medicine, Washington, DC</wicri:regionArea><placeName><region type="state">District de Columbia</region></placeName></affiliation></author><author><name sortKey="Laredo, J" sort="Laredo, J" uniqKey="Laredo J" first="J" last="Laredo">J. Laredo</name></author><author><name sortKey="Neville, R" sort="Neville, R" uniqKey="Neville R" first="R" last="Neville">R. Neville</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011</date><idno type="RBID">pubmed:21784876</idno><idno type="pmid">21784876</idno><idno type="doi">10.1258/vasc.2010.oa0287</idno><idno type="wicri:Area/PubMed/Corpus">002520</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002520</idno><idno type="wicri:Area/PubMed/Curation">002520</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">002520</idno><idno type="wicri:Area/PubMed/Checkpoint">002520</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">002520</idno><idno type="wicri:Area/Ncbi/Merge">004548</idno><idno type="wicri:Area/Ncbi/Curation">004548</idno><idno type="wicri:Area/Ncbi/Checkpoint">004548</idno><idno type="wicri:doubleKey">1708-5381:2011:Lee B:reconstructive:surgery:for</idno><idno type="wicri:Area/Main/Merge">004C25</idno><idno type="wicri:Area/Main/Curation">004B92</idno><idno type="wicri:Area/Main/Exploration">004B92</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Reconstructive surgery for chronic lymphedema: a viable option, but.</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="2"><nlm:affiliation>Division of Vascular Surgery, Georgetown University School of Medicine, Washington, DC, USA. bblee38@gmail.com</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Vascular Surgery, Georgetown University School of Medicine, Washington, DC</wicri:regionArea><placeName><region type="state">District de Columbia</region></placeName></affiliation></author><author><name sortKey="Laredo, J" sort="Laredo, J" uniqKey="Laredo J" first="J" last="Laredo">J. Laredo</name></author><author><name sortKey="Neville, R" sort="Neville, R" uniqKey="Neville R" first="R" last="Neville">R. Neville</name></author></analytic><series><title level="j">Vascular</title><idno type="ISSN">1708-5381</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Anastomosis, Surgical</term><term>Chronic Disease</term><term>Female</term><term>Femoral Vein (surgery)</term><term>Humans</term><term>Lymph Nodes (transplantation)</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (surgery)</term><term>Male</term><term>Middle Aged</term><term>Popliteal Vein (surgery)</term><term>Radionuclide Imaging</term><term>Reconstructive Surgical Procedures (adverse effects)</term><term>Republic of Korea</term><term>Retrospective Studies</term><term>Risk Assessment</term><term>Risk Factors</term><term>Time Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Anastomose chirurgicale</term><term>Facteurs de risque</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Lymphoedème ()</term><term>Lymphoedème (imagerie diagnostique)</term><term>Maladie chronique</term><term>Mâle</term><term>Noeuds lymphatiques (transplantation)</term><term>Procédures de chirurgie reconstructive (effets indésirables)</term><term>République de Corée</term><term>Résultat thérapeutique</term><term>Scintigraphie</term><term>Veine fémorale ()</term><term>Veine poplitée ()</term><term>Études rétrospectives</term><term>Évaluation des risques</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Reconstructive Surgical Procedures</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Procédures de chirurgie reconstructive</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Femoral Vein</term><term>Lymphedema</term><term>Popliteal Vein</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Lymph Nodes</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Anastomosis, Surgical</term><term>Chronic Disease</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Radionuclide Imaging</term><term>Republic of Korea</term><term>Retrospective Studies</term><term>Risk Assessment</term><term>Risk Factors</term><term>Time Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Anastomose chirurgicale</term><term>Facteurs de risque</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Maladie chronique</term><term>Mâle</term><term>Noeuds lymphatiques</term><term>République de Corée</term><term>Résultat thérapeutique</term><term>Scintigraphie</term><term>Veine fémorale</term><term>Veine poplitée</term><term>Études rétrospectives</term><term>Évaluation des risques</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of the paper is to assess the efficacy of reconstructive lymphatic surgery in the treatment of chronic lymphedema via retrospective analysis. Lymphovenous anastomotic surgery (LVAS) or free lymph node transplant surgery (FLTS) was performed on 32 patients who failed to respond to complex decongestive therapy (CDT) alone for a minimum of a one-year period. In LVAS, three patients with good compliance among 19 were able to maintain initial improvement through the four-year follow-up period. All three had secondary lymphedema in clinical stage II. In FLTS, among 13 patients, three compliant patients with the secondary lymphedema in clinical stage II kept initial improvement through the four-year follow-up. In conclusion, reconstructive lymphatic surgery (LVAS and FLTS) appears to be more effective in secondary lymphedema versus primary lymphedema when performed in the early stages. Patient compliance to maintain CDT postoperatively remains the most critical factor in maintaining durable long-term results. FLTS seems to have an additional risk involved to the donor lymph node harvest and a limited role compared to LVAS. Further extended study on FLTS is required to demonstrate its efficacy compared with LVAS.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>District de Columbia</li></region></list><tree><noCountry><name sortKey="Laredo, J" sort="Laredo, J" uniqKey="Laredo J" first="J" last="Laredo">J. Laredo</name><name sortKey="Neville, R" sort="Neville, R" uniqKey="Neville R" first="R" last="Neville">R. Neville</name></noCountry><country name="États-Unis"><region name="District de Columbia"><name sortKey="Lee, B B" sort="Lee, B B" uniqKey="Lee B" first="B B" last="Lee">B B Lee</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 004B92 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 004B92 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= LymphedemaV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:21784876
|texte= Reconstructive surgery for chronic lymphedema: a viable option, but.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:21784876" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a LymphedemaV1
| This area was generated with Dilib version V0.6.31. |  |