Serveur d'exploration sur le lymphœdème

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Diagnosis and treatment of primary lymphedema. Consensus document of the International Union of Phlebology (IUP)-2009.

Identifieur interne : 005955 ( Main/Exploration ); précédent : 005954; suivant : 005956

Diagnosis and treatment of primary lymphedema. Consensus document of the International Union of Phlebology (IUP)-2009.

Auteurs : B. Lee [États-Unis] ; M. Andrade ; J. Bergan ; F. Boccardo ; C. Campisi ; R. Damstra ; M. Flour ; P. Gloviczki ; J. Laredo ; N. Piller ; S. Michelini ; Peter Mortimer (dermatologue)‎ [Royaume-Uni] ; J L Villavicencio

Source :

RBID : pubmed:20924350

Descripteurs français

English descriptors

Abstract

Primary lymphedema can be managed safely as one of the chronic lymphedemas by a proper combination of DLT with compression therapy. Treatment in the maintenance phase should include compression garments, self management including the compression therapy, self massage and meticulous personal hygiene and skin care in addition to lymph-transport promoting excercises. The management of primary lymphedema can be further improved with proper addition of surgical therapy either reconstructive or ablative. These two surgical therapies can be effective only when fully integrated with MLD-based DLT postoperatively. Compliance with a long-term commitment of DLT postoperatively is the most critical factor determining the success of any new treatment strategy with either reconstructive or palliative surgery. The future of management of primary lymphedema caused by truncular lymphatic malformation has never been brighter with the new prospect of gene-oriented management.

PubMed: 20924350


Affiliations:


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Le document en format XML

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<term>Chronic Disease</term>
<term>Compression Bandages</term>
<term>Humans</term>
<term>Lymphatic Abnormalities (complications)</term>
<term>Lymphatic Abnormalities (diagnosis)</term>
<term>Lymphatic Abnormalities (therapy)</term>
<term>Lymphedema (diagnosis)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (therapy)</term>
<term>Massage</term>
<term>Palliative Care</term>
<term>Predictive Value of Tests</term>
<term>Reconstructive Surgical Procedures</term>
<term>Self Care</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Autosoins</term>
<term>Bandages de compression</term>
<term>Humains</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (diagnostic)</term>
<term>Lymphoedème (étiologie)</term>
<term>Maladie chronique</term>
<term>Malformations lymphatiques ()</term>
<term>Malformations lymphatiques (diagnostic)</term>
<term>Massage</term>
<term>Procédures de chirurgie reconstructive</term>
<term>Résultat thérapeutique</term>
<term>Soins palliatifs</term>
<term>Valeur prédictive des tests</term>
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<term>Lymphatic Abnormalities</term>
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<term>Lymphatic Abnormalities</term>
<term>Lymphedema</term>
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<term>Lymphoedème</term>
<term>Malformations lymphatiques</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Lymphatic Abnormalities</term>
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Lymphoedème</term>
</keywords>
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<term>Chronic Disease</term>
<term>Compression Bandages</term>
<term>Humans</term>
<term>Massage</term>
<term>Palliative Care</term>
<term>Predictive Value of Tests</term>
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<term>Bandages de compression</term>
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<term>Lymphoedème</term>
<term>Maladie chronique</term>
<term>Malformations lymphatiques</term>
<term>Massage</term>
<term>Procédures de chirurgie reconstructive</term>
<term>Résultat thérapeutique</term>
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<front>
<div type="abstract" xml:lang="en">Primary lymphedema can be managed safely as one of the chronic lymphedemas by a proper combination of DLT with compression therapy. Treatment in the maintenance phase should include compression garments, self management including the compression therapy, self massage and meticulous personal hygiene and skin care in addition to lymph-transport promoting excercises. The management of primary lymphedema can be further improved with proper addition of surgical therapy either reconstructive or ablative. These two surgical therapies can be effective only when fully integrated with MLD-based DLT postoperatively. Compliance with a long-term commitment of DLT postoperatively is the most critical factor determining the success of any new treatment strategy with either reconstructive or palliative surgery. The future of management of primary lymphedema caused by truncular lymphatic malformation has never been brighter with the new prospect of gene-oriented management.</div>
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