Serveur d'exploration sur le lymphœdème

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Microsurgery for lymphedema: Clinical research and long‐term results

Identifieur interne : 005C63 ( Main/Exploration ); précédent : 005C62; suivant : 005C64

Microsurgery for lymphedema: Clinical research and long‐term results

Auteurs : Corradino Campisi [Italie] ; Carlo Bellini [Italie] ; Corrado Campisi [Italie] ; Susanna Accogli [Italie] ; Eugenio Bonioli [Italie] ; Francesco Boccardo [Italie]

Source :

RBID : ISTEX:79A95B054386131C5A00465A019F3497B1596979

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English descriptors

Abstract

Objectives: To report the wide clinical experience and the research studies in the microsurgical treatment of peripheral lymphedema. Methods: More than 1800 patients with peripheral lymphedema have been treated with microsurgical techniques. Derivative lymphatic microvascular procedures recognize today its most exemplary application in multiple lymphatic‐venous anastomoses (LVA). In case of associated venous disease reconstructive lymphatic microsurgery techniques have been developed. Objective assessment was undertaken by water volumetry and lymphoscintigraphy. Results: Subjective improvement was noted in 87% of patients. Objectively, volume changes showed a significant improvement in 83%, with an average reduction of 67% of the excess volume. Of those patients followed‐up, 85% have been able to discontinue the use of conservative measures, with an average follow‐up of more than 10 years and average reduction in excess volume of 69%. There was a 87% reduction in the incidence of cellulitis after microsurgery. Conclusions: Microsurgical LVA have a place in the treatment of peripheral lymphedema, and should be the therapy of choice in patients who are not sufficiently responsive to nonsurgical treatment. © 2010 Wiley‐Liss, Inc. Microsurgery, 2010.

Url:
DOI: 10.1002/micr.20737


Affiliations:


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<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Italy</term>
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<term>Lymphoedème ()</term>
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<term>Vaisseaux lymphatiques (imagerie diagnostique)</term>
<term>Études de cohortes</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
<term>Évaluation des risques</term>
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<term>Vaisseaux lymphatiques</term>
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<term>Microsurgery</term>
<term>Reconstructive Surgical Procedures</term>
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<term>Lymphedema</term>
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<term>Lymphoedème</term>
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<term>Mâle</term>
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<term>Résultat thérapeutique</term>
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<term>Études de cohortes</term>
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<div type="abstract" xml:lang="en">Objectives: To report the wide clinical experience and the research studies in the microsurgical treatment of peripheral lymphedema. Methods: More than 1800 patients with peripheral lymphedema have been treated with microsurgical techniques. Derivative lymphatic microvascular procedures recognize today its most exemplary application in multiple lymphatic‐venous anastomoses (LVA). In case of associated venous disease reconstructive lymphatic microsurgery techniques have been developed. Objective assessment was undertaken by water volumetry and lymphoscintigraphy. Results: Subjective improvement was noted in 87% of patients. Objectively, volume changes showed a significant improvement in 83%, with an average reduction of 67% of the excess volume. Of those patients followed‐up, 85% have been able to discontinue the use of conservative measures, with an average follow‐up of more than 10 years and average reduction in excess volume of 69%. There was a 87% reduction in the incidence of cellulitis after microsurgery. Conclusions: Microsurgical LVA have a place in the treatment of peripheral lymphedema, and should be the therapy of choice in patients who are not sufficiently responsive to nonsurgical treatment. © 2010 Wiley‐Liss, Inc. Microsurgery, 2010.</div>
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