Breast Reconstruction and Lymphedema
Identifieur interne : 005E96 ( Main/Exploration ); précédent : 005E95; suivant : 005E97Breast Reconstruction and Lymphedema
Auteurs : David W. Chang [États-Unis] ; Sugene Kim [États-Unis]Source :
- Plastic and reconstructive surgery : (1963) [ 0032-1052 ] ; 2010.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Chirurgie.
English descriptors
- KwdEn :
Abstract
Background: The authors conducted this study to determine the following: Does delayed breast reconstruction that requires surgical dissection in the previously operated on and/or irradiated axilla lead to a higher incidence of lymphedema? In patients who have developed lymphedema following mastectomy, does delayed breast reconstruction with autologous flap reduce the severity of the lymphedema? Methods: Four hundred eighty-two consecutive delayed autologous breast reconstructions performed at the authors' institution were evaluated. The authors evaluated the effects of flap choice, recipient vessel choice, previous radiotherapy, and previous axillary node dissection on lymphedema development after breast reconstruction. The authors also evaluated the effect of autologous breast reconstruction on the status of the preexisting lymphedema. Results: Four hundred forty-four delayed breast reconstructions were performed using 394 free flaps and 50 latissimus dorsi flaps in patients with no lymphedema. Lymphedema developed in 16 cases (3.6 percent). The type of flap, the site of recipient vessel, previous radiotherapy, and previous axillary node dissection did not have a significant effect on the incidence of lymphedema after breast reconstruction. Breast reconstructions were performed in 38 patients who already had lymphedema: nine (23.7 percent) demonstrated significant improvement, and none demonstrated worsening of lymphedema after breast reconstruction. Conclusions: The incidence of lymphedema following delayed autologous breast reconstruction is low, and the use of thoracodorsal vessels or a latissimus dorsi flap, even in patients with previous axillary node dissection or irradiation, was not associated with a significantly higher risk of developing lymphedema. In patients who developed lymphedema following mastectomy, delayed autologous breast reconstruction may help reduce the severity of lymphedema.
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PascalFrancis, to step Corpus: 000281
- to stream PascalFrancis, to step Curation: 000677
- to stream PascalFrancis, to step Checkpoint: 000270
- to stream Main, to step Merge: 005F64
- to stream Main, to step Curation: 005E96
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Breast Reconstruction and Lymphedema</title><author><name sortKey="Chang, David W" sort="Chang, David W" uniqKey="Chang D" first="David W." last="Chang">David W. Chang</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic Surgery, University of Texas M. D. Anderson Cancer Center</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Plastic Surgery, University of Texas M. D. Anderson Cancer Center</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Sugene" sort="Kim, Sugene" uniqKey="Kim S" first="Sugene" last="Kim">Sugene Kim</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic Surgery, University of Texas M. D. Anderson Cancer Center</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Plastic Surgery, University of Texas M. D. Anderson Cancer Center</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">10-0086544</idno><date when="2010">2010</date><idno type="stanalyst">PASCAL 10-0086544 INIST</idno><idno type="RBID">Pascal:10-0086544</idno><idno type="wicri:Area/PascalFrancis/Corpus">000281</idno><idno type="wicri:Area/PascalFrancis/Curation">000677</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000270</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000270</idno><idno type="wicri:doubleKey">0032-1052:2010:Chang D:breast:reconstruction:and</idno><idno type="wicri:Area/Main/Merge">005F64</idno><idno type="wicri:Area/Main/Curation">005E96</idno><idno type="wicri:Area/Main/Exploration">005E96</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Breast Reconstruction and Lymphedema</title><author><name sortKey="Chang, David W" sort="Chang, David W" uniqKey="Chang D" first="David W." last="Chang">David W. Chang</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic Surgery, University of Texas M. D. Anderson Cancer Center</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Plastic Surgery, University of Texas M. D. Anderson Cancer Center</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Sugene" sort="Kim, Sugene" uniqKey="Kim S" first="Sugene" last="Kim">Sugene Kim</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic Surgery, University of Texas M. D. Anderson Cancer Center</s1><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Plastic Surgery, University of Texas M. D. Anderson Cancer Center</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Plastic and reconstructive surgery : (1963)</title><title level="j" type="abbreviated">Plast. reconstr. surg. : (1963)</title><idno type="ISSN">0032-1052</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Plastic and reconstructive surgery : (1963)</title><title level="j" type="abbreviated">Plast. reconstr. surg. : (1963)</title><idno type="ISSN">0032-1052</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Breast</term><term>Lymphedema</term><term>Plasty</term><term>Surgery</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Lymphoedème</term><term>Plastie</term><term>Chirurgie</term><term>Sein</term><term>Traitement</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: The authors conducted this study to determine the following: Does delayed breast reconstruction that requires surgical dissection in the previously operated on and/or irradiated axilla lead to a higher incidence of lymphedema? In patients who have developed lymphedema following mastectomy, does delayed breast reconstruction with autologous flap reduce the severity of the lymphedema? Methods: Four hundred eighty-two consecutive delayed autologous breast reconstructions performed at the authors' institution were evaluated. The authors evaluated the effects of flap choice, recipient vessel choice, previous radiotherapy, and previous axillary node dissection on lymphedema development after breast reconstruction. The authors also evaluated the effect of autologous breast reconstruction on the status of the preexisting lymphedema. Results: Four hundred forty-four delayed breast reconstructions were performed using 394 free flaps and 50 latissimus dorsi flaps in patients with no lymphedema. Lymphedema developed in 16 cases (3.6 percent). The type of flap, the site of recipient vessel, previous radiotherapy, and previous axillary node dissection did not have a significant effect on the incidence of lymphedema after breast reconstruction. Breast reconstructions were performed in 38 patients who already had lymphedema: nine (23.7 percent) demonstrated significant improvement, and none demonstrated worsening of lymphedema after breast reconstruction. Conclusions: The incidence of lymphedema following delayed autologous breast reconstruction is low, and the use of thoracodorsal vessels or a latissimus dorsi flap, even in patients with previous axillary node dissection or irradiation, was not associated with a significantly higher risk of developing lymphedema. In patients who developed lymphedema following mastectomy, delayed autologous breast reconstruction may help reduce the severity of lymphedema.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country></list><tree><country name="États-Unis"><noRegion><name sortKey="Chang, David W" sort="Chang, David W" uniqKey="Chang D" first="David W." last="Chang">David W. Chang</name></noRegion><name sortKey="Kim, Sugene" sort="Kim, Sugene" uniqKey="Kim S" first="Sugene" last="Kim">Sugene Kim</name></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 005E96 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 005E96 | 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= Pascal:10-0086544
|texte= Breast Reconstruction and Lymphedema
}}
| This area was generated with Dilib version V0.6.31. |  |