LymphedemaV1, Main, Exploration, bibRecord, 006798

Radical Reduction of Upper Extremity Lymphedema With Preservation of Perforators

Identifieur interne : 006798 ( Main/Exploration ); précédent : 006797; suivant : 006799

Radical Reduction of Upper Extremity Lymphedema With Preservation of Perforators

Auteurs : Christopher J. Salgado [États-Unis] ; Paolo Sassu [Taïwan] ; Bahar Bassiri Gharb [Taïwan] ; Stefano Spanio Di Spilimbergo [Taïwan] ; Samir Mardini [États-Unis] ; Hung-Chi Chen [Taïwan]

Source :

Annals of plastic surgery [ 0148-7043 ] ; 2009.

RBID : Pascal:09-0382025

Descripteurs français

Pascal (Inist)
- Lymphoedème, Réduction, Extrémité supérieure, Membre supérieur, Chirurgie plastique, Traitement.

English descriptors

KwdEn :
- Lymphedema, Plastic surgery, Reduction, Treatment, Upper extremity, Upper limb.

Abstract

Excisional procedures have been successfully utilized by different authors in multistage treatment of upper extremity lymphedema. We have used microsurgical principles of perforator flap surgery in order to develop a one-stage procedure that enables a radical reduction of the lymphedematous tissue with preservation of the vascular supply to the overlying skin. Between March 2000 and February 2007, 11 patients affected by late stage II lymphedema underwent radical reduction of the affected tissues with preservation of perforators. Perforator vessels from the radial and posterior interosseous arteries were identified and through medial and lateral forearm incisions, skin flaps were raised off the underlying lymphedematous tissue and the affected tissue was removed off the deep fascia. At a mean follow-up of 17.8 months the average percentage reductions above and below the elbow, at the wrist, and the hand were 15.1%,20.7%,0.5%, and 3.6%, respectively. Statistical analysis showed significant circumference reduction above and below the elbow (P = 0.048 and 0.022, respectively) but not at the wrist and hand. There were no cases of wound breakdown, skin necrosis, or cellulitis in the postoperative period. Four patients complained of mild numbness confined to the vicinity of the surgical incisions. Microvascular principles applied to the radical excision of the subcutaneous tissue seems to offer a new promising one-stage surgical procedure in patients affected by upper extremity lymphedema that has failed conservative therapy.

Affiliations:

Taïwan, États-Unis
Minnesota, Ohio

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Le document en format XML

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<author><name sortKey="Salgado, Christopher J" sort="Salgado, Christopher J" uniqKey="Salgado C" first="Christopher J." last="Salgado">Christopher J. Salgado</name>
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<keywords scheme="Pascal" xml:lang="fr"><term>Lymphoedème</term>
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<front><div type="abstract" xml:lang="en">Excisional procedures have been successfully utilized by different authors in multistage treatment of upper extremity lymphedema. We have used microsurgical principles of perforator flap surgery in order to develop a one-stage procedure that enables a radical reduction of the lymphedematous tissue with preservation of the vascular supply to the overlying skin. Between March 2000 and February 2007, 11 patients affected by late stage II lymphedema underwent radical reduction of the affected tissues with preservation of perforators. Perforator vessels from the radial and posterior interosseous arteries were identified and through medial and lateral forearm incisions, skin flaps were raised off the underlying lymphedematous tissue and the affected tissue was removed off the deep fascia. At a mean follow-up of 17.8 months the average percentage reductions above and below the elbow, at the wrist, and the hand were 15.1%,20.7%,0.5%, and 3.6%, respectively. Statistical analysis showed significant circumference reduction above and below the elbow (P = 0.048 and 0.022, respectively) but not at the wrist and hand. There were no cases of wound breakdown, skin necrosis, or cellulitis in the postoperative period. Four patients complained of mild numbness confined to the vicinity of the surgical incisions. Microvascular principles applied to the radical excision of the subcutaneous tissue seems to offer a new promising one-stage surgical procedure in patients affected by upper extremity lymphedema that has failed conservative therapy.</div>
</front>
</TEI>
<affiliations><list><country><li>Taïwan</li>
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<tree><country name="États-Unis"><region name="Ohio"><name sortKey="Salgado, Christopher J" sort="Salgado, Christopher J" uniqKey="Salgado C" first="Christopher J." last="Salgado">Christopher J. Salgado</name>
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<name sortKey="Mardini, Samir" sort="Mardini, Samir" uniqKey="Mardini S" first="Samir" last="Mardini">Samir Mardini</name>
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<country name="Taïwan"><noRegion><name sortKey="Sassu, Paolo" sort="Sassu, Paolo" uniqKey="Sassu P" first="Paolo" last="Sassu">Paolo Sassu</name>
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<name sortKey="Bassiri Gharb, Bahar" sort="Bassiri Gharb, Bahar" uniqKey="Bassiri Gharb B" first="Bahar" last="Bassiri Gharb">Bahar Bassiri Gharb</name>
<name sortKey="Chen, Hung Chi" sort="Chen, Hung Chi" uniqKey="Chen H" first="Hung-Chi" last="Chen">Hung-Chi Chen</name>
<name sortKey="Spanio Di Spilimbergo, Stefano" sort="Spanio Di Spilimbergo, Stefano" uniqKey="Spanio Di Spilimbergo S" first="Stefano" last="Spanio Di Spilimbergo">Stefano Spanio Di Spilimbergo</name>
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Radical Reduction of Upper Extremity Lymphedema With Preservation of Perforators

Radical Reduction of Upper Extremity Lymphedema With Preservation of Perforators

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri