Controlled compression and liposuction treatment for lower extremity lymphedema.
Identifieur interne : 006B67 ( Main/Exploration ); précédent : 006B66; suivant : 006B68Controlled compression and liposuction treatment for lower extremity lymphedema.
Auteurs : H. Brorson [Suède] ; K. Ohlin ; G. Olsson ; B. Svensson ; H. SvenssonSource :
- Lymphology [ 0024-7766 ] ; 2008.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Membre inférieur.
- Adulte, Bas de contention, Chylothorax, Humains, Lipectomie, Mâle, Orchidectomie, Radiothérapie, Séminome, Tumeurs du testicule, Éléphantiasis.
English descriptors
- KwdEn :
- Adult, Chylothorax (congenital), Elephantiasis (complications), Elephantiasis (therapy), Humans, Lipectomy, Lower Extremity (pathology), Male, Orchiectomy, Radiotherapy, Seminoma (complications), Seminoma (therapy), Stockings, Compression, Testicular Neoplasms (complications), Testicular Neoplasms (therapy).
- MESH :
- complications : Elephantiasis, Seminoma, Testicular Neoplasms.
- congenital : Chylothorax.
- pathology : Lower Extremity.
- therapy : Elephantiasis, Seminoma, Testicular Neoplasms.
- Adult, Humans, Lipectomy, Male, Orchiectomy, Radiotherapy, Stockings, Compression.
Abstract
In 1987 we noticed excess adipose tissue in a patient with arm lymphedema and later, objective studies confirmed this clinical finding in patients with non-pitting arm lymphedema following breast cancer. A prospective study was begun in 1993, and its long-term results (15 years) shows overall complete reduction of the excess volume in patients with non-pitting arm lymphedema and that adipose tissue dominates the excess volume. Encouraged by these results we operated on a patient with primary and secondary elephantiasis of the leg. The edema was first transferred from a pitting to a non-pitting state by controlled compression therapy. Then liposuction was performed to remove the remaining excess adipose tissue, and complete reduction was finally achieved. The patient wears compression garments continuously and during the 11 years of followup, no recurrence has occurred. This paper explains our philosophical approach: a pitting lymphedema first should be treated conservatively to remove excess fluid, then liposuction can be performed to remove remaining excess volume bothersome to the patient.
PubMed: 18720912
Affiliations:
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Le document en format XML
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<term>Elephantiasis (complications)</term>
<term>Elephantiasis (therapy)</term>
<term>Humans</term>
<term>Lipectomy</term>
<term>Lower Extremity (pathology)</term>
<term>Male</term>
<term>Orchiectomy</term>
<term>Radiotherapy</term>
<term>Seminoma (complications)</term>
<term>Seminoma (therapy)</term>
<term>Stockings, Compression</term>
<term>Testicular Neoplasms (complications)</term>
<term>Testicular Neoplasms (therapy)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Bas de contention</term>
<term>Chylothorax ()</term>
<term>Humains</term>
<term>Lipectomie</term>
<term>Membre inférieur (anatomopathologie)</term>
<term>Mâle</term>
<term>Orchidectomie</term>
<term>Radiothérapie</term>
<term>Séminome ()</term>
<term>Tumeurs du testicule ()</term>
<term>Éléphantiasis ()</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Membre inférieur</term>
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<term>Seminoma</term>
<term>Testicular Neoplasms</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lower Extremity</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Elephantiasis</term>
<term>Seminoma</term>
<term>Testicular Neoplasms</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Humans</term>
<term>Lipectomy</term>
<term>Male</term>
<term>Orchiectomy</term>
<term>Radiotherapy</term>
<term>Stockings, Compression</term>
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<term>Bas de contention</term>
<term>Chylothorax</term>
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<term>Lipectomie</term>
<term>Mâle</term>
<term>Orchidectomie</term>
<term>Radiothérapie</term>
<term>Séminome</term>
<term>Tumeurs du testicule</term>
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<front><div type="abstract" xml:lang="en">In 1987 we noticed excess adipose tissue in a patient with arm lymphedema and later, objective studies confirmed this clinical finding in patients with non-pitting arm lymphedema following breast cancer. A prospective study was begun in 1993, and its long-term results (15 years) shows overall complete reduction of the excess volume in patients with non-pitting arm lymphedema and that adipose tissue dominates the excess volume. Encouraged by these results we operated on a patient with primary and secondary elephantiasis of the leg. The edema was first transferred from a pitting to a non-pitting state by controlled compression therapy. Then liposuction was performed to remove the remaining excess adipose tissue, and complete reduction was finally achieved. The patient wears compression garments continuously and during the 11 years of followup, no recurrence has occurred. This paper explains our philosophical approach: a pitting lymphedema first should be treated conservatively to remove excess fluid, then liposuction can be performed to remove remaining excess volume bothersome to the patient.</div>
</front>
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<name sortKey="Svensson, B" sort="Svensson, B" uniqKey="Svensson B" first="B" last="Svensson">B. Svensson</name>
<name sortKey="Svensson, H" sort="Svensson, H" uniqKey="Svensson H" first="H" last="Svensson">H. Svensson</name>
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