Lymphatic Tissue Transplant in Lymphedema—A Minimally Invasive, Outpatient, Surgical Method: A 10-Year Follow-up Pilot Study
Identifieur interne : 006E17 ( Main/Exploration ); précédent : 006E16; suivant : 006E18Lymphatic Tissue Transplant in Lymphedema—A Minimally Invasive, Outpatient, Surgical Method: A 10-Year Follow-up Pilot Study
Auteurs : Gianni Belcaro [Italie] ; Bruno M. Errichi [Italie] ; M. Rosaria Cesarone [Italie] ; Edmondo Ippolito [Italie] ; Mark Dugall [Italie] ; Andrea Ledda [Italie] ; Andrea Ricci [Italie]Source :
- Angiology [ 0003-3197 ] ; 2008-02.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Coûts des soins de santé, Facteurs temps, Femelle, Humains, Indice de gravité médicale, Indice de masse corporelle, Interventions chirurgicales mini-invasives (effets indésirables), Interventions chirurgicales mini-invasives (économie), Liquide extracellulaire (métabolisme), Lymphoedème (), Lymphoedème (anatomopathologie), Lymphoedème (imagerie diagnostique), Lymphoedème (métabolisme), Lymphoedème (étiologie), Mâle, Observance thérapeutique, Peau (anatomopathologie), Projets pilotes, Protéines (métabolisme), Résultat thérapeutique, Tissu lymphoïde (transplantation), Transplantation autologue (effets indésirables), Transplantation autologue (économie), Échographie, Études de suivi.
- MESH :
- anatomopathologie : Lymphoedème, Peau.
- effets indésirables : Interventions chirurgicales mini-invasives, Transplantation autologue.
- imagerie diagnostique : Lymphoedème.
- métabolisme : Liquide extracellulaire, Lymphoedème, Protéines.
- économie : Interventions chirurgicales mini-invasives, Tissu lymphoïde, Transplantation autologue.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Coûts des soins de santé, Facteurs temps, Femelle, Humains, Indice de gravité médicale, Indice de masse corporelle, Lymphoedème, Mâle, Observance thérapeutique, Projets pilotes, Résultat thérapeutique, Échographie, Études de suivi.
- Pascal (Inist)
- Wicri :
- topic : Chirurgie.
English descriptors
- KwdEn :
- Adult, Ambulatory, Body Mass Index, Cardiovascular disease, Extracellular Fluid (metabolism), Female, Follow up study, Follow-Up Studies, Health Care Costs, Humans, Lymphatic, Lymphatic system, Lymphedema, Lymphedema (diagnostic imaging), Lymphedema (etiology), Lymphedema (metabolism), Lymphedema (pathology), Lymphedema (surgery), Lymphoid Tissue (transplantation), Male, Middle Aged, Minimally Invasive Surgical Procedures (adverse effects), Minimally Invasive Surgical Procedures (economics), Patient Compliance, Pilot Projects, Proteins (metabolism), Severity of Illness Index, Skin (pathology), Surgery, Time Factors, Transplantation, Autologous (adverse effects), Transplantation, Autologous (economics), Treatment Outcome, Ultrasonography.
- MESH :
- chemical , metabolism : Proteins.
- adverse effects : Minimally Invasive Surgical Procedures, Transplantation, Autologous.
- diagnostic imaging : Lymphedema.
- economics : Minimally Invasive Surgical Procedures, Transplantation, Autologous.
- etiology : Lymphedema.
- metabolism : Extracellular Fluid, Lymphedema.
- pathology : Lymphedema, Skin.
- surgery : Lymphedema.
- transplantation : Lymphoid Tissue.
- Adult, Body Mass Index, Female, Follow-Up Studies, Health Care Costs, Humans, Male, Middle Aged, Patient Compliance, Pilot Projects, Severity of Illness Index, Time Factors, Treatment Outcome, Ultrasonography.
Abstract
Lymphedema is mainly characterized by swelling, fibrosis, and nonpitting edema. The aim of this study was evaluation of the long-term (10 years) effects of autologus lymphatic tissue implant in lymphedema. Lymphatic tissue from 9 patients (harvested form the same patient in areas not affected by lymphedema) was reimplanted into the affected limb, and these patients were followed for 10 years. Lymph nodes were harvested at the neck, axillary, or inguinal space (contralateral limb). Results showed that limb volume was decreased in the treatment group vs. controls. In ultrasound, black, low density, lymphatic spaces were visible in 100% of patients at inclusion but in only 23% of these subjects at 10 years. Thus, this early report proposes a new, minimally invasive method to improve lymphedema. Studies in progress will indicate the role of lymphatic transplant in the management of lymphedema and the best indications for this method.
Url:
DOI: 10.1177/0003319707308564
Affiliations:
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Le document en format XML
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level="j">Angiology</title><idno type="ISSN">0003-3197</idno><idno type="eISSN"></idno><imprint><publisher>Sage Publications</publisher><pubPlace>Sage CA: Los Angeles, CA</pubPlace><date type="published" when="2008-02">2008-02</date><biblScope unit="volume">59</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="77">77</biblScope><biblScope unit="page" to="83">83</biblScope></imprint><idno type="ISSN">0003-3197</idno></series><idno type="istex">86DB79A1FA9CEE490115B8E0AEE15A163330C17A</idno><idno type="DOI">10.1177/0003319707308564</idno><idno type="ArticleID">10.1177_0003319707308564</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0003-3197</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Ambulatory</term><term>Body Mass Index</term><term>Cardiovascular disease</term><term>Extracellular Fluid (metabolism)</term><term>Female</term><term>Follow up study</term><term>Follow-Up Studies</term><term>Health Care Costs</term><term>Humans</term><term>Lymphatic</term><term>Lymphatic system</term><term>Lymphedema</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (etiology)</term><term>Lymphedema (metabolism)</term><term>Lymphedema (pathology)</term><term>Lymphedema (surgery)</term><term>Lymphoid Tissue (transplantation)</term><term>Male</term><term>Middle Aged</term><term>Minimally Invasive Surgical Procedures (adverse effects)</term><term>Minimally Invasive Surgical Procedures (economics)</term><term>Patient Compliance</term><term>Pilot Projects</term><term>Proteins (metabolism)</term><term>Severity of Illness Index</term><term>Skin (pathology)</term><term>Surgery</term><term>Time Factors</term><term>Transplantation, Autologous (adverse effects)</term><term>Transplantation, Autologous (economics)</term><term>Treatment Outcome</term><term>Ultrasonography</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Coûts des soins de santé</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Indice de gravité médicale</term><term>Indice de masse corporelle</term><term>Interventions chirurgicales mini-invasives (effets indésirables)</term><term>Interventions chirurgicales mini-invasives (économie)</term><term>Liquide extracellulaire (métabolisme)</term><term>Lymphoedème ()</term><term>Lymphoedème (anatomopathologie)</term><term>Lymphoedème (imagerie diagnostique)</term><term>Lymphoedème (métabolisme)</term><term>Lymphoedème (étiologie)</term><term>Mâle</term><term>Observance thérapeutique</term><term>Peau (anatomopathologie)</term><term>Projets pilotes</term><term>Protéines (métabolisme)</term><term>Résultat thérapeutique</term><term>Tissu lymphoïde (transplantation)</term><term>Transplantation autologue (effets indésirables)</term><term>Transplantation autologue (économie)</term><term>Échographie</term><term>Études de suivi</term></keywords><keywords scheme="MESH" type="chemical" qualifier="metabolism" xml:lang="en"><term>Proteins</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Minimally Invasive Surgical Procedures</term><term>Transplantation, Autologous</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Lymphoedème</term><term>Peau</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Minimally Invasive Surgical Procedures</term><term>Transplantation, Autologous</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Interventions chirurgicales mini-invasives</term><term>Transplantation autologue</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="metabolism" xml:lang="en"><term>Extracellular Fluid</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr"><term>Liquide extracellulaire</term><term>Lymphoedème</term><term>Protéines</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lymphedema</term><term>Skin</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Lymphoid Tissue</term></keywords><keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Interventions chirurgicales mini-invasives</term><term>Tissu lymphoïde</term><term>Transplantation autologue</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Body Mass Index</term><term>Female</term><term>Follow-Up Studies</term><term>Health Care Costs</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Patient Compliance</term><term>Pilot Projects</term><term>Severity of Illness Index</term><term>Time Factors</term><term>Treatment Outcome</term><term>Ultrasonography</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Coûts des soins de santé</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Indice de gravité médicale</term><term>Indice de masse corporelle</term><term>Lymphoedème</term><term>Mâle</term><term>Observance thérapeutique</term><term>Projets pilotes</term><term>Résultat thérapeutique</term><term>Échographie</term><term>Études de suivi</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Ambulatoire</term><term>Chirurgie</term><term>Etude longitudinale</term><term>Lymphatique</term><term>Lymphoedème</term><term>Pathologie de l'appareil circulatoire</term><term>Système lymphatique</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lymphedema is mainly characterized by swelling, fibrosis, and nonpitting edema. The aim of this study was evaluation of the long-term (10 years) effects of autologus lymphatic tissue implant in lymphedema. Lymphatic tissue from 9 patients (harvested form the same patient in areas not affected by lymphedema) was reimplanted into the affected limb, and these patients were followed for 10 years. Lymph nodes were harvested at the neck, axillary, or inguinal space (contralateral limb). Results showed that limb volume was decreased in the treatment group vs. controls. In ultrasound, black, low density, lymphatic spaces were visible in 100% of patients at inclusion but in only 23% of these subjects at 10 years. Thus, this early report proposes a new, minimally invasive method to improve lymphedema. Studies in progress will indicate the role of lymphatic transplant in the management of lymphedema and the best indications for this method.</div></front></TEI><affiliations><list><country><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Belcaro, Gianni" sort="Belcaro, Gianni" uniqKey="Belcaro G" first="Gianni" last="Belcaro">Gianni Belcaro</name></noRegion><name sortKey="Cesarone, M Rosaria" sort="Cesarone, M Rosaria" uniqKey="Cesarone M" first="M. Rosaria" last="Cesarone">M. Rosaria Cesarone</name><name sortKey="Dugall, Mark" sort="Dugall, Mark" uniqKey="Dugall M" first="Mark" last="Dugall">Mark Dugall</name><name sortKey="Errichi, Bruno M" sort="Errichi, Bruno M" uniqKey="Errichi B" first="Bruno M." last="Errichi">Bruno M. Errichi</name><name sortKey="Ippolito, Edmondo" sort="Ippolito, Edmondo" uniqKey="Ippolito E" first="Edmondo" last="Ippolito">Edmondo Ippolito</name><name sortKey="Ledda, Andrea" sort="Ledda, Andrea" uniqKey="Ledda A" first="Andrea" last="Ledda">Andrea Ledda</name><name sortKey="Ricci, Andrea" sort="Ricci, Andrea" uniqKey="Ricci A" first="Andrea" last="Ricci">Andrea Ricci</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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