Microsurgery for treatment of peripheral lymphedema: Long‐term outcome and future perspectives
Identifieur interne : 007558 ( Main/Exploration ); précédent : 007557; suivant : 007559Microsurgery for treatment of peripheral lymphedema: Long‐term outcome and future perspectives
Auteurs : Corradino Campisi [Italie] ; Costantino Eretta [Italie] ; Davide Pertile [Italie] ; Elisa Da Rin [Italie] ; Corrado Campisi [Italie] ; Alberto Macci [Italie] ; Mirko Campisi [Italie] ; Susanna Accogli [Italie] ; Carlo Bellini [Italie] ; Eugenio Bonioli [Italie] ; Francesco Boccardo [Italie]Source :
- Microsurgery [ 0738-1085 ] ; 2007.
Descripteurs français
- KwdFr :
- MESH :
- tendances : Microchirurgie.
- étiologie : Lymphoedème.
- Anastomose chirurgicale, Facteurs temps, Femelle, Humains, Humérus, Lymphoedème, Maladie chronique, Microchirurgie, Résultat thérapeutique, Scintigraphie, Vaisseaux lymphatiques, Veines, Études longitudinales.
English descriptors
- KwdEn :
- Anastomosis, Surgical (methods), Chronic Disease, Female, Humans, Humerus, Longitudinal Studies, Lymphatic Vessels (surgery), Lymphedema (classification), Lymphedema (etiology), Lymphedema (surgery), Microsurgery (methods), Microsurgery (trends), Radionuclide Imaging, Time Factors, Treatment Outcome, Veins (surgery).
- MESH :
- classification : Lymphedema.
- etiology : Lymphedema.
- methods : Anastomosis, Surgical, Microsurgery.
- surgery : Lymphatic Vessels, Lymphedema, Veins.
- trends : Microsurgery.
- Chronic Disease, Female, Humans, Humerus, Longitudinal Studies, Radionuclide Imaging, Time Factors, Treatment Outcome.
Abstract
Authors report over 30 years of their own clinical experience in the treatment of chronic peripheral lymphedemas by microsurgical techniques performed at the Center of Lymphatic Surgery of the University of Genoa, Italy. Over 1,500 lymphedema patients were treated with microsurgical techniques. Derivative lymphatic‐venous techniques were most often used. For those cases where a venous disease was associated to lymphedema, reconstructive lymphatic microsurgery techniques were performed (lymphatic‐venous–lymphatic‐plasty). Objective assessment was undertaken by water volumetry and lymphoscintigraphy. Volume changes showed a significant improvement in over 83%, with an average follow‐up of more than 10 years. There was an 87% reduction in the incidence of cellulitic attacks after microsurgery. Microsurgical lymphatic‐venous anastomoses have a place in the treatment of peripheral lymphedema and should be the therapy of choice in patients who are not sufficiently responsive to nonoperative treatment. Improved results can be expected with operations performed at earlier lymphedema stages. © 2007 Wiley‐Liss, Inc. Microsurgery 2007.
Url:
DOI: 10.1002/micr.20346
Affiliations:
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Over 1,500 lymphedema patients were treated with microsurgical techniques. Derivative lymphatic‐venous techniques were most often used. For those cases where a venous disease was associated to lymphedema, reconstructive lymphatic microsurgery techniques were performed (lymphatic‐venous–lymphatic‐plasty). Objective assessment was undertaken by water volumetry and lymphoscintigraphy. Volume changes showed a significant improvement in over 83%, with an average follow‐up of more than 10 years. There was an 87% reduction in the incidence of cellulitic attacks after microsurgery. Microsurgical lymphatic‐venous anastomoses have a place in the treatment of peripheral lymphedema and should be the therapy of choice in patients who are not sufficiently responsive to nonoperative treatment. Improved results can be expected with operations performed at earlier lymphedema stages. © 2007 Wiley‐Liss, Inc. Microsurgery 2007.</div></front></TEI><affiliations><list><country><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Campisi, Corradino" sort="Campisi, Corradino" uniqKey="Campisi C" first="Corradino" last="Campisi">Corradino Campisi</name></noRegion><name sortKey="Accogli, Susanna" sort="Accogli, Susanna" uniqKey="Accogli S" first="Susanna" last="Accogli">Susanna Accogli</name><name sortKey="Bellini, Carlo" sort="Bellini, Carlo" uniqKey="Bellini C" first="Carlo" last="Bellini">Carlo Bellini</name><name sortKey="Boccardo, Francesco" sort="Boccardo, Francesco" uniqKey="Boccardo F" first="Francesco" last="Boccardo">Francesco Boccardo</name><name sortKey="Bonioli, Eugenio" sort="Bonioli, Eugenio" uniqKey="Bonioli E" first="Eugenio" last="Bonioli">Eugenio Bonioli</name><name sortKey="Campisi, Corradino" sort="Campisi, Corradino" uniqKey="Campisi C" first="Corradino" last="Campisi">Corradino Campisi</name><name sortKey="Campisi, Corrado" sort="Campisi, Corrado" uniqKey="Campisi C" first="Corrado" last="Campisi">Corrado Campisi</name><name sortKey="Campisi, Mirko" sort="Campisi, Mirko" uniqKey="Campisi M" first="Mirko" last="Campisi">Mirko Campisi</name><name sortKey="Da Rin, Elisa" sort="Da Rin, Elisa" uniqKey="Da Rin E" first="Elisa" last="Da Rin">Elisa Da Rin</name><name sortKey="Eretta, Costantino" sort="Eretta, Costantino" uniqKey="Eretta C" first="Costantino" last="Eretta">Costantino Eretta</name><name sortKey="Macci, Alberto" sort="Macci, Alberto" uniqKey="Macci A" first="Alberto" last="Macci">Alberto Macci</name><name sortKey="Pertile, Davide" sort="Pertile, Davide" uniqKey="Pertile D" first="Davide" last="Pertile">Davide Pertile</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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