Limited segmental resection of symptomatic lower-extremity lymphodystrophic tissue in high-risk patients.
Identifieur interne : 008E69 ( Main/Exploration ); précédent : 008E68; suivant : 008E70Limited segmental resection of symptomatic lower-extremity lymphodystrophic tissue in high-risk patients.
Auteurs : Tanya M. Oswald [États-Unis] ; William LineaweaverSource :
- Southern medical journal [ 0038-4348 ] ; 2003.
Descripteurs français
- KwdFr :
- Adulte, Angiolipome (), Angiolipome (anatomopathologie), Femelle, Humains, Jambe (), Jambe (anatomopathologie), Lymphoedème (), Lymphoedème (anatomopathologie), Marche à pied, Mâle, Obésité morbide (), Obésité morbide (anatomopathologie), Peau (anatomopathologie), Risque, Thrombose veineuse (), Tissu conjonctif (anatomopathologie), Troubles du rythme cardiaque (), Tumeurs cutanées (), Tumeurs cutanées (anatomopathologie), Tumeurs des tissus mous (), Tumeurs des tissus mous (anatomopathologie).
- MESH :
- anatomopathologie : Angiolipome, Jambe, Lymphoedème, Obésité morbide, Peau, Tissu conjonctif, Tumeurs cutanées, Tumeurs des tissus mous.
- Adulte, Angiolipome, Femelle, Humains, Jambe, Lymphoedème, Marche à pied, Mâle, Obésité morbide, Risque, Thrombose veineuse, Troubles du rythme cardiaque, Tumeurs cutanées, Tumeurs des tissus mous.
English descriptors
- KwdEn :
- Adult, Angiolipoma (pathology), Angiolipoma (surgery), Arrhythmias, Cardiac (complications), Connective Tissue (pathology), Female, Humans, Leg (pathology), Leg (surgery), Lymphedema (pathology), Lymphedema (surgery), Male, Obesity, Morbid (complications), Obesity, Morbid (pathology), Obesity, Morbid (surgery), Risk, Skin (pathology), Skin Neoplasms (pathology), Skin Neoplasms (surgery), Soft Tissue Neoplasms (pathology), Soft Tissue Neoplasms (surgery), Venous Thrombosis (complications), Walking.
- MESH :
- complications : Arrhythmias, Cardiac, Obesity, Morbid, Venous Thrombosis.
- pathology : Angiolipoma, Connective Tissue, Leg, Lymphedema, Obesity, Morbid, Skin, Skin Neoplasms, Soft Tissue Neoplasms.
- surgery : Angiolipoma, Leg, Lymphedema, Obesity, Morbid, Skin Neoplasms, Soft Tissue Neoplasms.
- Adult, Female, Humans, Male, Risk, Walking.
Abstract
In obese patients, lymphodystrophic tissue can create large masses that are microscopically indistinguishable from chronic lymphedema. This tissue can be disabling, especially in the lower extremities. The tissue is refractory to conservative therapy and is prone to cellulitis and abscess formation. The patients are regarded as being at high risk for surgical complications due to obesity and related illnesses. We report two cases of patients with lesions severely limiting walking. The two patients weighed 490 and 520 lb, respectively. One patient had hypertension and asthma; the other had arrhythmias and chronic venous thrombosis. One patient had wedge resection of the right groin (23 lb) and knee (5 lb), and the second patient had resection of the right thigh (65 lb) and left thigh (84 lb). All procedures were done separately. Both patients reported improvement in walking. Simple wedge excision was an effective, minimally complicated treatment for these patients.
DOI: 10.1097/01.SMJ.0000051201.32067.CF
PubMed: 12940322
Affiliations:
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Oswald</name><affiliation wicri:level="2"><nlm:affiliation>Division of Plastic Surgery, University of Mississippi Medical Center, 2500 N. State Street, Jackson, MS 39216, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Division of Plastic Surgery, University of Mississippi Medical Center, 2500 N. State Street, Jackson, MS 39216</wicri:regionArea><placeName><region type="state">État du Mississippi</region></placeName></affiliation></author><author><name sortKey="Lineaweaver, William" sort="Lineaweaver, William" uniqKey="Lineaweaver W" first="William" last="Lineaweaver">William Lineaweaver</name></author></analytic><series><title level="j">Southern medical journal</title><idno type="ISSN">0038-4348</idno><imprint><date when="2003" type="published">2003</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Angiolipoma (pathology)</term><term>Angiolipoma (surgery)</term><term>Arrhythmias, Cardiac (complications)</term><term>Connective Tissue (pathology)</term><term>Female</term><term>Humans</term><term>Leg (pathology)</term><term>Leg (surgery)</term><term>Lymphedema (pathology)</term><term>Lymphedema (surgery)</term><term>Male</term><term>Obesity, Morbid (complications)</term><term>Obesity, Morbid (pathology)</term><term>Obesity, Morbid (surgery)</term><term>Risk</term><term>Skin (pathology)</term><term>Skin Neoplasms (pathology)</term><term>Skin Neoplasms (surgery)</term><term>Soft Tissue Neoplasms (pathology)</term><term>Soft Tissue Neoplasms (surgery)</term><term>Venous Thrombosis (complications)</term><term>Walking</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Angiolipome ()</term><term>Angiolipome (anatomopathologie)</term><term>Femelle</term><term>Humains</term><term>Jambe ()</term><term>Jambe (anatomopathologie)</term><term>Lymphoedème ()</term><term>Lymphoedème (anatomopathologie)</term><term>Marche à pied</term><term>Mâle</term><term>Obésité morbide ()</term><term>Obésité morbide (anatomopathologie)</term><term>Peau (anatomopathologie)</term><term>Risque</term><term>Thrombose veineuse ()</term><term>Tissu conjonctif (anatomopathologie)</term><term>Troubles du rythme cardiaque ()</term><term>Tumeurs cutanées ()</term><term>Tumeurs cutanées (anatomopathologie)</term><term>Tumeurs des tissus mous ()</term><term>Tumeurs des tissus mous (anatomopathologie)</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Angiolipome</term><term>Jambe</term><term>Lymphoedème</term><term>Obésité morbide</term><term>Peau</term><term>Tissu conjonctif</term><term>Tumeurs cutanées</term><term>Tumeurs des tissus mous</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Arrhythmias, Cardiac</term><term>Obesity, Morbid</term><term>Venous Thrombosis</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Angiolipoma</term><term>Connective Tissue</term><term>Leg</term><term>Lymphedema</term><term>Obesity, Morbid</term><term>Skin</term><term>Skin Neoplasms</term><term>Soft Tissue Neoplasms</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Angiolipoma</term><term>Leg</term><term>Lymphedema</term><term>Obesity, Morbid</term><term>Skin Neoplasms</term><term>Soft Tissue Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Male</term><term>Risk</term><term>Walking</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Angiolipome</term><term>Femelle</term><term>Humains</term><term>Jambe</term><term>Lymphoedème</term><term>Marche à pied</term><term>Mâle</term><term>Obésité morbide</term><term>Risque</term><term>Thrombose veineuse</term><term>Troubles du rythme cardiaque</term><term>Tumeurs cutanées</term><term>Tumeurs des tissus mous</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In obese patients, lymphodystrophic tissue can create large masses that are microscopically indistinguishable from chronic lymphedema. This tissue can be disabling, especially in the lower extremities. The tissue is refractory to conservative therapy and is prone to cellulitis and abscess formation. The patients are regarded as being at high risk for surgical complications due to obesity and related illnesses. We report two cases of patients with lesions severely limiting walking. The two patients weighed 490 and 520 lb, respectively. One patient had hypertension and asthma; the other had arrhythmias and chronic venous thrombosis. One patient had wedge resection of the right groin (23 lb) and knee (5 lb), and the second patient had resection of the right thigh (65 lb) and left thigh (84 lb). All procedures were done separately. Both patients reported improvement in walking. Simple wedge excision was an effective, minimally complicated treatment for these patients.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>État du Mississippi</li></region></list><tree><noCountry><name sortKey="Lineaweaver, William" sort="Lineaweaver, William" uniqKey="Lineaweaver W" first="William" last="Lineaweaver">William Lineaweaver</name></noCountry><country name="États-Unis"><region name="État du Mississippi"><name sortKey="Oswald, Tanya M" sort="Oswald, Tanya M" uniqKey="Oswald T" first="Tanya M" last="Oswald">Tanya M. Oswald</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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