Lymphedema and microsurgery
Identifieur interne : 009674 ( Main/Exploration ); précédent : 009673; suivant : 009675Lymphedema and microsurgery
Auteurs : C. Campisi [Italie] ; F. Boccardo [Italie]Source :
- Microsurgery [ 0738-1085 ] ; 2002.
Descripteurs français
- KwdFr :
- MESH :
- diagnostic : Lymphoedème.
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Lymphedema.
- methods : Microsurgery.
- surgery : Lymphedema.
- Animals, Arm, Humans, Leg, Prognosis, Severity of Illness Index, Treatment Outcome.
Abstract
Lymphedema is often diagnosed by its characteristic clinical presentation. In some cases, however, instrumental investigations are necessary to establish the diagnosis, particularly in early stages of the disease. One of the primary problems for microsurgery in treating lymphedema consists of the discrepancy between the excellent technical possibilities and the insufficient results in reduction of lymphedematous tissue fibrosis and sclerosis. Long‐term results indicate that microsurgical operations have a valuable place in the treatment of obstructive lymphedema (primary or secondary) and should be the treatment of choice in these patients. Improved results can be expected with earlier microsurgical operations because patients referred earlier usually have less lymphatic disruption and fibrotic tissue. Advanced diagnostic methods and improvements in operation techniques have modified indications for surgical therapy of lymphedema. This article systematically reviews the published literature on the microsurgical treatment of lymphedema to the present. © 2002 Wiley Liss, Inc. MICROSURGERY 22:74–80 2002
Url:
DOI: 10.1002/micr.21728
Affiliations:
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Le document en format XML
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<term>Arm</term>
<term>Diagnosis</term>
<term>Early stage</term>
<term>Human</term>
<term>Humans</term>
<term>Leg</term>
<term>Long term</term>
<term>Lymphedema</term>
<term>Lymphedema (diagnosis)</term>
<term>Lymphedema (surgery)</term>
<term>Microsurgery</term>
<term>Microsurgery (methods)</term>
<term>Prognosis</term>
<term>Result</term>
<term>Severity of Illness Index</term>
<term>Technique</term>
<term>Treatment</term>
<term>Treatment Outcome</term>
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<term>Bras</term>
<term>Humains</term>
<term>Indice de gravité médicale</term>
<term>Jambe</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (diagnostic)</term>
<term>Microchirurgie ()</term>
<term>Pronostic</term>
<term>Résultat thérapeutique</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Microsurgery</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymphedema</term>
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<keywords scheme="MESH" xml:lang="en"><term>Animals</term>
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<term>Humans</term>
<term>Leg</term>
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<term>Severity of Illness Index</term>
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<term>Bras</term>
<term>Diagnostic</term>
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<term>Indice de gravité médicale</term>
<term>Jambe</term>
<term>Long terme</term>
<term>Lymphoedème</term>
<term>Microchirurgie</term>
<term>Pronostic</term>
<term>Résultat</term>
<term>Résultat thérapeutique</term>
<term>Stade précoce</term>
<term>Technique</term>
<term>Traitement</term>
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<front><div type="abstract" xml:lang="en">Lymphedema is often diagnosed by its characteristic clinical presentation. In some cases, however, instrumental investigations are necessary to establish the diagnosis, particularly in early stages of the disease. One of the primary problems for microsurgery in treating lymphedema consists of the discrepancy between the excellent technical possibilities and the insufficient results in reduction of lymphedematous tissue fibrosis and sclerosis. Long‐term results indicate that microsurgical operations have a valuable place in the treatment of obstructive lymphedema (primary or secondary) and should be the treatment of choice in these patients. Improved results can be expected with earlier microsurgical operations because patients referred earlier usually have less lymphatic disruption and fibrotic tissue. Advanced diagnostic methods and improvements in operation techniques have modified indications for surgical therapy of lymphedema. This article systematically reviews the published literature on the microsurgical treatment of lymphedema to the present. © 2002 Wiley Liss, Inc. MICROSURGERY 22:74–80 2002</div>
</front>
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