LymphedemaV1, Main, Exploration, bibRecord, 009E69

Long‐term results after lymphatic‐venous anastomoses for the treatment of obstructive lymphedema

Identifieur interne : 009E69 ( Main/Exploration ); précédent : 009E68; suivant : 009E70

Long‐term results after lymphatic‐venous anastomoses for the treatment of obstructive lymphedema

Auteurs : Corradino Campisi [Italie] ; Francesco Boccardo [Italie] ; Angelo Zilli [Italie] ; Alberto Macci [Italie] ; Francesco Napoli [Italie]

Source :

Microsurgery [ 0738-1085 ] ; 2001.

RBID : ISTEX:AF871BB340749F200E85DFF7331A451B42190E23

Descripteurs français

KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Anastomose chirurgicale, Enfant, Enfant d'âge préscolaire, Femelle, Humains, Lymphoedème (), Lymphoedème (étiologie), Microchirurgie, Mâle, Résultat thérapeutique, Sujet âgé, Système lymphatique (), Veines (), Études de suivi.
MESH :
- étiologie : Lymphoedème.
- Adolescent, Adulte, Adulte d'âge moyen, Anastomose chirurgicale, Enfant, Enfant d'âge préscolaire, Femelle, Humains, Lymphoedème, Microchirurgie, Mâle, Résultat thérapeutique, Sujet âgé, Système lymphatique, Veines, Études de suivi.

English descriptors

KwdEn :
- Adolescent, Adult, Aged, Anastomosis, Surgical, Child, Child, Preschool, Female, Follow-Up Studies, Humans, Lymphatic System (surgery), Lymphedema (etiology), Lymphedema (surgery), Male, Microsurgery, Middle Aged, Treatment Outcome, Veins (surgery).
MESH :
- etiology : Lymphedema.
- surgery : Lymphatic System, Lymphedema, Veins.
- Adolescent, Adult, Aged, Anastomosis, Surgical, Child, Child, Preschool, Female, Follow-Up Studies, Humans, Male, Microsurgery, Middle Aged, Treatment Outcome.

Abstract

Over the past 25 years, 665 patients with obstructive lymphedema have been treated with microsurgical lymphatic‐venous anastomoses; of these, 446 patients were available for long‐term follow‐up study. Objective assessment was undertaken by water volumetry and lymphoscintigraphy. Lymphangioscintigraphy, lymphangiography (in patients with gravitational reflux pathology), and echo‐Doppler were used preoperatively. Subjective improvement was noted in 578 patients (87%). Objectively, volume changes showed a significant improvement in 552 patients (83%), with an average reduction of 67% of the excess volume. Of those patients followed up, 379 patients (85%) have been able to discontinue the use of conservative measures, with an average follow‐up of more than 7 years and average reduction in excess volume of 69%. There was a 87% reduction in the incidence of cellulitis after microsurgery. In those patients who improved, drainage resulted in increased softness of the limbs. Peripheral edema (hand and foot) diminished considerably in most patients. These long‐term results indicate that lymphatic‐venous anastomoses have a place in the treatment of obstructive lymphedema and should be the therapy of choice in patients who are not sufficiently responsive to nonsurgical treatment. Improved results can be expected with earlier operations because patients referred earlier usually have fewer lymphatic alterations.

Url:

https://api.istex.fr/document/AF871BB340749F200E85DFF7331A451B42190E23/fulltext/pdf

DOI: 10.1002/micr.1025

Affiliations:

Italie

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<term>Child, Preschool</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Lymphatic System (surgery)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (surgery)</term>
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<term>Microsurgery</term>
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<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (étiologie)</term>
<term>Microchirurgie</term>
<term>Mâle</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Système lymphatique ()</term>
<term>Veines ()</term>
<term>Études de suivi</term>
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<term>Lymphedema</term>
<term>Veins</term>
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<term>Child, Preschool</term>
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<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Microsurgery</term>
<term>Middle Aged</term>
<term>Treatment Outcome</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Anastomose chirurgicale</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème</term>
<term>Microchirurgie</term>
<term>Mâle</term>
<term>Résultat thérapeutique</term>
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<front><div type="abstract" xml:lang="en">Over the past 25 years, 665 patients with obstructive lymphedema have been treated with microsurgical lymphatic‐venous anastomoses; of these, 446 patients were available for long‐term follow‐up study. Objective assessment was undertaken by water volumetry and lymphoscintigraphy. Lymphangioscintigraphy, lymphangiography (in patients with gravitational reflux pathology), and echo‐Doppler were used preoperatively. Subjective improvement was noted in 578 patients (87%). Objectively, volume changes showed a significant improvement in 552 patients (83%), with an average reduction of 67% of the excess volume. Of those patients followed up, 379 patients (85%) have been able to discontinue the use of conservative measures, with an average follow‐up of more than 7 years and average reduction in excess volume of 69%. There was a 87% reduction in the incidence of cellulitis after microsurgery. In those patients who improved, drainage resulted in increased softness of the limbs. Peripheral edema (hand and foot) diminished considerably in most patients. These long‐term results indicate that lymphatic‐venous anastomoses have a place in the treatment of obstructive lymphedema and should be the therapy of choice in patients who are not sufficiently responsive to nonsurgical treatment. Improved results can be expected with earlier operations because patients referred earlier usually have fewer lymphatic alterations.</div>
</front>
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Serveur d'exploration sur le lymphœdème

Long‐term results after lymphatic‐venous anastomoses for the treatment of obstructive lymphedema

Long‐term results after lymphatic‐venous anastomoses for the treatment of obstructive lymphedema

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

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