Supermicrosurgical lymphaticovenular anastomosis for the treatment of lymphedema in the upper extremities
Identifieur interne : 00A884 ( Main/Exploration ); précédent : 00A883; suivant : 00A885Supermicrosurgical lymphaticovenular anastomosis for the treatment of lymphedema in the upper extremities
Auteurs : I. Koshima [Japon] ; K. Inagawa [Japon] ; K. Urushibara [Japon] ; T. Moriguchi [Japon]Source :
- Journal of reconstructive microsurgery [ 0743-684X ] ; 2000.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Anastomose chirurgicale (), Bandages, Bras, Femelle, Humains, Lymphoedème (), Lymphoedème (rééducation et réadaptation), Lymphoedème (étiologie), Mastectomie radicale (), Mastectomie radicale (effets indésirables), Microchirurgie (), Résultat thérapeutique, Sujet âgé, Système lymphatique (), Tumeurs du sein (), Études de suivi, Études rétrospectives.
- MESH :
- effets indésirables : Mastectomie radicale.
- rééducation et réadaptation : Lymphoedème.
- étiologie : Lymphoedème.
- Pascal (Inist)
- Adulte, Adulte d'âge moyen, Anastomose chirurgicale, Bandages, Bras, Femelle, Humains, Lymphoedème, Mastectomie radicale, Microchirurgie, Obstruction, Résultat thérapeutique, Sujet âgé, Système lymphatique, Traitement, Anastomose chirurgicale, Technique, Efficacité traitement, Etude cas, Membre supérieur, Microchirurgie, Adulte, Tumeurs du sein, Études de suivi, Études rétrospectives.
- Wicri :
- topic : Adulte.
English descriptors
- KwdEn :
- Adult, Aged, Anastomosis, Surgical (methods), Arm, Bandages, Breast Neoplasms (surgery), Case study, Female, Follow-Up Studies, Humans, Lymphatic System (surgery), Lymphedema, Lymphedema (etiology), Lymphedema (rehabilitation), Lymphedema (surgery), Mastectomy, Radical (adverse effects), Mastectomy, Radical (methods), Microsurgery, Microsurgery (methods), Middle Aged, Obstruction, Retrospective Studies, Surgical anastomosis, Technique, Treatment, Treatment Outcome, Treatment efficiency, Upper limb.
- MESH :
- adverse effects : Mastectomy, Radical.
- etiology : Lymphedema.
- methods : Anastomosis, Surgical, Mastectomy, Radical, Microsurgery.
- rehabilitation : Lymphedema.
- surgery : Breast Neoplasms, Lymphatic System, Lymphedema.
- Adult, Aged, Arm, Bandages, Female, Follow-Up Studies, Humans, Middle Aged, Retrospective Studies, Treatment Outcome.
Abstract
Over the last eight years, the authors analyzed obstructive lymphedema of a unilateral upper extremity in a total of 27 females, comparing the use of supramicrosurgical lymphaticovenule anastomoses and/or conservative treatment. The most common cause of edema was mastectomy, with or without subsequent radiation therapy for breast cancer. As an objective assessment of the extent of edema, the circumferences of the affected and opposite normal forearms were measured at 10 cm below the olecranon of the arm. Twelve of these patients received continual bandaging. In these patients, the average excess circumference of the affected arm was 6.4 cm over that of the normal forearm; the average duration of edema before treatment was 3.5 years; the average period for conservative treatment was 10.6 months; and the average decrease in circumference was 0.8 cm (11.7 percent of the preoperative excess). Twelve patients underwent surgery and postoperative continual bandaging. In these patients, the average excess circumference was 8.9 cm; the average duration of edema before surgery was 8.2 years; the average follow-up after surgery was 2.2 years; and the average decrease in circumference was 4.1 cm (47.3 percent of the preoperative excess). These results indicated that supermicrolymphaticovenular anastomoses with postoperative bandaging have a valuable place in the treatment of obstructive lymphedema.
Affiliations:
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Inagawa</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic and Reconstructive Surgery, Okayama University Medical School and Kawasaki Medical School</s1><s2>Okayama</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Okayama</wicri:noRegion></affiliation></author><author><name sortKey="Urushibara, K" sort="Urushibara, K" uniqKey="Urushibara K" first="K." last="Urushibara">K. Urushibara</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic and Reconstructive Surgery, Okayama University Medical School and Kawasaki Medical School</s1><s2>Okayama</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Okayama</wicri:noRegion></affiliation></author><author><name sortKey="Moriguchi, T" sort="Moriguchi, T" uniqKey="Moriguchi T" first="T." last="Moriguchi">T. 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Koshima</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic and Reconstructive Surgery, Okayama University Medical School and Kawasaki Medical School</s1><s2>Okayama</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Okayama</wicri:noRegion></affiliation></author><author><name sortKey="Inagawa, K" sort="Inagawa, K" uniqKey="Inagawa K" first="K." last="Inagawa">K. Inagawa</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic and Reconstructive Surgery, Okayama University Medical School and Kawasaki Medical School</s1><s2>Okayama</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Okayama</wicri:noRegion></affiliation></author><author><name sortKey="Urushibara, K" sort="Urushibara, K" uniqKey="Urushibara K" first="K." last="Urushibara">K. Urushibara</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic and Reconstructive Surgery, Okayama University Medical School and Kawasaki Medical School</s1><s2>Okayama</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Okayama</wicri:noRegion></affiliation></author><author><name sortKey="Moriguchi, T" sort="Moriguchi, T" uniqKey="Moriguchi T" first="T." last="Moriguchi">T. Moriguchi</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic and Reconstructive Surgery, Okayama University Medical School and Kawasaki Medical School</s1><s2>Okayama</s2><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Okayama</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Journal of reconstructive microsurgery</title><title level="j" type="abbreviated">J. reconstr. microsurg.</title><idno type="ISSN">0743-684X</idno><imprint><date when="2000">2000</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of reconstructive microsurgery</title><title level="j" type="abbreviated">J. reconstr. microsurg.</title><idno type="ISSN">0743-684X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Anastomosis, Surgical (methods)</term><term>Arm</term><term>Bandages</term><term>Breast Neoplasms (surgery)</term><term>Case study</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Lymphatic System (surgery)</term><term>Lymphedema</term><term>Lymphedema (etiology)</term><term>Lymphedema (rehabilitation)</term><term>Lymphedema (surgery)</term><term>Mastectomy, Radical (adverse effects)</term><term>Mastectomy, Radical (methods)</term><term>Microsurgery</term><term>Microsurgery (methods)</term><term>Middle Aged</term><term>Obstruction</term><term>Retrospective Studies</term><term>Surgical anastomosis</term><term>Technique</term><term>Treatment</term><term>Treatment Outcome</term><term>Treatment efficiency</term><term>Upper limb</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Anastomose chirurgicale ()</term><term>Bandages</term><term>Bras</term><term>Femelle</term><term>Humains</term><term>Lymphoedème ()</term><term>Lymphoedème (rééducation et réadaptation)</term><term>Lymphoedème (étiologie)</term><term>Mastectomie radicale ()</term><term>Mastectomie radicale (effets indésirables)</term><term>Microchirurgie ()</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Système lymphatique ()</term><term>Tumeurs du sein ()</term><term>Études de suivi</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Mastectomy, Radical</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Mastectomie radicale</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Anastomosis, Surgical</term><term>Mastectomy, Radical</term><term>Microsurgery</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term><term>Lymphatic System</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Arm</term><term>Bandages</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Treatment Outcome</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Anastomose chirurgicale</term><term>Bandages</term><term>Bras</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Mastectomie radicale</term><term>Microchirurgie</term><term>Obstruction</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Système lymphatique</term><term>Traitement</term><term>Anastomose chirurgicale</term><term>Technique</term><term>Efficacité traitement</term><term>Etude cas</term><term>Membre supérieur</term><term>Microchirurgie</term><term>Adulte</term><term>Tumeurs du sein</term><term>Études de suivi</term><term>Études rétrospectives</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Adulte</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Over the last eight years, the authors analyzed obstructive lymphedema of a unilateral upper extremity in a total of 27 females, comparing the use of supramicrosurgical lymphaticovenule anastomoses and/or conservative treatment. The most common cause of edema was mastectomy, with or without subsequent radiation therapy for breast cancer. As an objective assessment of the extent of edema, the circumferences of the affected and opposite normal forearms were measured at 10 cm below the olecranon of the arm. Twelve of these patients received continual bandaging. In these patients, the average excess circumference of the affected arm was 6.4 cm over that of the normal forearm; the average duration of edema before treatment was 3.5 years; the average period for conservative treatment was 10.6 months; and the average decrease in circumference was 0.8 cm (11.7 percent of the preoperative excess). Twelve patients underwent surgery and postoperative continual bandaging. In these patients, the average excess circumference was 8.9 cm; the average duration of edema before surgery was 8.2 years; the average follow-up after surgery was 2.2 years; and the average decrease in circumference was 4.1 cm (47.3 percent of the preoperative excess). These results indicated that supermicrolymphaticovenular anastomoses with postoperative bandaging have a valuable place in the treatment of obstructive lymphedema.</div></front></TEI><affiliations><list><country><li>Japon</li></country></list><tree><country name="Japon"><noRegion><name sortKey="Koshima, I" sort="Koshima, I" uniqKey="Koshima I" first="I." last="Koshima">I. Koshima</name></noRegion><name sortKey="Inagawa, K" sort="Inagawa, K" uniqKey="Inagawa K" first="K." last="Inagawa">K. Inagawa</name><name sortKey="Moriguchi, T" sort="Moriguchi, T" uniqKey="Moriguchi T" first="T." last="Moriguchi">T. Moriguchi</name><name sortKey="Urushibara, K" sort="Urushibara, K" uniqKey="Urushibara K" first="K." last="Urushibara">K. Urushibara</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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