Serveur d'exploration sur le lymphœdème

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Skin blood flow of the lymphedematous arm before and after liposuction

Identifieur interne : 00BC04 ( Main/Exploration ); précédent : 00BC03; suivant : 00BC05

Skin blood flow of the lymphedematous arm before and after liposuction

Auteurs : H. Brorson [Suède] ; H. Svensson [Suède]

Source :

RBID : Pascal:98-0104637

Descripteurs français

English descriptors

Abstract

Twelve women with arm lymphedema after breast cancer treatment underwent liposuction followed by external compression with a garment-sleeve. Arm volumes were measured using water displacement technique, and skin blood flow was recorded with laser Doppler imaging (LDI). Data was collected before and after (3 and 12 months) liposuction. Episodes of cellulitis were also recorded. Whereas previous investigations have indicated increased total blood flow in the lymphedematous arm, we found reduced superficial skin blood flow preoperatively. Liposuction produced a median edema reduction of 87% and 97% after 3 and 12 months respectively. Both in the forearm and in the upper arm, skin blood flow increased significantly after liposuction and values were similar to those of the non-edematous (control) arm. Along with increased skin blood flow, the frequency of cellulitis also decreased. Liposuction effectively, reduces arm lymphedema after breast cancer treatment, and also lowers the incidence of arm cellulitis. Improved local skin blood flow may be an important contributing factor to the reduced episodes of arm infection.


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Le document en format XML

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<title level="j" type="main">Lymphology</title>
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<term>Aged</term>
<term>Arm</term>
<term>Arm (pathology)</term>
<term>Blood flow</term>
<term>Breast Neoplasms (complications)</term>
<term>Carcinoma</term>
<term>Cellulitis (etiology)</term>
<term>Complication</term>
<term>Doppler ultrasound study</term>
<term>Female</term>
<term>Human</term>
<term>Humans</term>
<term>Lipectomy</term>
<term>Liposuction</term>
<term>Lymphedema</term>
<term>Lymphedema (diagnostic imaging)</term>
<term>Lymphedema (surgery)</term>
<term>Mammary gland</term>
<term>Mastectomy</term>
<term>Middle Aged</term>
<term>Research Design</term>
<term>Skin</term>
<term>Skin (blood supply)</term>
<term>Treatment</term>
<term>Treatment efficiency</term>
<term>Ultrasonography</term>
<term>Upper limb</term>
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<term>Adulte d'âge moyen</term>
<term>Bras (anatomopathologie)</term>
<term>Cellulite sous-cutanée (étiologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lipectomie</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (imagerie diagnostique)</term>
<term>Peau ()</term>
<term>Plan de recherche</term>
<term>Sujet âgé</term>
<term>Tumeurs du sein ()</term>
<term>Échographie</term>
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<term>Bras</term>
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<keywords scheme="MESH" qualifier="blood supply" xml:lang="en">
<term>Skin</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Breast Neoplasms</term>
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<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Cellulitis</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Arm</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Cellulite sous-cutanée</term>
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<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Lipectomy</term>
<term>Middle Aged</term>
<term>Research Design</term>
<term>Ultrasonography</term>
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<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lipectomie</term>
<term>Lymphoedème</term>
<term>Bras</term>
<term>Membre supérieur</term>
<term>Carcinome</term>
<term>Glande mammaire</term>
<term>Mastectomie</term>
<term>Complication</term>
<term>Liposuccion</term>
<term>Peau</term>
<term>Plan de recherche</term>
<term>Sujet âgé</term>
<term>Traitement</term>
<term>Débit sanguin</term>
<term>Peau</term>
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<term>Femelle</term>
<term>Tumeurs du sein</term>
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<front>
<div type="abstract" xml:lang="en">Twelve women with arm lymphedema after breast cancer treatment underwent liposuction followed by external compression with a garment-sleeve. Arm volumes were measured using water displacement technique, and skin blood flow was recorded with laser Doppler imaging (LDI). Data was collected before and after (3 and 12 months) liposuction. Episodes of cellulitis were also recorded. Whereas previous investigations have indicated increased total blood flow in the lymphedematous arm, we found reduced superficial skin blood flow preoperatively. Liposuction produced a median edema reduction of 87% and 97% after 3 and 12 months respectively. Both in the forearm and in the upper arm, skin blood flow increased significantly after liposuction and values were similar to those of the non-edematous (control) arm. Along with increased skin blood flow, the frequency of cellulitis also decreased. Liposuction effectively, reduces arm lymphedema after breast cancer treatment, and also lowers the incidence of arm cellulitis. Improved local skin blood flow may be an important contributing factor to the reduced episodes of arm infection.</div>
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