Reconstructive microsurgery of lymph vessels: the personal method of lymphatic-venous-lymphatic (LVL) interpositioned grafted shunt.
Identifieur interne : 00C263 ( Main/Exploration ); précédent : 00C262; suivant : 00C264Reconstructive microsurgery of lymph vessels: the personal method of lymphatic-venous-lymphatic (LVL) interpositioned grafted shunt.
Auteurs : C. Campisi [Italie] ; F. Boccardo ; M. TacchellaSource :
- Microsurgery [ 0738-1085 ] ; 1995.
Descripteurs français
- KwdFr :
- MESH :
- imagerie diagnostique : Lymphoedème.
- Anastomose chirurgicale, Humains, Lymphoedème, Lymphoscintigraphie, Microchirurgie, Pronostic, Système lymphatique, Veines.
English descriptors
- KwdEn :
- MESH :
- diagnostic imaging : Lymphedema.
- methods : Anastomosis, Surgical, Microsurgery.
- surgery : Lymphatic System, Lymphedema.
- transplantation : Veins.
- Humans, Lymphoscintigraphy, Prognosis.
Abstract
Our clinical observations in 64 patients affected by chronic obstructive lymphedema (either arm or leg) undergoing interposition autologous lymphatic-venous-lymphatic (LVL) anastomoses are reported. This microsurgical technique is an alternative to other lymphatic shunting methods, especially when venous dysfunction coexists in the same limb and, therefore, when direct lymphatic-venous anastomosis is accordingly inadequate. Preoperative diagnostic evaluation (including lymphatic and venous isotopic scintigraphy, Doppler venous flowmetrics, and pressure manometry) plays an essential role in assessing the conditions of both the lymphatic and venous systems and in establishing which microsurgical procedure, if any, is indicated. Our microsurgical technique consists of inserting suitably large and lengthy autologous venous grafts between lymphatic collectors above and below the site of obstruction to lymph flow. The data show that, using this technique, both limb function and edema improved, and in all patients followed up for over 5 years edema regression was permanent.
PubMed: 7637625
Affiliations:
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Le document en format XML
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Tacchella</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1995">1995</date><idno type="RBID">pubmed:7637625</idno><idno type="pmid">7637625</idno><idno type="wicri:Area/PubMed/Corpus">005456</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">005456</idno><idno type="wicri:Area/PubMed/Curation">005456</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">005456</idno><idno type="wicri:Area/PubMed/Checkpoint">005456</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">005456</idno><idno type="wicri:Area/Ncbi/Merge">00B154</idno><idno type="wicri:Area/Ncbi/Curation">00B154</idno><idno type="wicri:Area/Ncbi/Checkpoint">00B154</idno><idno type="wicri:doubleKey">0738-1085:1995:Campisi C:reconstructive:microsurgery:of</idno><idno type="wicri:Area/Main/Merge">00CB39</idno><idno type="wicri:Area/Main/Curation">00C263</idno><idno type="wicri:Area/Main/Exploration">00C263</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Reconstructive microsurgery of lymph vessels: the personal method of lymphatic-venous-lymphatic (LVL) interpositioned grafted shunt.</title><author><name sortKey="Campisi, C" sort="Campisi, C" uniqKey="Campisi C" first="C" last="Campisi">C. Campisi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Emergency Surgery, University of Genoa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Emergency Surgery, University of Genoa</wicri:regionArea><wicri:noRegion>University of Genoa</wicri:noRegion></affiliation></author><author><name sortKey="Boccardo, F" sort="Boccardo, F" uniqKey="Boccardo F" first="F" last="Boccardo">F. Boccardo</name></author><author><name sortKey="Tacchella, M" sort="Tacchella, M" uniqKey="Tacchella M" first="M" last="Tacchella">M. Tacchella</name></author></analytic><series><title level="j">Microsurgery</title><idno type="ISSN">0738-1085</idno><imprint><date when="1995" type="published">1995</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anastomosis, Surgical (methods)</term><term>Humans</term><term>Lymphatic System (surgery)</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (surgery)</term><term>Lymphoscintigraphy</term><term>Microsurgery (methods)</term><term>Prognosis</term><term>Veins (transplantation)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Anastomose chirurgicale ()</term><term>Humains</term><term>Lymphoedème ()</term><term>Lymphoedème (imagerie diagnostique)</term><term>Lymphoscintigraphie</term><term>Microchirurgie ()</term><term>Pronostic</term><term>Système lymphatique ()</term><term>Veines (transplantation)</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Anastomosis, Surgical</term><term>Microsurgery</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymphatic System</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Veins</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Lymphoscintigraphy</term><term>Prognosis</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Anastomose chirurgicale</term><term>Humains</term><term>Lymphoedème</term><term>Lymphoscintigraphie</term><term>Microchirurgie</term><term>Pronostic</term><term>Système lymphatique</term><term>Veines</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Our clinical observations in 64 patients affected by chronic obstructive lymphedema (either arm or leg) undergoing interposition autologous lymphatic-venous-lymphatic (LVL) anastomoses are reported. This microsurgical technique is an alternative to other lymphatic shunting methods, especially when venous dysfunction coexists in the same limb and, therefore, when direct lymphatic-venous anastomosis is accordingly inadequate. Preoperative diagnostic evaluation (including lymphatic and venous isotopic scintigraphy, Doppler venous flowmetrics, and pressure manometry) plays an essential role in assessing the conditions of both the lymphatic and venous systems and in establishing which microsurgical procedure, if any, is indicated. Our microsurgical technique consists of inserting suitably large and lengthy autologous venous grafts between lymphatic collectors above and below the site of obstruction to lymph flow. The data show that, using this technique, both limb function and edema improved, and in all patients followed up for over 5 years edema regression was permanent.</div></front></TEI><affiliations><list><country><li>Italie</li></country></list><tree><noCountry><name sortKey="Boccardo, F" sort="Boccardo, F" uniqKey="Boccardo F" first="F" last="Boccardo">F. Boccardo</name><name sortKey="Tacchella, M" sort="Tacchella, M" uniqKey="Tacchella M" first="M" last="Tacchella">M. Tacchella</name></noCountry><country name="Italie"><noRegion><name sortKey="Campisi, C" sort="Campisi, C" uniqKey="Campisi C" first="C" last="Campisi">C. Campisi</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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