Lymph node transfer for the treatment of obstructive lymphoedema in the canine model
Identifieur interne : 00DC20 ( Main/Exploration ); précédent : 00DC19; suivant : 00DC21Lymph node transfer for the treatment of obstructive lymphoedema in the canine model
Auteurs : H.-C. Chen [Taïwan] ; B. Mcc. O'Brien [Australie] ; I. W. Rogers [États-Unis] ; J. J. Pribaz [États-Unis] ; C. J. Eaton [États-Unis]Source :
- British Journal of Plastic Surgery [ 0007-1226 ] ; 1990.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Lymphoedème, Noeuds lymphatiques.
- Pascal (Inist)
- Aine, Anastomose chirurgicale, Animaux, Appareil circulatoire pathologie, Biométrie, Chien, Chiens, Chirurgie, Evolution, Ganglion lymphatique, Lymphatique pathologie, Lymphoedème, Membre pelvien, Microchirurgie, Modèle animal, Noeuds lymphatiques, Obstruction, Pathologie expérimentale, Technique, Traitement, Transposition chirurgicale.
- Wicri :
- topic : Chirurgie.
English descriptors
- KwdEn :
- Anastomosis, Surgical, Animal model, Animals, Biometry, Cardiovascular disease, Dog, Dogs, Evolution, Experimental disease, Groin, Hindlimb (surgery), Lymph Nodes (blood supply), Lymph Nodes (pathology), Lymph Nodes (transplantation), Lymph node, Lymphatic vessel disease, Lymphedema, Lymphedema (pathology), Lymphedema (surgery), Microsurgery, Obstruction, Surgery, Surgical transfer, Technique, Treatment.
- MESH :
- blood supply : Lymph Nodes.
- pathology : Lymph Nodes, Lymphedema.
- surgery : Hindlimb, Lymphedema.
- transplantation : Lymph Nodes.
- Anastomosis, Surgical, Animals, Biometry, Dogs, Groin, Microsurgery.
Abstract
Abstract: The efficacy of transferring vascularised lymph nodes into lymphoedematous limbs was investigated. Stable below-knee lymphoedema was established in one hind limb of 10 dogs. The superficial inguinal lymph node and perinodal tissue from the normal hind limb was moved to the popliteal region of the lymphoedematous leg as a free vascularised transfer. In five dogs lymphaticolymphatic anastomoses between lymphatics of the node and proximal recipient site lymphatics were also performed.Circumferential measurements of the foot, ankle and midleg were obtained preoperatively and postoperatively at 3 and 6 months. These measurements showed postoperative reduction of the lymphoedematous legs compared to controls, with no added benefit from lymphaticolymphatic anastomoses. Technetium 99 scans and lymphangiography demonstrated re-establishment of lymphatic continuity in all recipient legs at 3 and 6 months post-transfer. Histological examination at 3 and 6 months revealed normal architecture in 9 of 10 nodes, although areas of lymphocyte depletion were common. Vascularised lymph node transfer to a lymphoedematous leg re-established lymphatic continuity and resulted in partial reduction of limb size. The addition of lymphaticolymphatic anastomosis to vascularised node transfer is neither necessary nor beneficial.
Url:
DOI: 10.1016/0007-1226(90)90123-H
Affiliations:
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Le document en format XML
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Stable below-knee lymphoedema was established in one hind limb of 10 dogs. The superficial inguinal lymph node and perinodal tissue from the normal hind limb was moved to the popliteal region of the lymphoedematous leg as a free vascularised transfer. In five dogs lymphaticolymphatic anastomoses between lymphatics of the node and proximal recipient site lymphatics were also performed.Circumferential measurements of the foot, ankle and midleg were obtained preoperatively and postoperatively at 3 and 6 months. These measurements showed postoperative reduction of the lymphoedematous legs compared to controls, with no added benefit from lymphaticolymphatic anastomoses. Technetium 99 scans and lymphangiography demonstrated re-establishment of lymphatic continuity in all recipient legs at 3 and 6 months post-transfer. Histological examination at 3 and 6 months revealed normal architecture in 9 of 10 nodes, although areas of lymphocyte depletion were common. Vascularised lymph node transfer to a lymphoedematous leg re-established lymphatic continuity and resulted in partial reduction of limb size. The addition of lymphaticolymphatic anastomosis to vascularised node transfer is neither necessary nor beneficial.</div></front></TEI><affiliations><list><country><li>Australie</li><li>Taïwan</li><li>États-Unis</li></country><region><li>Massachusetts</li><li>Utah</li></region></list><tree><country name="Taïwan"><noRegion><name sortKey="Chen, H C" sort="Chen, H C" uniqKey="Chen H" first="H.-C." last="Chen">H.-C. Chen</name></noRegion></country><country name="Australie"><noRegion><name sortKey="O Brien, B Mcc" sort="O Brien, B Mcc" uniqKey="O Brien B" first="B. Mcc." last="O'Brien">B. Mcc. O'Brien</name></noRegion></country><country name="États-Unis"><noRegion><name sortKey="Rogers, I W" sort="Rogers, I W" uniqKey="Rogers I" first="I. W." last="Rogers">I. W. Rogers</name></noRegion><name sortKey="Eaton, C J" sort="Eaton, C J" uniqKey="Eaton C" first="C. J." last="Eaton">C. J. Eaton</name><name sortKey="Pribaz, J J" sort="Pribaz, J J" uniqKey="Pribaz J" first="J. J." last="Pribaz">J. J. Pribaz</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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