Serveur d'exploration sur le lymphœdème

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[Isotype lymphography findings in sclerotherapy, varicose exeresis and excision of autologous venous transplants for arterial reconstructions].

Identifieur interne : 00DD69 ( Main/Exploration ); précédent : 00DD68; suivant : 00DD70

[Isotype lymphography findings in sclerotherapy, varicose exeresis and excision of autologous venous transplants for arterial reconstructions].

Auteurs : N. Weindorf ; U. Schultz-Ehrenburg ; K U Tiedjen

Source :

RBID : pubmed:2633514

Descripteurs français

English descriptors

Abstract

In an isotope lymphography study on 24 patients (38 legs), the influence of complete sclerosation therapy of trunk varicosis of the great and small saphenous veins according to Tournay is examined before and, on average, four weeks after treatment. The isotope lymphography parameter was defined as the ratio of the outflow from the foot to the influx to the groin area (quotient Q). The results showed no significant change in Q after treatment compared with the starting values. Thus, sclerosation therapy did not result in any impairment of lymphatic transport. In contrast, of the 9 patients (12 legs) treated by varicose exeresis who were referred for isotope lymphography there were 8 cases (i.e. 9 legs) of impaired lymphatic transport. However, this was a pre-selected patient group. Three further patients were examined by isotope lymphography after resection of a saphenous segment for arterial reconstruction. These revealed excessive lymphatic transport disturbances which were quantified for the first time. Vascular surgeons should include this complication in their explanatory talks with patients.

PubMed: 2633514


Affiliations:


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Le document en format XML

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<term>Adult</term>
<term>Aged</term>
<term>Coronary Artery Bypass</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Lymphedema (diagnostic imaging)</term>
<term>Lymphoscintigraphy</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Postoperative Complications (diagnostic imaging)</term>
<term>Saphenous Vein (transplantation)</term>
<term>Sclerotherapy</term>
<term>Technetium</term>
<term>Varicose Veins (diagnostic imaging)</term>
<term>Varicose Veins (therapy)</term>
<term>Venous Insufficiency (diagnostic imaging)</term>
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<term>Adulte</term>
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<term>Complications postopératoires (imagerie diagnostique)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Insuffisance veineuse (imagerie diagnostique)</term>
<term>Lymphoedème (imagerie diagnostique)</term>
<term>Lymphoscintigraphie</term>
<term>Mâle</term>
<term>Pontage aortocoronarien</term>
<term>Sclérothérapie</term>
<term>Sujet âgé</term>
<term>Technétium</term>
<term>Varices ()</term>
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<term>Lymphedema</term>
<term>Postoperative Complications</term>
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<term>Venous Insufficiency</term>
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<div type="abstract" xml:lang="en">In an isotope lymphography study on 24 patients (38 legs), the influence of complete sclerosation therapy of trunk varicosis of the great and small saphenous veins according to Tournay is examined before and, on average, four weeks after treatment. The isotope lymphography parameter was defined as the ratio of the outflow from the foot to the influx to the groin area (quotient Q). The results showed no significant change in Q after treatment compared with the starting values. Thus, sclerosation therapy did not result in any impairment of lymphatic transport. In contrast, of the 9 patients (12 legs) treated by varicose exeresis who were referred for isotope lymphography there were 8 cases (i.e. 9 legs) of impaired lymphatic transport. However, this was a pre-selected patient group. Three further patients were examined by isotope lymphography after resection of a saphenous segment for arterial reconstruction. These revealed excessive lymphatic transport disturbances which were quantified for the first time. Vascular surgeons should include this complication in their explanatory talks with patients.</div>
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