The diagnosis and management of primary lymphedema.
Identifieur interne : 00E958 ( Main/Exploration ); précédent : 00E957; suivant : 00E959The diagnosis and management of primary lymphedema.
Auteurs : N L BrowseSource :
- Journal of vascular surgery [ 0741-5214 ] ; 1986.
Descripteurs français
- KwdFr :
- MESH :
- diagnostic : Lymphoedème.
- imagerie diagnostique : Jambe.
- Colloïdes, Femelle, Humains, Lymphoedème, Lymphographie, Massage, Mâle, Rhénium, Scintigraphie, Sulfocolloïde de technétium (99mTc), Transplantation de peau, Vêtements.
English descriptors
- KwdEn :
- MESH :
- chemical : Colloids, Rhenium, Technetium Tc 99m Sulfur Colloid.
- diagnosis : Lymphedema.
- diagnostic imaging : Leg.
- surgery : Lymphedema.
- therapy : Lymphedema.
- Clothing, Female, Humans, Lymphography, Male, Massage, Radionuclide Imaging, Skin Transplantation.
Abstract
Although the clinical features of lymphedema are often distinctive, it is essential to confirm the diagnosis with an objective test. Isotope lymphography is simple and 95% accurate for defining deficient lymph clearance. It is particularly useful for separating venous from lymphatic edema. Definition of the precise abnormality--peripheral lymphatic obliteration, proximal lymph node obstruction, or valvular incompetence--can only be made with lymphangiography. The mainstay of treatment is the reduction of edema by regular elevation and massage and external compression with elastic stockings. Pneumatic leggings are also helpful. Gross edema caused by peripheral obliteration may be reduced surgically by simple excision (Homans' operation) or complete excision and skin grafting (Charles' operation). Reflux through incompetent vessels may be prevented by vessel ligation. Obstruction by the iliac lymph nodes may be bypassed with an enteromesenteric pedicle.
PubMed: 3510325
Affiliations:
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Le document en format XML
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<series><title level="j">Journal of vascular surgery</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Clothing</term>
<term>Colloids</term>
<term>Female</term>
<term>Humans</term>
<term>Leg (diagnostic imaging)</term>
<term>Lymphedema (diagnosis)</term>
<term>Lymphedema (surgery)</term>
<term>Lymphedema (therapy)</term>
<term>Lymphography</term>
<term>Male</term>
<term>Massage</term>
<term>Radionuclide Imaging</term>
<term>Rhenium</term>
<term>Skin Transplantation</term>
<term>Technetium Tc 99m Sulfur Colloid</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Colloïdes</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jambe (imagerie diagnostique)</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (diagnostic)</term>
<term>Lymphographie</term>
<term>Massage</term>
<term>Mâle</term>
<term>Rhénium</term>
<term>Scintigraphie</term>
<term>Sulfocolloïde de technétium (99mTc)</term>
<term>Transplantation de peau</term>
<term>Vêtements</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Colloids</term>
<term>Rhenium</term>
<term>Technetium Tc 99m Sulfur Colloid</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Lymphoedème</term>
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<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Jambe</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term>
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<keywords scheme="MESH" xml:lang="en"><term>Clothing</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphography</term>
<term>Male</term>
<term>Massage</term>
<term>Radionuclide Imaging</term>
<term>Skin Transplantation</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Colloïdes</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème</term>
<term>Lymphographie</term>
<term>Massage</term>
<term>Mâle</term>
<term>Rhénium</term>
<term>Scintigraphie</term>
<term>Sulfocolloïde de technétium (99mTc)</term>
<term>Transplantation de peau</term>
<term>Vêtements</term>
</keywords>
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<front><div type="abstract" xml:lang="en">Although the clinical features of lymphedema are often distinctive, it is essential to confirm the diagnosis with an objective test. Isotope lymphography is simple and 95% accurate for defining deficient lymph clearance. It is particularly useful for separating venous from lymphatic edema. Definition of the precise abnormality--peripheral lymphatic obliteration, proximal lymph node obstruction, or valvular incompetence--can only be made with lymphangiography. The mainstay of treatment is the reduction of edema by regular elevation and massage and external compression with elastic stockings. Pneumatic leggings are also helpful. Gross edema caused by peripheral obliteration may be reduced surgically by simple excision (Homans' operation) or complete excision and skin grafting (Charles' operation). Reflux through incompetent vessels may be prevented by vessel ligation. Obstruction by the iliac lymph nodes may be bypassed with an enteromesenteric pedicle.</div>
</front>
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