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A microsurgical method for reconstruction of interrupted lymphatic pathways: autologous lymph-vessel transplantation for treatment of lymphedemas.

Identifieur interne : 00EA44 ( Main/Exploration ); précédent : 00EA43; suivant : 00EA45

A microsurgical method for reconstruction of interrupted lymphatic pathways: autologous lymph-vessel transplantation for treatment of lymphedemas.

Auteurs : R G Baumeister ; S. Siuda ; H. Bohmert ; E. Moser

Source :

RBID : pubmed:3775285

Descripteurs français

English descriptors

Abstract

Refinements in microsurgery have made it possible to perform causal therapy on lymphedemas due to a local blockade of lymphatic pathways through transplantation of the patient's lymph collectors. End-to-end anastomoses with lymphatics before and after the blockade or crossing to the opposite side are performed under 40-fold magnification. Between July 1980 and February 1985 32 patients received this treatment. 23 patients had postmastectomy edema, and 9 patients had unilateral edema of the lower limb (2 primary, 7 secondary edemas). The lasting result was that the volume difference between the affected and the healthy limb decreased to about 65%. Lymphatic scintiscans showed improved lymphatic transport capacity with increasing time from surgery and long patency of the grafts.

PubMed: 3775285


Affiliations:


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Le document en format XML

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<title xml:lang="en">A microsurgical method for reconstruction of interrupted lymphatic pathways: autologous lymph-vessel transplantation for treatment of lymphedemas.</title>
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<name sortKey="Siuda, S" sort="Siuda, S" uniqKey="Siuda S" first="S" last="Siuda">S. Siuda</name>
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<term>Adult</term>
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<term>Arm</term>
<term>Humans</term>
<term>Leg</term>
<term>Lymphatic System (transplantation)</term>
<term>Lymphedema (surgery)</term>
<term>Microsurgery (methods)</term>
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<term>Surgery, Plastic (methods)</term>
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<term>Adulte</term>
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<term>Chirurgie plastique ()</term>
<term>Humains</term>
<term>Jambe</term>
<term>Lymphoedème ()</term>
<term>Microchirurgie ()</term>
<term>Sujet âgé</term>
<term>Système lymphatique (transplantation)</term>
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<term>Microsurgery</term>
<term>Surgery, Plastic</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="transplantation" xml:lang="en">
<term>Lymphatic System</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Arm</term>
<term>Humans</term>
<term>Leg</term>
<term>Middle Aged</term>
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<term>Adulte d'âge moyen</term>
<term>Bras</term>
<term>Chirurgie plastique</term>
<term>Humains</term>
<term>Jambe</term>
<term>Lymphoedème</term>
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<term>Sujet âgé</term>
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<div type="abstract" xml:lang="en">Refinements in microsurgery have made it possible to perform causal therapy on lymphedemas due to a local blockade of lymphatic pathways through transplantation of the patient's lymph collectors. End-to-end anastomoses with lymphatics before and after the blockade or crossing to the opposite side are performed under 40-fold magnification. Between July 1980 and February 1985 32 patients received this treatment. 23 patients had postmastectomy edema, and 9 patients had unilateral edema of the lower limb (2 primary, 7 secondary edemas). The lasting result was that the volume difference between the affected and the healthy limb decreased to about 65%. Lymphatic scintiscans showed improved lymphatic transport capacity with increasing time from surgery and long patency of the grafts.</div>
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<name sortKey="Moser, E" sort="Moser, E" uniqKey="Moser E" first="E" last="Moser">E. Moser</name>
<name sortKey="Siuda, S" sort="Siuda, S" uniqKey="Siuda S" first="S" last="Siuda">S. Siuda</name>
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