Microlymphaticovenous anastomoses for obstructive lymphedema.
Identifieur interne : 010078 ( Main/Exploration ); précédent : 010077; suivant : 010079Microlymphaticovenous anastomoses for obstructive lymphedema.
Auteurs : B M O'Brien ; P. Sykes ; G N Threlfall ; F S BrowningSource :
- Plastic and reconstructive surgery [ 0032-1052 ] ; 1977.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- complications : Breast Neoplasms.
- etiology : Lymphedema.
- methods : Microsurgery.
- surgery : Lymphatic System, Lymphedema, Veins.
- Adult, Aged, Female, Humans, Middle Aged, Postoperative Care, Preoperative Care.
Abstract
Microlymphatic surgery appears to have a worthwhile clinical application in the treatment of secondary obstructive lymphedema. We prefer 3 or more lymphaticovenous anastomoses at, or above, the elbow; otherwise ablative procedures are recommended. In the selected cases there are some advantages of anastomoses over surgical reduction procedures: (1) the incidence of postoperative cellulitis is significantly less; (2) the microlymphatic techniques are applicable to both upper and lower limbs and perhaps could be extended to localized cases of obstructive lymphedema following trauma and congenital constriction bands. Considerable experience in microvascular surgery is required for doing this type of work. A long-term evaluation of the results of microlymphatic surgery in obstructive secondary lymphedema is required before judging its potential--especially in view of the fluctuating history of lymphedema--but the results reported are encouraging.
PubMed: 887661
Affiliations:
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Le document en format XML
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<author><name sortKey="Threlfall, G N" sort="Threlfall, G N" uniqKey="Threlfall G" first="G N" last="Threlfall">G N Threlfall</name>
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<author><name sortKey="Browning, F S" sort="Browning, F S" uniqKey="Browning F" first="F S" last="Browning">F S Browning</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Microlymphaticovenous anastomoses for obstructive lymphedema.</title>
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<series><title level="j">Plastic and reconstructive surgery</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Breast Neoplasms (complications)</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphatic System (surgery)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (surgery)</term>
<term>Microsurgery (methods)</term>
<term>Middle Aged</term>
<term>Postoperative Care</term>
<term>Preoperative Care</term>
<term>Veins (surgery)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (étiologie)</term>
<term>Microchirurgie ()</term>
<term>Soins postopératoires</term>
<term>Soins préopératoires</term>
<term>Sujet âgé</term>
<term>Système lymphatique ()</term>
<term>Tumeurs du sein ()</term>
<term>Veines ()</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Microsurgery</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymphatic System</term>
<term>Lymphedema</term>
<term>Veins</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Postoperative Care</term>
<term>Preoperative Care</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème</term>
<term>Microchirurgie</term>
<term>Soins postopératoires</term>
<term>Soins préopératoires</term>
<term>Sujet âgé</term>
<term>Système lymphatique</term>
<term>Tumeurs du sein</term>
<term>Veines</term>
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<front><div type="abstract" xml:lang="en">Microlymphatic surgery appears to have a worthwhile clinical application in the treatment of secondary obstructive lymphedema. We prefer 3 or more lymphaticovenous anastomoses at, or above, the elbow; otherwise ablative procedures are recommended. In the selected cases there are some advantages of anastomoses over surgical reduction procedures: (1) the incidence of postoperative cellulitis is significantly less; (2) the microlymphatic techniques are applicable to both upper and lower limbs and perhaps could be extended to localized cases of obstructive lymphedema following trauma and congenital constriction bands. Considerable experience in microvascular surgery is required for doing this type of work. A long-term evaluation of the results of microlymphatic surgery in obstructive secondary lymphedema is required before judging its potential--especially in view of the fluctuating history of lymphedema--but the results reported are encouraging.</div>
</front>
</TEI>
<affiliations><list></list>
<tree><noCountry><name sortKey="Browning, F S" sort="Browning, F S" uniqKey="Browning F" first="F S" last="Browning">F S Browning</name>
<name sortKey="O Brien, B M" sort="O Brien, B M" uniqKey="O Brien B" first="B M" last="O'Brien">B M O'Brien</name>
<name sortKey="Sykes, P" sort="Sykes, P" uniqKey="Sykes P" first="P" last="Sykes">P. Sykes</name>
<name sortKey="Threlfall, G N" sort="Threlfall, G N" uniqKey="Threlfall G" first="G N" last="Threlfall">G N Threlfall</name>
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</record>
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