[Post-mastectomy lymphedema: surgical therapy].
Identifieur interne : 012499 ( Main/Exploration ); précédent : 012498; suivant : 012500[Post-mastectomy lymphedema: surgical therapy].
Auteurs : C. Campisi [Italie] ; F. Boccardo ; M. CasacciaSource :
- Annali italiani di chirurgia [ 0003-469X ]
Descripteurs français
- KwdFr :
- MESH :
- diagnostic : Lymphoedème.
- effets indésirables : Mastectomie.
- rééducation et réadaptation : Lymphoedème.
- étiologie : Lymphoedème.
- Bras, Facteurs temps, Femelle, Humains, Lymphoedème, Microchirurgie, Système lymphatique, Techniques de physiothérapie, Études de suivi.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Mastectomy.
- diagnosis : Lymphedema.
- etiology : Lymphedema.
- rehabilitation : Lymphedema.
- surgery : Arm, Lymphatic System, Lymphedema.
- Female, Follow-Up Studies, Humans, Microsurgery, Physical Therapy Modalities, Time Factors.
Abstract
After some preliminary remarks concerning epidemiological data about post-mastectomy lymphedema, on the basis of specific etiologic and pathophysiologic aspects, authors report a modern clinical and instrumental staging of lymphedema and an accurate diagnostic protocol, which allows not only to study lymphedema at late stages, but also to individuate the disease at earliest stages. Protocols of medical, physical and rehabilitative treatment mostly used today are schematically described, and they include proper igienic measures for the prevention bacterial and micotic infections, manual lymph drainage, sequential compression therapy, exercises, thermotherapy, bandages and elastic garments. Authors underline above all the importance of Microsurgery in treating post-mastectomy lymphedema, by means of modern methods of lymphatic microsurgery, derivative or reconstructive (multiple lymphatic-venous anastomoses, lymphatic-venous-lymphatic plasty). The operation of multiple lymphatic-venous anastomoses represent the mostly used technique. The registry consists of 194 microsurgical operations, performed in patients treated and followed-up statistically in the last 15 years, with positive result in over 80% of cases.
PubMed: 12704985
Affiliations:
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Le document en format XML
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<author><name sortKey="Campisi, C" sort="Campisi, C" uniqKey="Campisi C" first="C" last="Campisi">C. Campisi</name>
<affiliation wicri:level="1"><nlm:affiliation>Dipartimento di Scienze Chirurgiche Specialistiche, Anestesiologia e Trapianti d'Organo (DISCAT), Sezione di Clinica Chirurgica d'Urgenza, Centro di Linfologia e Microchirurgia, Ospedale S. Martino, Università degli Studi di Genova. campisi@unige.it</nlm:affiliation>
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<term>Lymphatic System (surgery)</term>
<term>Lymphedema (diagnosis)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (rehabilitation)</term>
<term>Lymphedema (surgery)</term>
<term>Mastectomy (adverse effects)</term>
<term>Microsurgery</term>
<term>Physical Therapy Modalities</term>
<term>Time Factors</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Bras ()</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (diagnostic)</term>
<term>Lymphoedème (rééducation et réadaptation)</term>
<term>Lymphoedème (étiologie)</term>
<term>Mastectomie (effets indésirables)</term>
<term>Microchirurgie</term>
<term>Système lymphatique ()</term>
<term>Techniques de physiothérapie</term>
<term>Études de suivi</term>
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<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="rehabilitation" xml:lang="en"><term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Arm</term>
<term>Lymphatic System</term>
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term>
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<term>Humans</term>
<term>Microsurgery</term>
<term>Physical Therapy Modalities</term>
<term>Time Factors</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Bras</term>
<term>Facteurs temps</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème</term>
<term>Microchirurgie</term>
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<front><div type="abstract" xml:lang="en">After some preliminary remarks concerning epidemiological data about post-mastectomy lymphedema, on the basis of specific etiologic and pathophysiologic aspects, authors report a modern clinical and instrumental staging of lymphedema and an accurate diagnostic protocol, which allows not only to study lymphedema at late stages, but also to individuate the disease at earliest stages. Protocols of medical, physical and rehabilitative treatment mostly used today are schematically described, and they include proper igienic measures for the prevention bacterial and micotic infections, manual lymph drainage, sequential compression therapy, exercises, thermotherapy, bandages and elastic garments. Authors underline above all the importance of Microsurgery in treating post-mastectomy lymphedema, by means of modern methods of lymphatic microsurgery, derivative or reconstructive (multiple lymphatic-venous anastomoses, lymphatic-venous-lymphatic plasty). The operation of multiple lymphatic-venous anastomoses represent the mostly used technique. The registry consists of 194 microsurgical operations, performed in patients treated and followed-up statistically in the last 15 years, with positive result in over 80% of cases.</div>
</front>
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<affiliations><list><country><li>Italie</li>
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<tree><noCountry><name sortKey="Boccardo, F" sort="Boccardo, F" uniqKey="Boccardo F" first="F" last="Boccardo">F. Boccardo</name>
<name sortKey="Casaccia, M" sort="Casaccia, M" uniqKey="Casaccia M" first="M" last="Casaccia">M. Casaccia</name>
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<country name="Italie"><noRegion><name sortKey="Campisi, C" sort="Campisi, C" uniqKey="Campisi C" first="C" last="Campisi">C. Campisi</name>
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