LymphedemaV1, Main, Exploration, bibRecordById, pubmed:2031402

Edema after lower limb arterial reconstruction. Influence of background factors, surgical technique and potentially prophylactic methods.

Identifieur interne : 00D558 ( Main/Exploration ); précédent : 00D557; suivant : 00D559

Edema after lower limb arterial reconstruction. Influence of background factors, surgical technique and potentially prophylactic methods.

Auteurs : N H Persson ; R. Takolander ; D. Bergovist

Source :

VASA. Zeitschrift fur Gefasskrankheiten [ 0301-1526 ] ; 1991.

RBID : pubmed:2031402

Descripteurs français

KwdFr :
- Angiopathies diabétiques (), Artériopathies oblitérantes (), Complications postopératoires (), Facteurs de risque, Femelle, Humains, Ischémie (), Jambe (), Lymphoedème (), Mâle, Prothèse vasculaire, Sujet âgé, Veine saphène (transplantation).
MESH :
- Angiopathies diabétiques, Artériopathies oblitérantes, Complications postopératoires, Facteurs de risque, Femelle, Humains, Ischémie, Jambe, Lymphoedème, Mâle, Prothèse vasculaire, Sujet âgé, Veine saphène.

English descriptors

KwdEn :
- Aged, Arterial Occlusive Diseases (surgery), Blood Vessel Prosthesis, Diabetic Angiopathies (surgery), Female, Humans, Ischemia (surgery), Leg (blood supply), Lymphedema (prevention & control), Male, Postoperative Complications (prevention & control), Risk Factors, Saphenous Vein (transplantation).
MESH :
- blood supply : Leg.
- prevention & control : Lymphedema, Postoperative Complications.
- surgery : Arterial Occlusive Diseases, Diabetic Angiopathies, Ischemia.
- transplantation : Saphenous Vein.
- Aged, Blood Vessel Prosthesis, Female, Humans, Male, Risk Factors.

Abstract

The pathogenesis of lower leg edema regularly following a distal arterial reconstruction is unclear and generally no treatment is used. In 85 patients background factors such as diabetes, age, sex and side of operation were analysed and found not to influence the degree of edema. A significantly less pronounced edema was found when a prosthetic graft was used as compared to a vein graft as well as if the distal anastomosis was located above as compared to below the knee. Both these findings might be explained by differences in incisions. In a pilot series the prophylactic effect of various pharmacological regimens was studied and in another 22 patients leg elevation was prescribed. None of the drugs (furosemide, mannitol, terbutaline and corticosteroids) appeared to prevent the development of edema. Within the leg elevation group there was, like in patients without special treatment, less swelling if the distal anastomosis was performed above the knee and if a prosthetic graft was used. In these cases leg elevation seemed to prevent swelling with significantly less edema than corresponding patients treated without leg elevation.

PubMed: 2031402

Affiliations:

Le document en format XML

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<author><name sortKey="Persson, N H" sort="Persson, N H" uniqKey="Persson N" first="N H" last="Persson">N H Persson</name>
<affiliation><nlm:affiliation>Department of Surgery, University of Lund, Malmö General Hospital.</nlm:affiliation>
<wicri:noCountry code="subField">Malmö General Hospital</wicri:noCountry>
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<author><name sortKey="Takolander, R" sort="Takolander, R" uniqKey="Takolander R" first="R" last="Takolander">R. Takolander</name>
</author>
<author><name sortKey="Bergovist, D" sort="Bergovist, D" uniqKey="Bergovist D" first="D" last="Bergovist">D. Bergovist</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Edema after lower limb arterial reconstruction. Influence of background factors, surgical technique and potentially prophylactic methods.</title>
<author><name sortKey="Persson, N H" sort="Persson, N H" uniqKey="Persson N" first="N H" last="Persson">N H Persson</name>
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<author><name sortKey="Takolander, R" sort="Takolander, R" uniqKey="Takolander R" first="R" last="Takolander">R. Takolander</name>
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<author><name sortKey="Bergovist, D" sort="Bergovist, D" uniqKey="Bergovist D" first="D" last="Bergovist">D. Bergovist</name>
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<series><title level="j">VASA. Zeitschrift fur Gefasskrankheiten</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term>
<term>Arterial Occlusive Diseases (surgery)</term>
<term>Blood Vessel Prosthesis</term>
<term>Diabetic Angiopathies (surgery)</term>
<term>Female</term>
<term>Humans</term>
<term>Ischemia (surgery)</term>
<term>Leg (blood supply)</term>
<term>Lymphedema (prevention & control)</term>
<term>Male</term>
<term>Postoperative Complications (prevention & control)</term>
<term>Risk Factors</term>
<term>Saphenous Vein (transplantation)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Angiopathies diabétiques ()</term>
<term>Artériopathies oblitérantes ()</term>
<term>Complications postopératoires ()</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Ischémie ()</term>
<term>Jambe ()</term>
<term>Lymphoedème ()</term>
<term>Mâle</term>
<term>Prothèse vasculaire</term>
<term>Sujet âgé</term>
<term>Veine saphène (transplantation)</term>
</keywords>
<keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Leg</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Lymphedema</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Arterial Occlusive Diseases</term>
<term>Diabetic Angiopathies</term>
<term>Ischemia</term>
</keywords>
<keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Saphenous Vein</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Blood Vessel Prosthesis</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Risk Factors</term>
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<term>Artériopathies oblitérantes</term>
<term>Complications postopératoires</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Humains</term>
<term>Ischémie</term>
<term>Jambe</term>
<term>Lymphoedème</term>
<term>Mâle</term>
<term>Prothèse vasculaire</term>
<term>Sujet âgé</term>
<term>Veine saphène</term>
</keywords>
</textClass>
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<front><div type="abstract" xml:lang="en">The pathogenesis of lower leg edema regularly following a distal arterial reconstruction is unclear and generally no treatment is used. In 85 patients background factors such as diabetes, age, sex and side of operation were analysed and found not to influence the degree of edema. A significantly less pronounced edema was found when a prosthetic graft was used as compared to a vein graft as well as if the distal anastomosis was located above as compared to below the knee. Both these findings might be explained by differences in incisions. In a pilot series the prophylactic effect of various pharmacological regimens was studied and in another 22 patients leg elevation was prescribed. None of the drugs (furosemide, mannitol, terbutaline and corticosteroids) appeared to prevent the development of edema. Within the leg elevation group there was, like in patients without special treatment, less swelling if the distal anastomosis was performed above the knee and if a prosthetic graft was used. In these cases leg elevation seemed to prevent swelling with significantly less edema than corresponding patients treated without leg elevation.</div>
</front>
</TEI>
<affiliations><list></list>
<tree><noCountry><name sortKey="Bergovist, D" sort="Bergovist, D" uniqKey="Bergovist D" first="D" last="Bergovist">D. Bergovist</name>
<name sortKey="Persson, N H" sort="Persson, N H" uniqKey="Persson N" first="N H" last="Persson">N H Persson</name>
<name sortKey="Takolander, R" sort="Takolander, R" uniqKey="Takolander R" first="R" last="Takolander">R. Takolander</name>
</noCountry>
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Edema after lower limb arterial reconstruction. Influence of background factors, surgical technique and potentially prophylactic methods.

Edema after lower limb arterial reconstruction. Influence of background factors, surgical technique and potentially prophylactic methods.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki

	Serveur d'exploration sur le lymphœdème
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