The lymphovenous microsurgical shunts for treatment of lymphedema of lower limbs: indications in 2011.
Identifieur interne : 004A55 ( Main/Exploration ); précédent : 004A54; suivant : 004A56The lymphovenous microsurgical shunts for treatment of lymphedema of lower limbs: indications in 2011.
Auteurs : W L Olszewski [Pologne]Source :
- International angiology : a journal of the International Union of Angiology [ 1827-1839 ] ; 2011.
Descripteurs français
- KwdFr :
- Humains, Lymphoedème (), Lymphoedème (diagnostic), Lymphoedème (étiologie), Lymphoscintigraphie, Membre inférieur (), Microchirurgie (effets indésirables), Noeuds lymphatiques (), Noeuds lymphatiques (imagerie diagnostique), Résultat thérapeutique, Vaisseaux lymphatiques (), Vaisseaux lymphatiques (imagerie diagnostique), Veines ().
- MESH :
- diagnostic : Lymphoedème.
- effets indésirables : Microchirurgie.
- imagerie diagnostique : Noeuds lymphatiques, Vaisseaux lymphatiques.
- étiologie : Lymphoedème.
- Humains, Lymphoedème, Lymphoscintigraphie, Membre inférieur, Noeuds lymphatiques, Résultat thérapeutique, Vaisseaux lymphatiques, Veines.
English descriptors
- KwdEn :
- Humans, Lower Extremity (blood supply), Lymph Nodes (diagnostic imaging), Lymph Nodes (surgery), Lymphatic Vessels (diagnostic imaging), Lymphatic Vessels (surgery), Lymphedema (diagnosis), Lymphedema (etiology), Lymphedema (surgery), Lymphoscintigraphy, Microsurgery (adverse effects), Treatment Outcome, Veins (surgery).
- MESH :
- adverse effects : Microsurgery.
- blood supply : Lower Extremity.
- diagnosis : Lymphedema.
- diagnostic imaging : Lymph Nodes, Lymphatic Vessels.
- etiology : Lymphedema.
- surgery : Lymph Nodes, Lymphatic Vessels, Lymphedema, Veins.
- Humans, Lymphoscintigraphy, Treatment Outcome.
Abstract
The microsurgical lympho-venous shunts have become one of the generally accepted modalities in treatment of limb lymphedema. This review highlight the indications for this procedure after over 40 years. This study was based on the personal experience of one surgeon and on the review of the literature. Patients with postinflammatory, postsurgical, idiopathic and hyperplastic lymphedema of lower limbs were included in the study. Basing on the review of results of the last 40 years the contemporary indications are: 1) lymphedema with local segmental obstruction but still partly patent distal lymphatics seen on functional lymphoscintigraphy (standard walking or pneumatic compression) and without an active inflammatory process in the skin, subcutaneous tissue and lymph vessels (DLA-dermatolymphangioadenitis); 2) classified according the etiology of lymphedema, this operation can bring about satisfactory results in cases of hyperplastic, postsurgical and postinflammatory types of lymphedema, whereas primary idiopathic lymphedema of non-genetic type should be treated with conservative means, although in a small number of cases an improvement was observed after lympho-venous shunting as long as 10 years. Microsurgical lymph node or lymphatic vessel to vein shunts have their established position among the therapy modalities for lymphedema of lower limbs in a strictly defined group of patients using lymphoscintigraphic imaging.
PubMed: 22233610
Affiliations:
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Olszewski</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgical Research and Transplantology, Medical Research Center, Polish Academy of Sciences, Warsaw, Poland. wlo@cmdik.pan.pl</nlm:affiliation><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Surgical Research and Transplantology, Medical Research Center, Polish Academy of Sciences, Warsaw</wicri:regionArea><wicri:noRegion>Warsaw</wicri:noRegion></affiliation></author></analytic><series><title level="j">International angiology : a journal of the International Union of Angiology</title><idno type="eISSN">1827-1839</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Humans</term><term>Lower Extremity (blood supply)</term><term>Lymph Nodes (diagnostic imaging)</term><term>Lymph Nodes (surgery)</term><term>Lymphatic Vessels (diagnostic imaging)</term><term>Lymphatic Vessels (surgery)</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (etiology)</term><term>Lymphedema (surgery)</term><term>Lymphoscintigraphy</term><term>Microsurgery (adverse effects)</term><term>Treatment Outcome</term><term>Veins (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Humains</term><term>Lymphoedème ()</term><term>Lymphoedème (diagnostic)</term><term>Lymphoedème (étiologie)</term><term>Lymphoscintigraphie</term><term>Membre inférieur ()</term><term>Microchirurgie (effets indésirables)</term><term>Noeuds lymphatiques ()</term><term>Noeuds lymphatiques (imagerie diagnostique)</term><term>Résultat thérapeutique</term><term>Vaisseaux lymphatiques ()</term><term>Vaisseaux lymphatiques (imagerie diagnostique)</term><term>Veines ()</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Microsurgery</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Lower Extremity</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lymph Nodes</term><term>Lymphatic Vessels</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Microchirurgie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Noeuds lymphatiques</term><term>Vaisseaux lymphatiques</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymph Nodes</term><term>Lymphatic Vessels</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>Humans</term><term>Lymphoscintigraphy</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Humains</term><term>Lymphoedème</term><term>Lymphoscintigraphie</term><term>Membre inférieur</term><term>Noeuds lymphatiques</term><term>Résultat thérapeutique</term><term>Vaisseaux lymphatiques</term><term>Veines</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The microsurgical lympho-venous shunts have become one of the generally accepted modalities in treatment of limb lymphedema. This review highlight the indications for this procedure after over 40 years. This study was based on the personal experience of one surgeon and on the review of the literature. Patients with postinflammatory, postsurgical, idiopathic and hyperplastic lymphedema of lower limbs were included in the study. Basing on the review of results of the last 40 years the contemporary indications are: 1) lymphedema with local segmental obstruction but still partly patent distal lymphatics seen on functional lymphoscintigraphy (standard walking or pneumatic compression) and without an active inflammatory process in the skin, subcutaneous tissue and lymph vessels (DLA-dermatolymphangioadenitis); 2) classified according the etiology of lymphedema, this operation can bring about satisfactory results in cases of hyperplastic, postsurgical and postinflammatory types of lymphedema, whereas primary idiopathic lymphedema of non-genetic type should be treated with conservative means, although in a small number of cases an improvement was observed after lympho-venous shunting as long as 10 years. Microsurgical lymph node or lymphatic vessel to vein shunts have their established position among the therapy modalities for lymphedema of lower limbs in a strictly defined group of patients using lymphoscintigraphic imaging.</div></front></TEI><affiliations><list><country><li>Pologne</li></country></list><tree><country name="Pologne"><noRegion><name sortKey="Olszewski, W L" sort="Olszewski, W L" uniqKey="Olszewski W" first="W L" last="Olszewski">W L Olszewski</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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