[Lymph flow disorders following arterial surgery of the leg].
Identifieur interne : 010243 ( Main/Exploration ); précédent : 010242; suivant : 010244[Lymph flow disorders following arterial surgery of the leg].
Auteurs : W. Sandmann ; K. Kremer ; F. Kleinschmidt ; D. GüntherSource :
- Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen [ 0009-4722 ] ; 1976.
Descripteurs français
- KwdFr :
- MESH :
- usage thérapeutique : Coumarines.
- Artériopathies oblitérantes, Fistule, Humains, Jambe, Kystes, Lymphoedème, Maladies lymphatiques, Mâle.
English descriptors
- KwdEn :
- MESH :
- chemical , therapeutic use : Coumarins.
- blood supply : Leg.
- prevention & control : Cysts, Fistula, Lymphatic Diseases, Lymphedema.
- surgery : Arterial Occlusive Diseases.
- Humans, Male.
Abstract
In a series of 342 arterial reconstructions of the iliacolic to popliteal arteries 24 patients with lymph vessel damage were observed. The diagnosis of lymphedema was established in 18 patients by clinical findings and in 2 of them the diagnosis was confirmed by lymphography with followup of 1 year. Three patients developed an internal lymphogenic cyst, 3 showed an external lymph fistula, and 1 patient developed an infection of a dacron bifurcation graft. The infection occurred when an additional occlusion of the left femoral artery was bypassed with an autologous saphenous vein graft and a lymph cyst in the groin, which was excised several times, became infected. The patient was treated successfully by excising the graft and performing an axillofemoral bypass. Although cases of surgical damage to lymph vessels following arterial reconstructions are rare in the literature, it is assumed that this complication occurs more often than reported, because of lack of lymphographic information.
PubMed: 964082
Affiliations:
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Le document en format XML
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<author><name sortKey="Kremer, K" sort="Kremer, K" uniqKey="Kremer K" first="K" last="Kremer">K. Kremer</name>
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<author><name sortKey="Kleinschmidt, F" sort="Kleinschmidt, F" uniqKey="Kleinschmidt F" first="F" last="Kleinschmidt">F. Kleinschmidt</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">[Lymph flow disorders following arterial surgery of the leg].</title>
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<author><name sortKey="Kremer, K" sort="Kremer, K" uniqKey="Kremer K" first="K" last="Kremer">K. Kremer</name>
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<author><name sortKey="Kleinschmidt, F" sort="Kleinschmidt, F" uniqKey="Kleinschmidt F" first="F" last="Kleinschmidt">F. Kleinschmidt</name>
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<series><title level="j">Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arterial Occlusive Diseases (surgery)</term>
<term>Coumarins (therapeutic use)</term>
<term>Cysts (prevention & control)</term>
<term>Fistula (prevention & control)</term>
<term>Humans</term>
<term>Leg (blood supply)</term>
<term>Lymphatic Diseases (prevention & control)</term>
<term>Lymphedema (prevention & control)</term>
<term>Male</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Artériopathies oblitérantes ()</term>
<term>Coumarines (usage thérapeutique)</term>
<term>Fistule ()</term>
<term>Humains</term>
<term>Jambe ()</term>
<term>Kystes ()</term>
<term>Lymphoedème ()</term>
<term>Maladies lymphatiques ()</term>
<term>Mâle</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Coumarins</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>Cysts</term>
<term>Fistula</term>
<term>Lymphatic Diseases</term>
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Arterial Occlusive Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Coumarines</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Humans</term>
<term>Male</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Artériopathies oblitérantes</term>
<term>Fistule</term>
<term>Humains</term>
<term>Jambe</term>
<term>Kystes</term>
<term>Lymphoedème</term>
<term>Maladies lymphatiques</term>
<term>Mâle</term>
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<front><div type="abstract" xml:lang="en">In a series of 342 arterial reconstructions of the iliacolic to popliteal arteries 24 patients with lymph vessel damage were observed. The diagnosis of lymphedema was established in 18 patients by clinical findings and in 2 of them the diagnosis was confirmed by lymphography with followup of 1 year. Three patients developed an internal lymphogenic cyst, 3 showed an external lymph fistula, and 1 patient developed an infection of a dacron bifurcation graft. The infection occurred when an additional occlusion of the left femoral artery was bypassed with an autologous saphenous vein graft and a lymph cyst in the groin, which was excised several times, became infected. The patient was treated successfully by excising the graft and performing an axillofemoral bypass. Although cases of surgical damage to lymph vessels following arterial reconstructions are rare in the literature, it is assumed that this complication occurs more often than reported, because of lack of lymphographic information.</div>
</front>
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<affiliations><list></list>
<tree><noCountry><name sortKey="Gunther, D" sort="Gunther, D" uniqKey="Gunther D" first="D" last="Günther">D. Günther</name>
<name sortKey="Kleinschmidt, F" sort="Kleinschmidt, F" uniqKey="Kleinschmidt F" first="F" last="Kleinschmidt">F. Kleinschmidt</name>
<name sortKey="Kremer, K" sort="Kremer, K" uniqKey="Kremer K" first="K" last="Kremer">K. Kremer</name>
<name sortKey="Sandmann, W" sort="Sandmann, W" uniqKey="Sandmann W" first="W" last="Sandmann">W. Sandmann</name>
</noCountry>
</tree>
</affiliations>
</record>
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