The use of vein grafts in the treatment of peripheral lymphedemas: long-term results.
Identifieur interne : 009D59 ( Main/Merge ); précédent : 009D58; suivant : 009D60The use of vein grafts in the treatment of peripheral lymphedemas: long-term results.
Auteurs : C. Campisi [Italie] ; F. Boccardo ; A. Zilli ; A. Macci ; F. NapoliSource :
- Microsurgery [ 0738-1085 ] ; 2001.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- etiology : Lymphedema.
- surgery : Lymphatic System, Lymphedema.
- transplantation : Veins.
- Adult, Aged, Anastomosis, Surgical, Female, Follow-Up Studies, Humans, Male, Microsurgery, Middle Aged, Treatment Outcome.
Abstract
This study evaluates long-term results of the treatment of peripheral lymphedemas by the microsurgical reconstructive technique of interposed vein grafts. The technique consists of the use of autologous vein grafts to reconstruct lymphatic pathways where there is a block to the lymphatic circulation of the limb, whether of congenital or acquired etiology. The venous segment represents a sort of "bridge" between afferent and efferent lymphatic collectors (lymphatic-venous-lymphatic plasty [LVLA]). The results also proved to have positive long-term effects after microsurgical operation. Follow-up evaluation was performed clinically by water volumetry and instrumentally by lymphangioscintigraphy. With this LVLA technique, peripheral lymphedemas can be treated when derivative lymphovenous shunts cannot be used because of impaired venous circulation in the same lymphedematous limb. The new aspect of the study is that we report long-term clinical and instrumental results.
PubMed: 11494381
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Martino Hospital, University of Genoa, 16122 Genoa</wicri:regionArea><wicri:noRegion>16122 Genoa</wicri:noRegion></affiliation></author><author><name sortKey="Boccardo, F" sort="Boccardo, F" uniqKey="Boccardo F" first="F" last="Boccardo">F. Boccardo</name></author><author><name sortKey="Zilli, A" sort="Zilli, A" uniqKey="Zilli A" first="A" last="Zilli">A. Zilli</name></author><author><name sortKey="Macci, A" sort="Macci, A" uniqKey="Macci A" first="A" last="Macci">A. Macci</name></author><author><name sortKey="Napoli, F" sort="Napoli, F" uniqKey="Napoli F" first="F" last="Napoli">F. 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Campisi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Specialistic Surgical Sciences, Anaesthesiology and Organ Transplants (DISCAT), Emergency Surgical Clinic Section, Lymphology and Microsurgery Center, S. Martino Hospital, University of Genoa, 16122 Genoa, Italy. campisi@unige.it</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Specialistic Surgical Sciences, Anaesthesiology and Organ Transplants (DISCAT), Emergency Surgical Clinic Section, Lymphology and Microsurgery Center, S. Martino Hospital, University of Genoa, 16122 Genoa</wicri:regionArea><wicri:noRegion>16122 Genoa</wicri:noRegion></affiliation></author><author><name sortKey="Boccardo, F" sort="Boccardo, F" uniqKey="Boccardo F" first="F" last="Boccardo">F. Boccardo</name></author><author><name sortKey="Zilli, A" sort="Zilli, A" uniqKey="Zilli A" first="A" last="Zilli">A. Zilli</name></author><author><name sortKey="Macci, A" sort="Macci, A" uniqKey="Macci A" first="A" last="Macci">A. Macci</name></author><author><name sortKey="Napoli, F" sort="Napoli, F" uniqKey="Napoli F" first="F" last="Napoli">F. Napoli</name></author></analytic><series><title level="j">Microsurgery</title><idno type="ISSN">0738-1085</idno><imprint><date when="2001" type="published">2001</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Anastomosis, Surgical</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Lymphatic System (surgery)</term><term>Lymphedema (etiology)</term><term>Lymphedema (surgery)</term><term>Male</term><term>Microsurgery</term><term>Middle Aged</term><term>Treatment Outcome</term><term>Veins (transplantation)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Anastomose chirurgicale</term><term>Femelle</term><term>Humains</term><term>Lymphoedème ()</term><term>Lymphoedème (étiologie)</term><term>Microchirurgie</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Système lymphatique ()</term><term>Veines (transplantation)</term><term>Études de suivi</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymphatic System</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Veins</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term><term>Veines</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Anastomosis, Surgical</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Microsurgery</term><term>Middle Aged</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Anastomose chirurgicale</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Microchirurgie</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Système lymphatique</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This study evaluates long-term results of the treatment of peripheral lymphedemas by the microsurgical reconstructive technique of interposed vein grafts. The technique consists of the use of autologous vein grafts to reconstruct lymphatic pathways where there is a block to the lymphatic circulation of the limb, whether of congenital or acquired etiology. The venous segment represents a sort of "bridge" between afferent and efferent lymphatic collectors (lymphatic-venous-lymphatic plasty [LVLA]). The results also proved to have positive long-term effects after microsurgical operation. Follow-up evaluation was performed clinically by water volumetry and instrumentally by lymphangioscintigraphy. With this LVLA technique, peripheral lymphedemas can be treated when derivative lymphovenous shunts cannot be used because of impaired venous circulation in the same lymphedematous limb. The new aspect of the study is that we report long-term clinical and instrumental results.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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