Microsurgical transfer of the greater omentum in the treatment of canine obstructive lymphoedema
Identifieur interne : 00E824 ( Main/Merge ); précédent : 00E823; suivant : 00E825Microsurgical transfer of the greater omentum in the treatment of canine obstructive lymphoedema
Auteurs : Bernard Mcc. O'Brien [Australie] ; Michael J. Hickey [Australie] ; John V. Hurley [Australie] ; Ephraim Dvir [Australie] ; Rakesh K. Khazanchi [Australie] ; W. Chris Pederson [Australie] ; Julian J. Pribaz [Australie]Source :
- British Journal of Plastic Surgery [ 0007-1226 ] ; 1990.
Abstract
Abstract: In 13 dogs, experimental obstructive lymphoedema of the lower limb was created by combined radiotherapy and radical groin dissection. Six months later, when the degree of lymphoedema was stable, the lymphatic obstruction was bridged by microvascular insertion of a free omental graft. Six months after grafting, circumferential measurements indicated a statistically significant 38% reduction in the magnitude of lymphoedema. Biopsies showed the omental grafts were alive but contained much fibrous tissue. Lymphatic vessels were identified in 10 of 11 biopsies but connections between these lymphatics and lymphatics proximal to the graft could not be demonstrated by either lymphangiography or dye-injection techniques. The findings indicate that experimental obstructive lymphoedema in the dog can be reduced significantly by insertion of a vascularised omental graft. However, it could not be established that improvement was due to union of graft lymphatics with those of the lymphoedematous limb, although this union may have consisted of lymphatics too small to be demonstrated.
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DOI: 10.1016/0007-1226(90)90010-W
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Hurley</name><affiliation wicri:level="1"><country xml:lang="fr">Australie</country><wicri:regionArea>Microsurgery Research Centre, St Vincent's Hospital, Victoria Parade, Fitzroy 3065, Melbourne</wicri:regionArea><wicri:noRegion>Melbourne</wicri:noRegion></affiliation></author><author><name sortKey="Dvir, Ephraim" sort="Dvir, Ephraim" uniqKey="Dvir E" first="Ephraim" last="Dvir">Ephraim Dvir</name><affiliation wicri:level="1"><country xml:lang="fr">Australie</country><wicri:regionArea>Microsurgery Research Centre, St Vincent's Hospital, Victoria Parade, Fitzroy 3065, Melbourne</wicri:regionArea><wicri:noRegion>Melbourne</wicri:noRegion></affiliation></author><author><name sortKey="Khazanchi, Rakesh K" sort="Khazanchi, Rakesh K" uniqKey="Khazanchi R" first="Rakesh K." last="Khazanchi">Rakesh K. Khazanchi</name><affiliation wicri:level="1"><country xml:lang="fr">Australie</country><wicri:regionArea>Microsurgery Research Centre, St Vincent's Hospital, Victoria Parade, Fitzroy 3065, Melbourne</wicri:regionArea><wicri:noRegion>Melbourne</wicri:noRegion></affiliation></author><author><name sortKey="Chris Pederson, W" sort="Chris Pederson, W" uniqKey="Chris Pederson W" first="W." last="Chris Pederson">W. Chris Pederson</name><affiliation wicri:level="1"><country xml:lang="fr">Australie</country><wicri:regionArea>Microsurgery Research Centre, St Vincent's Hospital, Victoria Parade, Fitzroy 3065, Melbourne</wicri:regionArea><wicri:noRegion>Melbourne</wicri:noRegion></affiliation></author><author><name sortKey="Pribaz, Julian J" sort="Pribaz, Julian J" uniqKey="Pribaz J" first="Julian J." last="Pribaz">Julian J. Pribaz</name><affiliation wicri:level="1"><country xml:lang="fr">Australie</country><wicri:regionArea>Microsurgery Research Centre, St Vincent's Hospital, Victoria Parade, Fitzroy 3065, Melbourne</wicri:regionArea><wicri:noRegion>Melbourne</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">British Journal of Plastic Surgery</title><title level="j" type="abbrev">YBJPS</title><idno type="ISSN">0007-1226</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1990">1990</date><biblScope unit="volume">43</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="440">440</biblScope><biblScope unit="page" to="446">446</biblScope></imprint><idno type="ISSN">0007-1226</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0007-1226</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: In 13 dogs, experimental obstructive lymphoedema of the lower limb was created by combined radiotherapy and radical groin dissection. Six months later, when the degree of lymphoedema was stable, the lymphatic obstruction was bridged by microvascular insertion of a free omental graft. Six months after grafting, circumferential measurements indicated a statistically significant 38% reduction in the magnitude of lymphoedema. Biopsies showed the omental grafts were alive but contained much fibrous tissue. Lymphatic vessels were identified in 10 of 11 biopsies but connections between these lymphatics and lymphatics proximal to the graft could not be demonstrated by either lymphangiography or dye-injection techniques. The findings indicate that experimental obstructive lymphoedema in the dog can be reduced significantly by insertion of a vascularised omental graft. However, it could not be established that improvement was due to union of graft lymphatics with those of the lymphoedematous limb, although this union may have consisted of lymphatics too small to be demonstrated.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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