Serveur d'exploration sur le lymphœdème

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[Surgical treatment of lymphedema].

Identifieur interne : 004677 ( Ncbi/Checkpoint ); précédent : 004676; suivant : 004678

[Surgical treatment of lymphedema].

Auteurs : J. Barsotti ; E. Gaisne

Source :

RBID : pubmed:2193082

Descripteurs français

English descriptors

Abstract

In our experience, indications for surgical management of lymphedema do not amount to more than 10% of cases. Surgery is significantly complemented by expert pre and postoperative physiotherapy. Excisional procedures are presently seldom carried out, although they may be helpful when carried out as simple "orange-slice"-type resection, or as the Thompson operation. Liposuction is an attractive alternative, but its effectiveness needs be confirmed yet. Actually, the most effective types of surgical treatment are microsurgical lymphovenous or lymphoveno-lymphatic bypass. Secondary lymphedema of the lower extremities (more rarely of the upper limbs) are primary indications. The Campisi-Casaccia team from Genoa has acquired interesting experience with congenital lymphedema. Results relating to surgical treatment of lymphedema can be assessed only after a follow-up of 3-5 years. About one third of cases, on average, do very well and another third do well. Elastic support of the leg must practically always be maintained.

PubMed: 2193082


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pubmed:2193082

Le document en format XML

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<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Anastomosis, Surgical (methods)</term>
<term>Arm</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Humans</term>
<term>Infant</term>
<term>Infant, Newborn</term>
<term>Leg</term>
<term>Lymph Node Excision (methods)</term>
<term>Lymph Nodes (surgery)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (surgery)</term>
<term>Middle Aged</term>
<term>Veins (surgery)</term>
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<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Anastomose chirurgicale ()</term>
<term>Bras</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Humains</term>
<term>Jambe</term>
<term>Lymphadénectomie ()</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (étiologie)</term>
<term>Noeuds lymphatiques ()</term>
<term>Nourrisson</term>
<term>Nouveau-né</term>
<term>Sujet âgé</term>
<term>Veines ()</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Anastomosis, Surgical</term>
<term>Lymph Node Excision</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Lymph Nodes</term>
<term>Lymphedema</term>
<term>Veins</term>
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<term>Lymphoedème</term>
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<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Arm</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Humans</term>
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<term>Infant, Newborn</term>
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<div type="abstract" xml:lang="en">In our experience, indications for surgical management of lymphedema do not amount to more than 10% of cases. Surgery is significantly complemented by expert pre and postoperative physiotherapy. Excisional procedures are presently seldom carried out, although they may be helpful when carried out as simple "orange-slice"-type resection, or as the Thompson operation. Liposuction is an attractive alternative, but its effectiveness needs be confirmed yet. Actually, the most effective types of surgical treatment are microsurgical lymphovenous or lymphoveno-lymphatic bypass. Secondary lymphedema of the lower extremities (more rarely of the upper limbs) are primary indications. The Campisi-Casaccia team from Genoa has acquired interesting experience with congenital lymphedema. Results relating to surgical treatment of lymphedema can be assessed only after a follow-up of 3-5 years. About one third of cases, on average, do very well and another third do well. Elastic support of the leg must practically always be maintained.</div>
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