[Radical mastectomy technics].
Identifieur interne : 005564 ( Ncbi/Checkpoint ); précédent : 005563; suivant : 005565[Radical mastectomy technics].
Auteurs : V I Pronin ; Iu L. Rozanov ; V Ia Zolotarevski ; A A Akimov ; L Z Vel'SherSource :
- Khirurgiia [ 0023-1207 ] ; 1990.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- blood supply : Arm.
- methods : Mastectomy, Radical.
- prevention & control : Lymphedema, Postoperative Complications.
- surgery : Breast Neoplasms, Lymphatic System, Veins.
- Female, Humans.
Abstract
The authors elaborated a new approach to radical mastectomy which, combined with nonoperative measures makes it possible to prevent the development of postmastectomy-induced edema by means of a lympho-venous anastomosis (LVA). The choice of the level of LVA formation and their number is substantiated. With due regard for the conditions named, the cubital fossa and the lower third of the upper arm on the anterointernal surface is the most rational zone. To accelerate lymph drainage through the collaterals and reduce lymph loss, goal-oriented ligation of the lymph vessels which are divided during mastectomy is additionally carried out; this is successfully done when they have been stained. As a result, wound lymphorrhea ceases practically at days 4 to 5.
PubMed: 2335892
Affiliations:
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pubmed:2335892Le document en format XML
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Rozanov</name></author><author><name sortKey="Zolotarevski, V Ia" sort="Zolotarevski, V Ia" uniqKey="Zolotarevski V" first="V Ia" last="Zolotarevski">V Ia Zolotarevski</name></author><author><name sortKey="Akimov, A A" sort="Akimov, A A" uniqKey="Akimov A" first="A A" last="Akimov">A A Akimov</name></author><author><name sortKey="Vel Sher, L Z" sort="Vel Sher, L Z" uniqKey="Vel Sher L" first="L Z" last="Vel'Sher">L Z Vel'Sher</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1990">1990</date><idno type="RBID">pubmed:2335892</idno><idno type="pmid">2335892</idno><idno type="wicri:Area/PubMed/Corpus">005E15</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">005E15</idno><idno type="wicri:Area/PubMed/Curation">005E15</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">005E15</idno><idno type="wicri:Area/PubMed/Checkpoint">005E15</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">005E15</idno><idno type="wicri:Area/Ncbi/Merge">005564</idno><idno type="wicri:Area/Ncbi/Curation">005564</idno><idno type="wicri:Area/Ncbi/Checkpoint">005564</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Radical mastectomy technics].</title><author><name sortKey="Pronin, V I" sort="Pronin, V I" uniqKey="Pronin V" first="V I" last="Pronin">V I Pronin</name></author><author><name sortKey="Rozanov, Iu L" sort="Rozanov, Iu L" uniqKey="Rozanov I" first="Iu L" last="Rozanov">Iu L. Rozanov</name></author><author><name sortKey="Zolotarevski, V Ia" sort="Zolotarevski, V Ia" uniqKey="Zolotarevski V" first="V Ia" last="Zolotarevski">V Ia Zolotarevski</name></author><author><name sortKey="Akimov, A A" sort="Akimov, A A" uniqKey="Akimov A" first="A A" last="Akimov">A A Akimov</name></author><author><name sortKey="Vel Sher, L Z" sort="Vel Sher, L Z" uniqKey="Vel Sher L" first="L Z" last="Vel'Sher">L Z Vel'Sher</name></author></analytic><series><title level="j">Khirurgiia</title><idno type="ISSN">0023-1207</idno><imprint><date when="1990" type="published">1990</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arm (blood supply)</term><term>Breast Neoplasms (surgery)</term><term>Female</term><term>Humans</term><term>Lymphatic System (surgery)</term><term>Lymphedema (prevention & control)</term><term>Mastectomy, Radical (methods)</term><term>Postoperative Complications (prevention & control)</term><term>Veins (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Bras ()</term><term>Complications postopératoires ()</term><term>Femelle</term><term>Humains</term><term>Lymphoedème ()</term><term>Mastectomie radicale ()</term><term>Système lymphatique ()</term><term>Tumeurs du sein ()</term><term>Veines ()</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Arm</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Mastectomy, Radical</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term><term>Lymphatic System</term><term>Veins</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Bras</term><term>Complications postopératoires</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Mastectomie radicale</term><term>Système lymphatique</term><term>Tumeurs du sein</term><term>Veines</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The authors elaborated a new approach to radical mastectomy which, combined with nonoperative measures makes it possible to prevent the development of postmastectomy-induced edema by means of a lympho-venous anastomosis (LVA). The choice of the level of LVA formation and their number is substantiated. With due regard for the conditions named, the cubital fossa and the lower third of the upper arm on the anterointernal surface is the most rational zone. To accelerate lymph drainage through the collaterals and reduce lymph loss, goal-oriented ligation of the lymph vessels which are divided during mastectomy is additionally carried out; this is successfully done when they have been stained. As a result, wound lymphorrhea ceases practically at days 4 to 5.</div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Akimov, A A" sort="Akimov, A A" uniqKey="Akimov A" first="A A" last="Akimov">A A Akimov</name><name sortKey="Pronin, V I" sort="Pronin, V I" uniqKey="Pronin V" first="V I" last="Pronin">V I Pronin</name><name sortKey="Rozanov, Iu L" sort="Rozanov, Iu L" uniqKey="Rozanov I" first="Iu L" last="Rozanov">Iu L. Rozanov</name><name sortKey="Vel Sher, L Z" sort="Vel Sher, L Z" uniqKey="Vel Sher L" first="L Z" last="Vel'Sher">L Z Vel'Sher</name><name sortKey="Zolotarevski, V Ia" sort="Zolotarevski, V Ia" uniqKey="Zolotarevski V" first="V Ia" last="Zolotarevski">V Ia Zolotarevski</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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