Frontiers in lymphatic microsurgery.
Identifieur interne : 00BD77 ( Ncbi/Checkpoint ); précédent : 00BD76; suivant : 00BD78Frontiers in lymphatic microsurgery.
Auteurs : C. Campisi [Italie] ; F. BoccardoSource :
- Microsurgery [ 0738-1085 ] ; 1998.
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- MESH :
English descriptors
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Abstract
The Authors report an overview on the modern surgical treatment of peripheral lymphoedema. The aim of lymphatic microsurgical operations is to drain the lymph either toward the venous circulation (lympho-venous shunts) or the lymphatic collectors above the obstacle to the lymph flow, with the interposition of lymphatic or venous grafts (lymphatic-venous-lymphatic plasty). Selection of candidate patients for lymphatic microsurgery is based on an adequate diagnostic investigation, which includes above all lymphoscintigraphy, conventional oil contrast lymphangiography, Doppler venous flowmetry and manometry, and, if necessary (angiodysplasias), an accurate study also of the artery circulation. The clinical outcome of lymphatic microsurgery, assessed by water volumetry and lymphangioscintigraphy, performed at variable distance of time from operations till over 5 years after surgery, shows a significant reduction of edema volume and improvement of lymph flow in all patients and that the more precocious the microsurgical treatment the better the results.
PubMed: 9888351
Affiliations:
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Boccardo</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1998">1998</date><idno type="RBID">pubmed:9888351</idno><idno type="pmid">9888351</idno><idno type="wicri:Area/PubMed/Corpus">004D44</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">004D44</idno><idno type="wicri:Area/PubMed/Curation">004D44</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">004D44</idno><idno type="wicri:Area/PubMed/Checkpoint">004D44</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">004D44</idno><idno type="wicri:Area/Ncbi/Merge">00BD77</idno><idno type="wicri:Area/Ncbi/Curation">00BD77</idno><idno type="wicri:Area/Ncbi/Checkpoint">00BD77</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Frontiers in lymphatic microsurgery.</title><author><name sortKey="Campisi, C" sort="Campisi, C" uniqKey="Campisi C" first="C" last="Campisi">C. Campisi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Specialistic Surgical Sciences, S. Martino Hospital, University of Genoa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Specialistic Surgical Sciences, S. Martino Hospital, University of Genoa</wicri:regionArea><wicri:noRegion>University of Genoa</wicri:noRegion></affiliation></author><author><name sortKey="Boccardo, F" sort="Boccardo, F" uniqKey="Boccardo F" first="F" last="Boccardo">F. Boccardo</name></author></analytic><series><title level="j">Microsurgery</title><idno type="ISSN">0738-1085</idno><imprint><date when="1998" type="published">1998</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anastomosis, Surgical</term><term>Humans</term><term>Lymphatic System (surgery)</term><term>Lymphedema (surgery)</term><term>Lymphography</term><term>Microsurgery</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Anastomose chirurgicale</term><term>Humains</term><term>Lymphoedème ()</term><term>Lymphographie</term><term>Microchirurgie</term><term>Résultat thérapeutique</term><term>Système lymphatique ()</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymphatic System</term><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Anastomosis, Surgical</term><term>Humans</term><term>Lymphography</term><term>Microsurgery</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Anastomose chirurgicale</term><term>Humains</term><term>Lymphoedème</term><term>Lymphographie</term><term>Microchirurgie</term><term>Résultat thérapeutique</term><term>Système lymphatique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The Authors report an overview on the modern surgical treatment of peripheral lymphoedema. The aim of lymphatic microsurgical operations is to drain the lymph either toward the venous circulation (lympho-venous shunts) or the lymphatic collectors above the obstacle to the lymph flow, with the interposition of lymphatic or venous grafts (lymphatic-venous-lymphatic plasty). Selection of candidate patients for lymphatic microsurgery is based on an adequate diagnostic investigation, which includes above all lymphoscintigraphy, conventional oil contrast lymphangiography, Doppler venous flowmetry and manometry, and, if necessary (angiodysplasias), an accurate study also of the artery circulation. The clinical outcome of lymphatic microsurgery, assessed by water volumetry and lymphangioscintigraphy, performed at variable distance of time from operations till over 5 years after surgery, shows a significant reduction of edema volume and improvement of lymph flow in all patients and that the more precocious the microsurgical treatment the better the results.</div></front></TEI><affiliations><list><country><li>Italie</li></country></list><tree><noCountry><name sortKey="Boccardo, F" sort="Boccardo, F" uniqKey="Boccardo F" first="F" last="Boccardo">F. Boccardo</name></noCountry><country name="Italie"><noRegion><name sortKey="Campisi, C" sort="Campisi, C" uniqKey="Campisi C" first="C" last="Campisi">C. Campisi</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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