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Minimizing secondary arm lymphedema from axillary dissection.

Identifieur interne : 000756 ( Ncbi/Curation ); précédent : 000755; suivant : 000757

Minimizing secondary arm lymphedema from axillary dissection.

Auteurs : L. Clodius

Source :

RBID : pubmed:11549122

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English descriptors

Abstract

Regional complications after axillary lymphadenectomy are common and usually involve perioperative skin dehiscence, wound infection, and seroma formation and later arm lymphedema. Gentle handling of tissues during operation, and routine use of closed catheter suction drainage with direct external axillary compression with immobilization of the shoulder after nodal dissection are advocated to minimize both the early and late sequelae. Healing by primary intent is facilitated and the opportunity for reconnection of divided lymphatics (lymphangiogenesis and lymphvasculogenesis) are thereby optimized.

PubMed: 11549122

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pubmed:11549122

Le document en format XML

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<title level="j">Lymphology</title>
<idno type="ISSN">0024-7766</idno>
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<term>Axilla (surgery)</term>
<term>Biopsy (adverse effects)</term>
<term>Breast Neoplasms (pathology)</term>
<term>Breast Neoplasms (surgery)</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision</term>
<term>Lymph Nodes (surgery)</term>
<term>Lymphedema (pathology)</term>
<term>Lymphedema (prevention & control)</term>
<term>Postoperative Complications (prevention & control)</term>
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<term>Aisselle ()</term>
<term>Biopsie (effets indésirables)</term>
<term>Complications postopératoires ()</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphadénectomie</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (anatomopathologie)</term>
<term>Noeuds lymphatiques ()</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (anatomopathologie)</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Biopsy</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Lymphoedème</term>
<term>Tumeurs du sein</term>
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<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Biopsie</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Breast Neoplasms</term>
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Lymphedema</term>
<term>Postoperative Complications</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Axilla</term>
<term>Breast Neoplasms</term>
<term>Lymph Nodes</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Female</term>
<term>Humans</term>
<term>Lymph Node Excision</term>
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<keywords scheme="MESH" xml:lang="fr">
<term>Aisselle</term>
<term>Complications postopératoires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphadénectomie</term>
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<term>Tumeurs du sein</term>
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<div type="abstract" xml:lang="en">Regional complications after axillary lymphadenectomy are common and usually involve perioperative skin dehiscence, wound infection, and seroma formation and later arm lymphedema. Gentle handling of tissues during operation, and routine use of closed catheter suction drainage with direct external axillary compression with immobilization of the shoulder after nodal dissection are advocated to minimize both the early and late sequelae. Healing by primary intent is facilitated and the opportunity for reconnection of divided lymphatics (lymphangiogenesis and lymphvasculogenesis) are thereby optimized.</div>
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