Lymphatic tissue transplant in lymphedema--a minimally invasive, outpatient, surgical method: a 10-year follow-up pilot study.
Identifieur interne : 002C03 ( Ncbi/Curation ); précédent : 002C02; suivant : 002C04Lymphatic tissue transplant in lymphedema--a minimally invasive, outpatient, surgical method: a 10-year follow-up pilot study.
Auteurs : Gianni Belcaro [Italie] ; Bruno M. Errichi ; M Rosaria Cesarone ; Edmondo Ippolito ; Mark Dugall ; Andrea Ledda ; Andrea RicciSource :
- Angiology [ 0003-3197 ]
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Coûts des soins de santé, Facteurs temps, Femelle, Humains, Indice de gravité médicale, Indice de masse corporelle, Interventions chirurgicales mini-invasives (effets indésirables), Interventions chirurgicales mini-invasives (économie), Liquide extracellulaire (métabolisme), Lymphoedème (), Lymphoedème (anatomopathologie), Lymphoedème (imagerie diagnostique), Lymphoedème (métabolisme), Lymphoedème (étiologie), Mâle, Observance thérapeutique, Peau (anatomopathologie), Projets pilotes, Protéines (métabolisme), Résultat thérapeutique, Tissu lymphoïde (transplantation), Transplantation autologue (effets indésirables), Transplantation autologue (économie), Échographie, Études de suivi.
- MESH :
- anatomopathologie : Lymphoedème, Peau.
- effets indésirables : Interventions chirurgicales mini-invasives, Transplantation autologue.
- imagerie diagnostique : Lymphoedème.
- métabolisme : Liquide extracellulaire, Lymphoedème, Protéines.
- économie : Interventions chirurgicales mini-invasives, Tissu lymphoïde, Transplantation autologue.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Coûts des soins de santé, Facteurs temps, Femelle, Humains, Indice de gravité médicale, Indice de masse corporelle, Lymphoedème, Mâle, Observance thérapeutique, Projets pilotes, Résultat thérapeutique, Échographie, Études de suivi.
English descriptors
- KwdEn :
- Adult, Body Mass Index, Extracellular Fluid (metabolism), Female, Follow-Up Studies, Health Care Costs, Humans, Lymphedema (diagnostic imaging), Lymphedema (etiology), Lymphedema (metabolism), Lymphedema (pathology), Lymphedema (surgery), Lymphoid Tissue (transplantation), Male, Middle Aged, Minimally Invasive Surgical Procedures (adverse effects), Minimally Invasive Surgical Procedures (economics), Patient Compliance, Pilot Projects, Proteins (metabolism), Severity of Illness Index, Skin (pathology), Time Factors, Transplantation, Autologous (adverse effects), Transplantation, Autologous (economics), Treatment Outcome, Ultrasonography.
- MESH :
- chemical , metabolism : Proteins.
- adverse effects : Minimally Invasive Surgical Procedures, Transplantation, Autologous.
- diagnostic imaging : Lymphedema.
- economics : Minimally Invasive Surgical Procedures, Transplantation, Autologous.
- etiology : Lymphedema.
- metabolism : Extracellular Fluid, Lymphedema.
- pathology : Lymphedema, Skin.
- surgery : Lymphedema.
- transplantation : Lymphoid Tissue.
- Adult, Body Mass Index, Female, Follow-Up Studies, Health Care Costs, Humans, Male, Middle Aged, Patient Compliance, Pilot Projects, Severity of Illness Index, Time Factors, Treatment Outcome, Ultrasonography.
Abstract
Lymphedema is mainly characterized by swelling, fibrosis, and non-pitting edema. The aim of this study was evaluation of the long-term (10 years) effects of autologous lymphatic tissue implant in lymphedema. Lymphatic tissue from 9 patients (harvested form the same patient in areas not affected by lymphedema) was reimplanted into the affected limb, and these patients were followed for 10 years. Lymph nodes were harvested at the neck, axillary, or inguinal space (contralateral limb). Results showed that limb volume was decreased in the treatment group vs. controls. In ultrasound, black, low density, lymphatic spaces were visible in 100% of patients at inclusion but in only 23% of these subjects at 10 years. Thus, this early report proposes a new, minimally invasive method to improve lymphedema. Studies in progress will indicate the role of lymphatic transplant in the management of lymphedema and the best indications for this method.
DOI: 10.1177/0003319707308564
PubMed: 18319226
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pubmed:18319226Le document en format XML
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Errichi</name></author><author><name sortKey="Cesarone, M Rosaria" sort="Cesarone, M Rosaria" uniqKey="Cesarone M" first="M Rosaria" last="Cesarone">M Rosaria Cesarone</name></author><author><name sortKey="Ippolito, Edmondo" sort="Ippolito, Edmondo" uniqKey="Ippolito E" first="Edmondo" last="Ippolito">Edmondo Ippolito</name></author><author><name sortKey="Dugall, Mark" sort="Dugall, Mark" uniqKey="Dugall M" first="Mark" last="Dugall">Mark Dugall</name></author><author><name sortKey="Ledda, Andrea" sort="Ledda, Andrea" uniqKey="Ledda A" first="Andrea" last="Ledda">Andrea Ledda</name></author><author><name sortKey="Ricci, Andrea" sort="Ricci, Andrea" uniqKey="Ricci A" first="Andrea" last="Ricci">Andrea Ricci</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="????"><PubDate><MedlineDate>2008 Feb-Mar</MedlineDate></PubDate></date><idno type="RBID">pubmed:18319226</idno><idno type="pmid">18319226</idno><idno type="doi">10.1177/0003319707308564</idno><idno type="wicri:Area/PubMed/Corpus">003354</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003354</idno><idno type="wicri:Area/PubMed/Curation">003354</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">003354</idno><idno type="wicri:Area/PubMed/Checkpoint">003354</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">003354</idno><idno type="wicri:Area/Ncbi/Merge">002C03</idno><idno type="wicri:Area/Ncbi/Curation">002C03</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Lymphatic tissue transplant in lymphedema--a minimally invasive, outpatient, surgical method: a 10-year follow-up pilot study.</title><author><name sortKey="Belcaro, Gianni" sort="Belcaro, Gianni" uniqKey="Belcaro G" first="Gianni" last="Belcaro">Gianni Belcaro</name><affiliation wicri:level="1"><nlm:affiliation>Irvine2 Vascular Lab, Department of Biomedical Sciences, Chieti-Pescara University, San Valentino, Italy. 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Errichi</name></author><author><name sortKey="Cesarone, M Rosaria" sort="Cesarone, M Rosaria" uniqKey="Cesarone M" first="M Rosaria" last="Cesarone">M Rosaria Cesarone</name></author><author><name sortKey="Ippolito, Edmondo" sort="Ippolito, Edmondo" uniqKey="Ippolito E" first="Edmondo" last="Ippolito">Edmondo Ippolito</name></author><author><name sortKey="Dugall, Mark" sort="Dugall, Mark" uniqKey="Dugall M" first="Mark" last="Dugall">Mark Dugall</name></author><author><name sortKey="Ledda, Andrea" sort="Ledda, Andrea" uniqKey="Ledda A" first="Andrea" last="Ledda">Andrea Ledda</name></author><author><name sortKey="Ricci, Andrea" sort="Ricci, Andrea" uniqKey="Ricci A" first="Andrea" last="Ricci">Andrea Ricci</name></author></analytic><series><title level="j">Angiology</title><idno type="ISSN">0003-3197</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Body Mass Index</term><term>Extracellular Fluid 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Index</term><term>Female</term><term>Follow-Up Studies</term><term>Health Care Costs</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Patient Compliance</term><term>Pilot Projects</term><term>Severity of Illness Index</term><term>Time Factors</term><term>Treatment Outcome</term><term>Ultrasonography</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Coûts des soins de santé</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Indice de gravité médicale</term><term>Indice de masse corporelle</term><term>Lymphoedème</term><term>Mâle</term><term>Observance thérapeutique</term><term>Projets pilotes</term><term>Résultat thérapeutique</term><term>Échographie</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lymphedema is mainly characterized by swelling, fibrosis, and non-pitting edema. The aim of this study was evaluation of the long-term (10 years) effects of autologous lymphatic tissue implant in lymphedema. Lymphatic tissue from 9 patients (harvested form the same patient in areas not affected by lymphedema) was reimplanted into the affected limb, and these patients were followed for 10 years. Lymph nodes were harvested at the neck, axillary, or inguinal space (contralateral limb). Results showed that limb volume was decreased in the treatment group vs. controls. In ultrasound, black, low density, lymphatic spaces were visible in 100% of patients at inclusion but in only 23% of these subjects at 10 years. Thus, this early report proposes a new, minimally invasive method to improve lymphedema. Studies in progress will indicate the role of lymphatic transplant in the management of lymphedema and the best indications for this method.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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