Skin blood flow of the lymphedematous arm before and after liposuction.
Identifieur interne : 00BB28 ( Ncbi/Curation ); précédent : 00BB27; suivant : 00BB29Skin blood flow of the lymphedematous arm before and after liposuction.
Auteurs : H. Brorson [Suède] ; H. SvenssonSource :
- Lymphology [ 0024-7766 ] ; 1997.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Bras.
- imagerie diagnostique : Lymphoedème.
- étiologie : Cellulite sous-cutanée.
- Adulte d'âge moyen, Femelle, Humains, Lipectomie, Lymphoedème, Peau, Plan de recherche, Sujet âgé, Tumeurs du sein, Échographie.
English descriptors
- KwdEn :
- MESH :
- blood supply : Skin.
- complications : Breast Neoplasms.
- diagnostic imaging : Lymphedema.
- etiology : Cellulitis.
- pathology : Arm.
- surgery : Lymphedema.
- Aged, Female, Humans, Lipectomy, Middle Aged, Research Design, Ultrasonography.
Abstract
Twelve women with arm lymphedema after breast cancer treatment underwent liposuction followed by external compression with a garment-sleeve. Arm volumes were measured using water displacement technique, and skin blood flow was recorded with laser Doppler imaging (LDI). Data was collected before and after (3 and 12 months) liposuction. Episodes of cellulitis were also recorded. Whereas previous investigations have indicated increased total blood flow in the lymphedematous arm, we found reduced superficial skin blood flow preoperatively. Liposuction produced a median edema reduction of 87% and 97% after 3 and 12 months respectively. Both in the forearm and in the upper arm, skin blood flow increased significantly after liposuction and values were similar to those of the non-edematous (control) arm. Along with increased skin blood flow, the frequency of cellulitis also decreased. Liposuction effectively reduces arm lymphedema after breast cancer treatment, and also lowers the incidence of arm cellulitis. Improved local skin blood flow may be an important contributing factor to the reduced episodes of arm infection.
PubMed: 9476248
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Skin blood flow of the lymphedematous arm before and after liposuction.</title><author><name sortKey="Brorson, H" sort="Brorson, H" uniqKey="Brorson H" first="H" last="Brorson">H. Brorson</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, Malmö University Hospital, Sweden.</nlm:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Malmö University Hospital</wicri:regionArea><wicri:noRegion>Malmö University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Svensson, H" sort="Svensson, H" uniqKey="Svensson H" first="H" last="Svensson">H. Svensson</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1997">1997</date><idno type="RBID">pubmed:9476248</idno><idno type="pmid">9476248</idno><idno type="wicri:Area/PubMed/Corpus">004F31</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">004F31</idno><idno type="wicri:Area/PubMed/Curation">004F31</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">004F31</idno><idno type="wicri:Area/PubMed/Checkpoint">004F31</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">004F31</idno><idno type="wicri:Area/Ncbi/Merge">00BB28</idno><idno type="wicri:Area/Ncbi/Curation">00BB28</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Skin blood flow of the lymphedematous arm before and after liposuction.</title><author><name sortKey="Brorson, H" sort="Brorson, H" uniqKey="Brorson H" first="H" last="Brorson">H. Brorson</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, Malmö University Hospital, Sweden.</nlm:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Malmö University Hospital</wicri:regionArea><wicri:noRegion>Malmö University Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Svensson, H" sort="Svensson, H" uniqKey="Svensson H" first="H" last="Svensson">H. Svensson</name></author></analytic><series><title level="j">Lymphology</title><idno type="ISSN">0024-7766</idno><imprint><date when="1997" type="published">1997</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Arm (pathology)</term><term>Breast Neoplasms (complications)</term><term>Cellulitis (etiology)</term><term>Female</term><term>Humans</term><term>Lipectomy</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (surgery)</term><term>Middle Aged</term><term>Research Design</term><term>Skin (blood supply)</term><term>Ultrasonography</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Bras (anatomopathologie)</term><term>Cellulite sous-cutanée (étiologie)</term><term>Femelle</term><term>Humains</term><term>Lipectomie</term><term>Lymphoedème ()</term><term>Lymphoedème (imagerie diagnostique)</term><term>Peau ()</term><term>Plan de recherche</term><term>Sujet âgé</term><term>Tumeurs du sein ()</term><term>Échographie</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Bras</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Skin</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Cellulitis</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Arm</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Cellulite sous-cutanée</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Lipectomy</term><term>Middle Aged</term><term>Research Design</term><term>Ultrasonography</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Lipectomie</term><term>Lymphoedème</term><term>Peau</term><term>Plan de recherche</term><term>Sujet âgé</term><term>Tumeurs du sein</term><term>Échographie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Twelve women with arm lymphedema after breast cancer treatment underwent liposuction followed by external compression with a garment-sleeve. Arm volumes were measured using water displacement technique, and skin blood flow was recorded with laser Doppler imaging (LDI). Data was collected before and after (3 and 12 months) liposuction. Episodes of cellulitis were also recorded. Whereas previous investigations have indicated increased total blood flow in the lymphedematous arm, we found reduced superficial skin blood flow preoperatively. Liposuction produced a median edema reduction of 87% and 97% after 3 and 12 months respectively. Both in the forearm and in the upper arm, skin blood flow increased significantly after liposuction and values were similar to those of the non-edematous (control) arm. Along with increased skin blood flow, the frequency of cellulitis also decreased. Liposuction effectively reduces arm lymphedema after breast cancer treatment, and also lowers the incidence of arm cellulitis. Improved local skin blood flow may be an important contributing factor to the reduced episodes of arm infection.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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