Lymphedema and lymphocysts following lymphadenectomy may be prevented by omentoplasty: A pilot study.
Identifieur interne : 000222 ( Ncbi/Merge ); précédent : 000221; suivant : 000223Lymphedema and lymphocysts following lymphadenectomy may be prevented by omentoplasty: A pilot study.
Auteurs : A. Logmans [Pays-Bas] ; R H Kruyt ; H G De Bruin ; P H Cox ; M. Pillay ; J B TrimbosSource :
- Gynecologic oncology [ 0090-8258 ] ; 1999.
Descripteurs français
- KwdFr :
- MESH :
- effets indésirables : Lymphadénectomie.
- Adulte, Adulte d'âge moyen, Complications postopératoires, Femelle, Humains, Kystes, Lymphoedème, Maladies lymphatiques, Omentum, Projets pilotes, Tumeurs du col de l'utérus.
English descriptors
- KwdEn :
- Adult, Cysts (prevention & control), Female, Humans, Lymph Node Excision (adverse effects), Lymphatic Diseases (prevention & control), Lymphedema (prevention & control), Middle Aged, Omentum (surgery), Pilot Projects, Postoperative Complications (prevention & control), Uterine Cervical Neoplasms (surgery).
- MESH :
- adverse effects : Lymph Node Excision.
- prevention & control : Cysts, Lymphatic Diseases, Lymphedema, Postoperative Complications.
- surgery : Omentum, Uterine Cervical Neoplasms.
- Adult, Female, Humans, Middle Aged, Pilot Projects.
Abstract
Pelvic lymph node dissection as part of the staging surgery for cervical carcinoma interrupts the afferent lymphatics, so the lymph drains retroperitoneally. New surgical techniques designed to leave the peritoneum open after the retroperitoneal dissection, in particular the application of a pedicled omentoplasty along the dissection route, have been advocated to prevent the formation of lymphocysts and lymphedema. We investigated the possible benefit of pedicled omentoplasty in preventing lymphocysts and lymphedema following pelvic lymph node dissection.
DOI: 10.1006/gyno.1999.5624
PubMed: 10600283
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Lymphedema and lymphocysts following lymphadenectomy may be prevented by omentoplasty: A pilot study.</title><author><name sortKey="Logmans, A" sort="Logmans, A" uniqKey="Logmans A" first="A" last="Logmans">A. Logmans</name><affiliation wicri:level="1"><nlm:affiliation>Daniel den HoedKliniek, Academic Hospital Rotterdam, Groene Hilledijk 315, Rotterdam, NL 3075 EA, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Daniel den HoedKliniek, Academic Hospital Rotterdam, Groene Hilledijk 315, Rotterdam, NL 3075 EA</wicri:regionArea><wicri:noRegion>NL 3075 EA</wicri:noRegion></affiliation></author><author><name sortKey="Kruyt, R H" sort="Kruyt, R H" uniqKey="Kruyt R" first="R H" last="Kruyt">R H Kruyt</name></author><author><name sortKey="De Bruin, H G" sort="De Bruin, H G" uniqKey="De Bruin H" first="H G" last="De Bruin">H G De Bruin</name></author><author><name sortKey="Cox, P H" sort="Cox, P H" uniqKey="Cox P" first="P H" last="Cox">P H Cox</name></author><author><name sortKey="Pillay, M" sort="Pillay, M" uniqKey="Pillay M" first="M" last="Pillay">M. Pillay</name></author><author><name sortKey="Trimbos, J B" sort="Trimbos, J B" uniqKey="Trimbos J" first="J B" last="Trimbos">J B Trimbos</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1999">1999</date><idno type="RBID">pubmed:10600283</idno><idno type="pmid">10600283</idno><idno type="doi">10.1006/gyno.1999.5624</idno><idno type="wicri:Area/PubMed/Corpus">004B68</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">004B68</idno><idno type="wicri:Area/PubMed/Curation">004B68</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">004B68</idno><idno type="wicri:Area/PubMed/Checkpoint">004B68</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">004B68</idno><idno type="wicri:Area/Ncbi/Merge">000222</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Lymphedema and lymphocysts following lymphadenectomy may be prevented by omentoplasty: A pilot study.</title><author><name sortKey="Logmans, A" sort="Logmans, A" uniqKey="Logmans A" first="A" last="Logmans">A. Logmans</name><affiliation wicri:level="1"><nlm:affiliation>Daniel den HoedKliniek, Academic Hospital Rotterdam, Groene Hilledijk 315, Rotterdam, NL 3075 EA, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Daniel den HoedKliniek, Academic Hospital Rotterdam, Groene Hilledijk 315, Rotterdam, NL 3075 EA</wicri:regionArea><wicri:noRegion>NL 3075 EA</wicri:noRegion></affiliation></author><author><name sortKey="Kruyt, R H" sort="Kruyt, R H" uniqKey="Kruyt R" first="R H" last="Kruyt">R H Kruyt</name></author><author><name sortKey="De Bruin, H G" sort="De Bruin, H G" uniqKey="De Bruin H" first="H G" last="De Bruin">H G De Bruin</name></author><author><name sortKey="Cox, P H" sort="Cox, P H" uniqKey="Cox P" first="P H" last="Cox">P H Cox</name></author><author><name sortKey="Pillay, M" sort="Pillay, M" uniqKey="Pillay M" first="M" last="Pillay">M. Pillay</name></author><author><name sortKey="Trimbos, J B" sort="Trimbos, J B" uniqKey="Trimbos J" first="J B" last="Trimbos">J B Trimbos</name></author></analytic><series><title level="j">Gynecologic oncology</title><idno type="ISSN">0090-8258</idno><imprint><date when="1999" type="published">1999</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Cysts (prevention & control)</term><term>Female</term><term>Humans</term><term>Lymph Node Excision (adverse effects)</term><term>Lymphatic Diseases (prevention & control)</term><term>Lymphedema (prevention & control)</term><term>Middle Aged</term><term>Omentum (surgery)</term><term>Pilot Projects</term><term>Postoperative Complications (prevention & control)</term><term>Uterine Cervical Neoplasms (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Complications postopératoires ()</term><term>Femelle</term><term>Humains</term><term>Kystes ()</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphoedème ()</term><term>Maladies lymphatiques ()</term><term>Omentum ()</term><term>Projets pilotes</term><term>Tumeurs du col de l'utérus ()</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lymphadénectomie</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Cysts</term><term>Lymphatic Diseases</term><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Omentum</term><term>Uterine Cervical Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Pilot Projects</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Complications postopératoires</term><term>Femelle</term><term>Humains</term><term>Kystes</term><term>Lymphoedème</term><term>Maladies lymphatiques</term><term>Omentum</term><term>Projets pilotes</term><term>Tumeurs du col de l'utérus</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Pelvic lymph node dissection as part of the staging surgery for cervical carcinoma interrupts the afferent lymphatics, so the lymph drains retroperitoneally. New surgical techniques designed to leave the peritoneum open after the retroperitoneal dissection, in particular the application of a pedicled omentoplasty along the dissection route, have been advocated to prevent the formation of lymphocysts and lymphedema. We investigated the possible benefit of pedicled omentoplasty in preventing lymphocysts and lymphedema following pelvic lymph node dissection.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">10600283</PMID><DateCreated><Year>2000</Year><Month>01</Month><Day>06</Day></DateCreated><DateCompleted><Year>2000</Year><Month>01</Month><Day>06</Day></DateCompleted><DateRevised><Year>2005</Year><Month>11</Month><Day>17</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0090-8258</ISSN><JournalIssue CitedMedium="Print"><Volume>75</Volume><Issue>3</Issue><PubDate><Year>1999</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Gynecologic oncology</Title><ISOAbbreviation>Gynecol. Oncol.</ISOAbbreviation></Journal><ArticleTitle>Lymphedema and lymphocysts following lymphadenectomy may be prevented by omentoplasty: A pilot study.</ArticleTitle><Pagination><MedlinePgn>323-7</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">Pelvic lymph node dissection as part of the staging surgery for cervical carcinoma interrupts the afferent lymphatics, so the lymph drains retroperitoneally. New surgical techniques designed to leave the peritoneum open after the retroperitoneal dissection, in particular the application of a pedicled omentoplasty along the dissection route, have been advocated to prevent the formation of lymphocysts and lymphedema. We investigated the possible benefit of pedicled omentoplasty in preventing lymphocysts and lymphedema following pelvic lymph node dissection.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">In this pilot study with historical controls we compared the formation of lymphocysts and lymphedema following two different surgical techniques for pelvic node dissection: group I (historical controls), in which the dorsal peritoneum was left open, and group II, in which the dorsal peritoneum was left open with application of a pedicled omentoplasty. In these two groups of gynecologic patients, we compared the lymph flow patterns and the occurrence of lymphedema following systemic pelvic lymphadenectomy. The two groups were of comparable clinical status and consisted of 12 (group I) and 10 (group II) patients. Lymphocysts, if any, were detected by CT scan, the lymph flow patterns were visualized by dynamic lymphscintography, and lymphedema was visualized by physical examination and magnetic resonance imaging of the groin and the upper leg.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">In both groups a distinct intraperitoneal absorption of the lymph fluid was observed. Pedicled omentoplasty seemed to facilitate the absorption or transport of lymph fluid, resulting in less lymphedema in the upper leg.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">It appeared that leaving the dorsal peritoneum open to give the lymph stream the opportunity to pour into the abdominal cavity is important in preventing lymphocysts and lymphedema. The dynamic lymphscintigraphy described in this paper showed that the intraabdominal lymph flow is absorbed by the peritoneum and even more quickly by the pedicled omentum.</AbstractText><CopyrightInformation>Copyright 1999 Academic Press.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Logmans</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Daniel den HoedKliniek, Academic Hospital Rotterdam, Groene Hilledijk 315, Rotterdam, NL 3075 EA, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kruyt</LastName><ForeName>R H</ForeName><Initials>RH</Initials></Author><Author ValidYN="Y"><LastName>de Bruin</LastName><ForeName>H G</ForeName><Initials>HG</Initials></Author><Author ValidYN="Y"><LastName>Cox</LastName><ForeName>P H</ForeName><Initials>PH</Initials></Author><Author ValidYN="Y"><LastName>Pillay</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Trimbos</LastName><ForeName>J B</ForeName><Initials>JB</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Gynecol Oncol</MedlineTA><NlmUniqueID>0365304</NlmUniqueID><ISSNLinking>0090-8258</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Gynecol Oncol. 2001 Jan;80(1):107-8</RefSource><PMID Version="1">11136582</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003560" MajorTopicYN="N">Cysts</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008206" MajorTopicYN="N">Lymphatic Diseases</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009852" MajorTopicYN="N">Omentum</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010865" MajorTopicYN="N">Pilot Projects</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002583" MajorTopicYN="N">Uterine Cervical Neoplasms</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1999</Year><Month>12</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1999</Year><Month>12</Month><Day>22</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1999</Year><Month>12</Month><Day>22</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">10600283</ArticleId><ArticleId IdType="doi">10.1006/gyno.1999.5624</ArticleId><ArticleId IdType="pii">S0090-8258(99)95624-X</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Pays-Bas</li></country></list><tree><noCountry><name sortKey="Cox, P H" sort="Cox, P H" uniqKey="Cox P" first="P H" last="Cox">P H Cox</name><name sortKey="De Bruin, H G" sort="De Bruin, H G" uniqKey="De Bruin H" first="H G" last="De Bruin">H G De Bruin</name><name sortKey="Kruyt, R H" sort="Kruyt, R H" uniqKey="Kruyt R" first="R H" last="Kruyt">R H Kruyt</name><name sortKey="Pillay, M" sort="Pillay, M" uniqKey="Pillay M" first="M" last="Pillay">M. Pillay</name><name sortKey="Trimbos, J B" sort="Trimbos, J B" uniqKey="Trimbos J" first="J B" last="Trimbos">J B Trimbos</name></noCountry><country name="Pays-Bas"><noRegion><name sortKey="Logmans, A" sort="Logmans, A" uniqKey="Logmans A" first="A" last="Logmans">A. Logmans</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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