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[Quantitative evaluation and qualitative results of surgical lymphovenous anastomosis in lower limb lymphedema].

Identifieur interne : 000C57 ( Ncbi/Merge ); précédent : 000C56; suivant : 000C58

[Quantitative evaluation and qualitative results of surgical lymphovenous anastomosis in lower limb lymphedema].

Auteurs : S. Vignes [France] ; V. Boursier ; P. Priollet ; G. Miserey ; P. Trévidic

Source :

RBID : pubmed:12616224

Descripteurs français

English descriptors

Abstract

Treatment of lymphedema (LE) includes complex decongestive physiotherapy (manual lymphatic drainage, bandaging, exercises, skin care, elastic stockings). Surgical therapy is rarely useful. However, lymphovenous anastomosis (LVA) is the most used surgery in LE. We have assessed LVA in lower limb LE.

PubMed: 12616224

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pubmed:12616224

Le document en format XML

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<title xml:lang="en">[Quantitative evaluation and qualitative results of surgical lymphovenous anastomosis in lower limb lymphedema].</title>
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<name sortKey="Vignes, S" sort="Vignes, S" uniqKey="Vignes S" first="S" last="Vignes">S. Vignes</name>
<affiliation wicri:level="1">
<nlm:affiliation>Unité de Lymphologie, Hôpital Cognacq-Jay, Site Broussais, 102, rue Didot, 75014 Paris.</nlm:affiliation>
<country>France</country>
<placeName>
<settlement type="city">Paris</settlement>
<region type="région" nuts="2">Île-de-France</region>
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<wicri:regionArea>Unité de Lymphologie, Hôpital Cognacq-Jay, Site Broussais, 102, rue Didot</wicri:regionArea>
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<name sortKey="Boursier, V" sort="Boursier, V" uniqKey="Boursier V" first="V" last="Boursier">V. Boursier</name>
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<author>
<name sortKey="Priollet, P" sort="Priollet, P" uniqKey="Priollet P" first="P" last="Priollet">P. Priollet</name>
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<author>
<name sortKey="Miserey, G" sort="Miserey, G" uniqKey="Miserey G" first="G" last="Miserey">G. Miserey</name>
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<author>
<name sortKey="Trevidic, P" sort="Trevidic, P" uniqKey="Trevidic P" first="P" last="Trévidic">P. Trévidic</name>
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<title xml:lang="en">[Quantitative evaluation and qualitative results of surgical lymphovenous anastomosis in lower limb lymphedema].</title>
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<nlm:affiliation>Unité de Lymphologie, Hôpital Cognacq-Jay, Site Broussais, 102, rue Didot, 75014 Paris.</nlm:affiliation>
<country>France</country>
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<settlement type="city">Paris</settlement>
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<name sortKey="Priollet, P" sort="Priollet, P" uniqKey="Priollet P" first="P" last="Priollet">P. Priollet</name>
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<name sortKey="Miserey, G" sort="Miserey, G" uniqKey="Miserey G" first="G" last="Miserey">G. Miserey</name>
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<name sortKey="Trevidic, P" sort="Trevidic, P" uniqKey="Trevidic P" first="P" last="Trévidic">P. Trévidic</name>
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<series>
<title level="j">Journal des maladies vasculaires</title>
<idno type="ISSN">0398-0499</idno>
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<date when="2003" type="published">2003</date>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Anastomosis, Surgical</term>
<term>Child</term>
<term>Erysipelas (etiology)</term>
<term>Erysipelas (prevention & control)</term>
<term>Female</term>
<term>Humans</term>
<term>Leg</term>
<term>Lymphatic System (surgery)</term>
<term>Lymphedema (surgery)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neoplasms (complications)</term>
<term>Neoplasms (therapy)</term>
<term>Obesity (complications)</term>
<term>Pain (etiology)</term>
<term>Pain Management</term>
<term>Postoperative Complications (surgery)</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Anastomose chirurgicale</term>
<term>Complications postopératoires ()</term>
<term>Douleur (étiologie)</term>
<term>Enfant</term>
<term>Femelle</term>
<term>Gestion de la douleur</term>
<term>Humains</term>
<term>Jambe</term>
<term>Lymphoedème ()</term>
<term>Mâle</term>
<term>Obésité ()</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Système lymphatique ()</term>
<term>Tumeurs ()</term>
<term>Érysipèle ()</term>
<term>Érysipèle (étiologie)</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Neoplasms</term>
<term>Obesity</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Erysipelas</term>
<term>Pain</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Erysipelas</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Lymphatic System</term>
<term>Lymphedema</term>
<term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Douleur</term>
<term>Érysipèle</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Anastomosis, Surgical</term>
<term>Child</term>
<term>Female</term>
<term>Humans</term>
<term>Leg</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Pain Management</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Anastomose chirurgicale</term>
<term>Complications postopératoires</term>
<term>Enfant</term>
<term>Femelle</term>
<term>Gestion de la douleur</term>
<term>Humains</term>
<term>Jambe</term>
<term>Lymphoedème</term>
<term>Mâle</term>
<term>Obésité</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Système lymphatique</term>
<term>Tumeurs</term>
<term>Érysipèle</term>
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<front>
<div type="abstract" xml:lang="en">Treatment of lymphedema (LE) includes complex decongestive physiotherapy (manual lymphatic drainage, bandaging, exercises, skin care, elastic stockings). Surgical therapy is rarely useful. However, lymphovenous anastomosis (LVA) is the most used surgery in LE. We have assessed LVA in lower limb LE.</div>
</front>
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<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">12616224</PMID>
<DateCreated>
<Year>2003</Year>
<Month>03</Month>
<Day>04</Day>
</DateCreated>
<DateCompleted>
<Year>2003</Year>
<Month>04</Month>
<Day>21</Day>
</DateCompleted>
<DateRevised>
<Year>2011</Year>
<Month>11</Month>
<Day>17</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0398-0499</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>28</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2003</Year>
<Month>Feb</Month>
</PubDate>
</JournalIssue>
<Title>Journal des maladies vasculaires</Title>
<ISOAbbreviation>J Mal Vasc</ISOAbbreviation>
</Journal>
<ArticleTitle>[Quantitative evaluation and qualitative results of surgical lymphovenous anastomosis in lower limb lymphedema].</ArticleTitle>
<Pagination>
<MedlinePgn>30-5</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Treatment of lymphedema (LE) includes complex decongestive physiotherapy (manual lymphatic drainage, bandaging, exercises, skin care, elastic stockings). Surgical therapy is rarely useful. However, lymphovenous anastomosis (LVA) is the most used surgery in LE. We have assessed LVA in lower limb LE.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Thirteen patients (5 women, 8 men) with primary (n=10) or secondary LE (n=3) were included. Primary LE started at a mean âge (+/- SD) of 28.9 +/- 14.5 years. LE was located in left lower limb (n=7), right (n=4) or both (n=2). LVA was performed 7.1 +/- 4.9 years after the onset of LE by the same surgeon. Two to five lymphatic vessels were used for LVA. Assessment of LVA was based upon objective criteria (volumetry, erysipelas) and subjective criteria (global discomfort, heaviness, cutaneous tenderness, difficulties for doing significant effort or walking more than 1 km). Global assessement of LVA was collected for each patient.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Before LVA, excess of volume (+/- SD) of LE was 1906 +/- 1277 ml or 28.5 +/- 18% in comparison with the controlateral limb. After LVA, excess of volume (+/- SD) remained stable with 1863 +/- 1468 ml or 24.4 +/- 18.9%. Volumetry was appreciated with a mean (+/- SD) follow-up of 52 +/- 3 months. Frequency of erysipelas was unchanged for the 6 patients with recurrent episodes. Only heaviness and cutaneous tenderness were significantly reduced after LVA. But global discomfort (+/- SD) decreased from 6.7 +/- 2.7 to 5 +/- 3.2 on visual analogic scale (NS). No differences were observed for significant effort or walking more than 1 km. Global assessment of LVA by the patient was very good (n=3), good (n=2), intermediate (n=5) and bad (n=3).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">LVA failed to improve the volume of lower limb LE and reduce the frequency of erysipelas. LVA improves few subjectives criteria but not global discomfort. Further studies are needed to evaluate LVA and to select patients to obtain best results.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Vignes</LastName>
<ForeName>S</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Unité de Lymphologie, Hôpital Cognacq-Jay, Site Broussais, 102, rue Didot, 75014 Paris.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Boursier</LastName>
<ForeName>V</ForeName>
<Initials>V</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Priollet</LastName>
<ForeName>P</ForeName>
<Initials>P</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Miserey</LastName>
<ForeName>G</ForeName>
<Initials>G</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Trévidic</LastName>
<ForeName>P</ForeName>
<Initials>P</Initials>
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<Language>fre</Language>
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<VernacularTitle>Evaluations quantitative et qualitative des résultats de l'anastomose lymphoveineuse chirurgicale dans les lymphoedèmes des membres inférieurs.</VernacularTitle>
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<Country>France</Country>
<MedlineTA>J Mal Vasc</MedlineTA>
<NlmUniqueID>7707965</NlmUniqueID>
<ISSNLinking>0398-0499</ISSNLinking>
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<MeshHeading>
<DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
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<DescriptorName UI="D000714" MajorTopicYN="N">Anastomosis, Surgical</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D004886" MajorTopicYN="N">Erysipelas</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
<QualifierName UI="Q000517" MajorTopicYN="N">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="D007866" MajorTopicYN="N">Leg</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008208" MajorTopicYN="N">Lymphatic System</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D009369" MajorTopicYN="N">Neoplasms</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D009765" MajorTopicYN="N">Obesity</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D010146" MajorTopicYN="N">Pain</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D059408" MajorTopicYN="N">Pain Management</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
<PubmedData>
<History>
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<Year>2003</Year>
<Month>3</Month>
<Day>5</Day>
<Hour>4</Hour>
<Minute>0</Minute>
</PubMedPubDate>
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<Year>2003</Year>
<Month>4</Month>
<Day>22</Day>
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<Minute>0</Minute>
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<Year>2003</Year>
<Month>3</Month>
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</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList>
<ArticleId IdType="pubmed">12616224</ArticleId>
<ArticleId IdType="pii">MDOI-JMV-02-2003-28-1-0398-0499-101019-ART6</ArticleId>
</ArticleIdList>
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<affiliations>
<list>
<country>
<li>France</li>
</country>
<region>
<li>Île-de-France</li>
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<settlement>
<li>Paris</li>
</settlement>
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<tree>
<noCountry>
<name sortKey="Boursier, V" sort="Boursier, V" uniqKey="Boursier V" first="V" last="Boursier">V. Boursier</name>
<name sortKey="Miserey, G" sort="Miserey, G" uniqKey="Miserey G" first="G" last="Miserey">G. Miserey</name>
<name sortKey="Priollet, P" sort="Priollet, P" uniqKey="Priollet P" first="P" last="Priollet">P. Priollet</name>
<name sortKey="Trevidic, P" sort="Trevidic, P" uniqKey="Trevidic P" first="P" last="Trévidic">P. Trévidic</name>
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<name sortKey="Vignes, S" sort="Vignes, S" uniqKey="Vignes S" first="S" last="Vignes">S. Vignes</name>
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