Controlled compression and liposuction treatment for lower extremity lymphedema.
Identifieur interne : 002E94 ( Ncbi/Merge ); précédent : 002E93; suivant : 002E95Controlled compression and liposuction treatment for lower extremity lymphedema.
Auteurs : H. Brorson [Suède] ; K. Ohlin ; G. Olsson ; B. Svensson ; H. SvenssonSource :
- Lymphology [ 0024-7766 ] ; 2008.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Membre inférieur.
- Adulte, Bas de contention, Chylothorax, Humains, Lipectomie, Mâle, Orchidectomie, Radiothérapie, Séminome, Tumeurs du testicule, Éléphantiasis.
English descriptors
- KwdEn :
- Adult, Chylothorax (congenital), Elephantiasis (complications), Elephantiasis (therapy), Humans, Lipectomy, Lower Extremity (pathology), Male, Orchiectomy, Radiotherapy, Seminoma (complications), Seminoma (therapy), Stockings, Compression, Testicular Neoplasms (complications), Testicular Neoplasms (therapy).
- MESH :
- complications : Elephantiasis, Seminoma, Testicular Neoplasms.
- congenital : Chylothorax.
- pathology : Lower Extremity.
- therapy : Elephantiasis, Seminoma, Testicular Neoplasms.
- Adult, Humans, Lipectomy, Male, Orchiectomy, Radiotherapy, Stockings, Compression.
Abstract
In 1987 we noticed excess adipose tissue in a patient with arm lymphedema and later, objective studies confirmed this clinical finding in patients with non-pitting arm lymphedema following breast cancer. A prospective study was begun in 1993, and its long-term results (15 years) shows overall complete reduction of the excess volume in patients with non-pitting arm lymphedema and that adipose tissue dominates the excess volume. Encouraged by these results we operated on a patient with primary and secondary elephantiasis of the leg. The edema was first transferred from a pitting to a non-pitting state by controlled compression therapy. Then liposuction was performed to remove the remaining excess adipose tissue, and complete reduction was finally achieved. The patient wears compression garments continuously and during the 11 years of followup, no recurrence has occurred. This paper explains our philosophical approach: a pitting lymphedema first should be treated conservatively to remove excess fluid, then liposuction can be performed to remove remaining excess volume bothersome to the patient.
PubMed: 18720912
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Brorson</name><affiliation wicri:level="1"><nlm:affiliation>Department of Clinical Sciences Malmö, Lund University, Plastic and Reconstructive Surgery, Malmö University Hospital, Malmö, Sweden. hakan.brorson@med.lu.se</nlm:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Clinical Sciences Malmö, Lund University, Plastic and Reconstructive Surgery, Malmö University Hospital, Malmö</wicri:regionArea><wicri:noRegion>Malmö</wicri:noRegion></affiliation></author><author><name sortKey="Ohlin, K" sort="Ohlin, K" uniqKey="Ohlin K" first="K" last="Ohlin">K. Ohlin</name></author><author><name sortKey="Olsson, G" sort="Olsson, G" uniqKey="Olsson G" first="G" last="Olsson">G. Olsson</name></author><author><name sortKey="Svensson, B" sort="Svensson, B" uniqKey="Svensson B" first="B" last="Svensson">B. Svensson</name></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="2008" type="published">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Chylothorax (congenital)</term><term>Elephantiasis (complications)</term><term>Elephantiasis (therapy)</term><term>Humans</term><term>Lipectomy</term><term>Lower Extremity (pathology)</term><term>Male</term><term>Orchiectomy</term><term>Radiotherapy</term><term>Seminoma (complications)</term><term>Seminoma (therapy)</term><term>Stockings, Compression</term><term>Testicular Neoplasms (complications)</term><term>Testicular Neoplasms (therapy)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Bas de contention</term><term>Chylothorax ()</term><term>Humains</term><term>Lipectomie</term><term>Membre inférieur (anatomopathologie)</term><term>Mâle</term><term>Orchidectomie</term><term>Radiothérapie</term><term>Séminome ()</term><term>Tumeurs du testicule ()</term><term>Éléphantiasis ()</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Membre inférieur</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Elephantiasis</term><term>Seminoma</term><term>Testicular Neoplasms</term></keywords><keywords scheme="MESH" qualifier="congenital" xml:lang="en"><term>Chylothorax</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lower Extremity</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Elephantiasis</term><term>Seminoma</term><term>Testicular Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Humans</term><term>Lipectomy</term><term>Male</term><term>Orchiectomy</term><term>Radiotherapy</term><term>Stockings, Compression</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Bas de contention</term><term>Chylothorax</term><term>Humains</term><term>Lipectomie</term><term>Mâle</term><term>Orchidectomie</term><term>Radiothérapie</term><term>Séminome</term><term>Tumeurs du testicule</term><term>Éléphantiasis</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In 1987 we noticed excess adipose tissue in a patient with arm lymphedema and later, objective studies confirmed this clinical finding in patients with non-pitting arm lymphedema following breast cancer. A prospective study was begun in 1993, and its long-term results (15 years) shows overall complete reduction of the excess volume in patients with non-pitting arm lymphedema and that adipose tissue dominates the excess volume. Encouraged by these results we operated on a patient with primary and secondary elephantiasis of the leg. The edema was first transferred from a pitting to a non-pitting state by controlled compression therapy. Then liposuction was performed to remove the remaining excess adipose tissue, and complete reduction was finally achieved. The patient wears compression garments continuously and during the 11 years of followup, no recurrence has occurred. This paper explains our philosophical approach: a pitting lymphedema first should be treated conservatively to remove excess fluid, then liposuction can be performed to remove remaining excess volume bothersome to the patient.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">18720912</PMID><DateCreated><Year>2008</Year><Month>08</Month><Day>25</Day></DateCreated><DateCompleted><Year>2008</Year><Month>09</Month><Day>16</Day></DateCompleted><DateRevised><Year>2008</Year><Month>08</Month><Day>25</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0024-7766</ISSN><JournalIssue CitedMedium="Print"><Volume>41</Volume><Issue>2</Issue><PubDate><Year>2008</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Lymphology</Title><ISOAbbreviation>Lymphology</ISOAbbreviation></Journal><ArticleTitle>Controlled compression and liposuction treatment for lower extremity lymphedema.</ArticleTitle><Pagination><MedlinePgn>52-63</MedlinePgn></Pagination><Abstract><AbstractText>In 1987 we noticed excess adipose tissue in a patient with arm lymphedema and later, objective studies confirmed this clinical finding in patients with non-pitting arm lymphedema following breast cancer. A prospective study was begun in 1993, and its long-term results (15 years) shows overall complete reduction of the excess volume in patients with non-pitting arm lymphedema and that adipose tissue dominates the excess volume. Encouraged by these results we operated on a patient with primary and secondary elephantiasis of the leg. The edema was first transferred from a pitting to a non-pitting state by controlled compression therapy. Then liposuction was performed to remove the remaining excess adipose tissue, and complete reduction was finally achieved. The patient wears compression garments continuously and during the 11 years of followup, no recurrence has occurred. This paper explains our philosophical approach: a pitting lymphedema first should be treated conservatively to remove excess fluid, then liposuction can be performed to remove remaining excess volume bothersome to the patient.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Brorson</LastName><ForeName>H</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Clinical Sciences Malmö, Lund University, Plastic and Reconstructive Surgery, Malmö University Hospital, Malmö, Sweden. hakan.brorson@med.lu.se</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ohlin</LastName><ForeName>K</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Olsson</LastName><ForeName>G</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Svensson</LastName><ForeName>B</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Svensson</LastName><ForeName>H</ForeName><Initials>H</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Lymphology</MedlineTA><NlmUniqueID>0155112</NlmUniqueID><ISSNLinking>0024-7766</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002916" MajorTopicYN="N">Chylothorax</DescriptorName><QualifierName UI="Q000151" MajorTopicYN="N">congenital</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004604" MajorTopicYN="N">Elephantiasis</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015187" MajorTopicYN="Y">Lipectomy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D035002" MajorTopicYN="N">Lower Extremity</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009919" MajorTopicYN="N">Orchiectomy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011878" MajorTopicYN="N">Radiotherapy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018239" MajorTopicYN="N">Seminoma</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D053828" MajorTopicYN="Y">Stockings, Compression</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013736" MajorTopicYN="N">Testicular Neoplasms</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2008</Year><Month>8</Month><Day>30</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2008</Year><Month>9</Month><Day>17</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2008</Year><Month>8</Month><Day>30</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">18720912</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Suède</li></country></list><tree><noCountry><name sortKey="Ohlin, K" sort="Ohlin, K" uniqKey="Ohlin K" first="K" last="Ohlin">K. Ohlin</name><name sortKey="Olsson, G" sort="Olsson, G" uniqKey="Olsson G" first="G" last="Olsson">G. Olsson</name><name sortKey="Svensson, B" sort="Svensson, B" uniqKey="Svensson B" first="B" last="Svensson">B. Svensson</name><name sortKey="Svensson, H" sort="Svensson, H" uniqKey="Svensson H" first="H" last="Svensson">H. Svensson</name></noCountry><country name="Suède"><noRegion><name sortKey="Brorson, H" sort="Brorson, H" uniqKey="Brorson H" first="H" last="Brorson">H. Brorson</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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