[Surgical treatment of lymphedema].
Identifieur interne : 004677 ( Ncbi/Merge ); précédent : 004676; suivant : 004678[Surgical treatment of lymphedema].
Auteurs : J. Barsotti ; E. GaisneSource :
- Journal des maladies vasculaires [ 0398-0499 ] ; 1990.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- etiology : Lymphedema.
- methods : Anastomosis, Surgical, Lymph Node Excision.
- surgery : Lymph Nodes, Lymphedema, Veins.
- Adolescent, Adult, Aged, Arm, Child, Child, Preschool, Humans, Infant, Infant, Newborn, Leg, Middle Aged.
Abstract
In our experience, indications for surgical management of lymphedema do not amount to more than 10% of cases. Surgery is significantly complemented by expert pre and postoperative physiotherapy. Excisional procedures are presently seldom carried out, although they may be helpful when carried out as simple "orange-slice"-type resection, or as the Thompson operation. Liposuction is an attractive alternative, but its effectiveness needs be confirmed yet. Actually, the most effective types of surgical treatment are microsurgical lymphovenous or lymphoveno-lymphatic bypass. Secondary lymphedema of the lower extremities (more rarely of the upper limbs) are primary indications. The Campisi-Casaccia team from Genoa has acquired interesting experience with congenital lymphedema. Results relating to surgical treatment of lymphedema can be assessed only after a follow-up of 3-5 years. About one third of cases, on average, do very well and another third do well. Elastic support of the leg must practically always be maintained.
PubMed: 2193082
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pubmed:2193082Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en">[Surgical treatment of lymphedema].</title>
<author><name sortKey="Barsotti, J" sort="Barsotti, J" uniqKey="Barsotti J" first="J" last="Barsotti">J. Barsotti</name>
<affiliation><nlm:affiliation>Service de Chirurgie Orthopédique et Traumatologique, C.H.U. Trousseau, Tours.</nlm:affiliation>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Anastomosis, Surgical (methods)</term>
<term>Arm</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Humans</term>
<term>Infant</term>
<term>Infant, Newborn</term>
<term>Leg</term>
<term>Lymph Node Excision (methods)</term>
<term>Lymph Nodes (surgery)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (surgery)</term>
<term>Middle Aged</term>
<term>Veins (surgery)</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>Bras</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Humains</term>
<term>Jambe</term>
<term>Lymphadénectomie ()</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (étiologie)</term>
<term>Noeuds lymphatiques ()</term>
<term>Nourrisson</term>
<term>Nouveau-né</term>
<term>Sujet âgé</term>
<term>Veines ()</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Anastomosis, Surgical</term>
<term>Lymph Node Excision</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymph Nodes</term>
<term>Lymphedema</term>
<term>Veins</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Arm</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Humans</term>
<term>Infant</term>
<term>Infant, Newborn</term>
<term>Leg</term>
<term>Middle Aged</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>Bras</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Humains</term>
<term>Jambe</term>
<term>Lymphadénectomie</term>
<term>Lymphoedème</term>
<term>Noeuds lymphatiques</term>
<term>Nourrisson</term>
<term>Nouveau-né</term>
<term>Sujet âgé</term>
<term>Veines</term>
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<front><div type="abstract" xml:lang="en">In our experience, indications for surgical management of lymphedema do not amount to more than 10% of cases. Surgery is significantly complemented by expert pre and postoperative physiotherapy. Excisional procedures are presently seldom carried out, although they may be helpful when carried out as simple "orange-slice"-type resection, or as the Thompson operation. Liposuction is an attractive alternative, but its effectiveness needs be confirmed yet. Actually, the most effective types of surgical treatment are microsurgical lymphovenous or lymphoveno-lymphatic bypass. Secondary lymphedema of the lower extremities (more rarely of the upper limbs) are primary indications. The Campisi-Casaccia team from Genoa has acquired interesting experience with congenital lymphedema. Results relating to surgical treatment of lymphedema can be assessed only after a follow-up of 3-5 years. About one third of cases, on average, do very well and another third do well. Elastic support of the leg must practically always be maintained.</div>
</front>
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<Title>Journal des maladies vasculaires</Title>
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<ArticleTitle>[Surgical treatment of lymphedema].</ArticleTitle>
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<Abstract><AbstractText>In our experience, indications for surgical management of lymphedema do not amount to more than 10% of cases. Surgery is significantly complemented by expert pre and postoperative physiotherapy. Excisional procedures are presently seldom carried out, although they may be helpful when carried out as simple "orange-slice"-type resection, or as the Thompson operation. Liposuction is an attractive alternative, but its effectiveness needs be confirmed yet. Actually, the most effective types of surgical treatment are microsurgical lymphovenous or lymphoveno-lymphatic bypass. Secondary lymphedema of the lower extremities (more rarely of the upper limbs) are primary indications. The Campisi-Casaccia team from Genoa has acquired interesting experience with congenital lymphedema. Results relating to surgical treatment of lymphedema can be assessed only after a follow-up of 3-5 years. About one third of cases, on average, do very well and another third do well. Elastic support of the leg must practically always be maintained.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Barsotti</LastName>
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<NumberOfReferences>27</NumberOfReferences>
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