A novel two-stage surgical approach to treat chronic lymphedema.
Identifieur interne : 006763 ( Ncbi/Merge ); précédent : 006762; suivant : 006764A novel two-stage surgical approach to treat chronic lymphedema.
Auteurs : Jay W. Granzow [États-Unis] ; Julie M. Soderberg ; Christine DauphineSource :
- The breast journal [ 1524-4741 ]
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Tumeurs du sein.
- effets indésirables : Lymphadénectomie.
- Adulte d'âge moyen, Anastomose chirurgicale, Femelle, Humains, Lipectomie, Lymphoedème, Maladie chronique, Noeuds lymphatiques, Tumeurs du sein, Vaisseaux lymphatiques.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Lymph Node Excision.
- methods : Anastomosis, Surgical, Lipectomy.
- pathology : Breast Neoplasms.
- surgery : Lymph Nodes, Lymphatic Vessels, Lymphedema.
- therapy : Breast Neoplasms.
- Chronic Disease, Female, Humans, Middle Aged.
Abstract
Surgical treatment of chronic lymphedema has seen significant advances. Suction-assisted protein lipectomy (SAPL) has been shown to safely and effectively reduce the solid component of swelling in chronic lymphedema. However, these patients must continuously use compression garments to control and prevent recurrence. Microsurgery procedures, including lymphaticovenous anastomosis (LVA) and vascularized lymph node transfer (VLNT), have been shown to be effective in the management of the fluid component of lymphedema and allow for decreased garment use. SAPL and VLNT were applied together in a two-stage approach in two patients with chronic lymphedema after treatment for breast cancer. SAPL was used first to remove the chronic, solid component of the soft-tissue excess. Volume excess in our patients' arms was reduced an average of approximately 83% and 110% after SAPL surgery. After the arms had sufficiently healed and the volume reductions had stabilized, VLNT was performed to reduce the need for continuous compression and reduce fluid re-accumulation. Following the VLNT procedures, the patients were able to remove their compression garments consistently during the day and still maintain their volume reductions. Neither patient had any postoperative episodes of cellulitis. SAPL and VLNT can be combined to achieve optimal outcomes in patients with chronic lymphedema.
DOI: 10.1111/tbj.12282
PubMed: 24943048
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Soderberg</name></author><author><name sortKey="Dauphine, Christine" sort="Dauphine, Christine" uniqKey="Dauphine C" first="Christine" last="Dauphine">Christine Dauphine</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="????"><PubDate><MedlineDate>2014 Jul-Aug</MedlineDate></PubDate></date><idno type="RBID">pubmed:24943048</idno><idno type="pmid">24943048</idno><idno type="doi">10.1111/tbj.12282</idno><idno type="wicri:Area/PubMed/Corpus">001482</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001482</idno><idno type="wicri:Area/PubMed/Curation">001482</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001482</idno><idno type="wicri:Area/PubMed/Checkpoint">001482</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001482</idno><idno type="wicri:Area/Ncbi/Merge">006763</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">A novel two-stage surgical approach to treat chronic lymphedema.</title><author><name sortKey="Granzow, Jay W" sort="Granzow, Jay W" uniqKey="Granzow J" first="Jay W" last="Granzow">Jay W. Granzow</name><affiliation wicri:level="2"><nlm:affiliation>Harbor-UCLA Medical Center and the UCLA David Geffen School of Medicine, Los Angeles, California.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Harbor-UCLA Medical Center and the UCLA David Geffen School of Medicine, Los Angeles</wicri:cityArea></affiliation></author><author><name sortKey="Soderberg, Julie M" sort="Soderberg, Julie M" uniqKey="Soderberg J" first="Julie M" last="Soderberg">Julie M. Soderberg</name></author><author><name sortKey="Dauphine, Christine" sort="Dauphine, Christine" uniqKey="Dauphine C" first="Christine" last="Dauphine">Christine Dauphine</name></author></analytic><series><title level="j">The breast journal</title><idno type="eISSN">1524-4741</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anastomosis, Surgical (methods)</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (therapy)</term><term>Chronic Disease</term><term>Female</term><term>Humans</term><term>Lipectomy (methods)</term><term>Lymph Node Excision (adverse effects)</term><term>Lymph Nodes (surgery)</term><term>Lymphatic Vessels (surgery)</term><term>Lymphedema (surgery)</term><term>Middle Aged</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Anastomose chirurgicale ()</term><term>Femelle</term><term>Humains</term><term>Lipectomie ()</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphoedème ()</term><term>Maladie chronique</term><term>Noeuds lymphatiques ()</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (anatomopathologie)</term><term>Vaisseaux lymphatiques ()</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lymphadénectomie</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Anastomosis, Surgical</term><term>Lipectomy</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymph Nodes</term><term>Lymphatic Vessels</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Chronic Disease</term><term>Female</term><term>Humans</term><term>Middle Aged</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Anastomose chirurgicale</term><term>Femelle</term><term>Humains</term><term>Lipectomie</term><term>Lymphoedème</term><term>Maladie chronique</term><term>Noeuds lymphatiques</term><term>Tumeurs du sein</term><term>Vaisseaux lymphatiques</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Surgical treatment of chronic lymphedema has seen significant advances. Suction-assisted protein lipectomy (SAPL) has been shown to safely and effectively reduce the solid component of swelling in chronic lymphedema. However, these patients must continuously use compression garments to control and prevent recurrence. Microsurgery procedures, including lymphaticovenous anastomosis (LVA) and vascularized lymph node transfer (VLNT), have been shown to be effective in the management of the fluid component of lymphedema and allow for decreased garment use. SAPL and VLNT were applied together in a two-stage approach in two patients with chronic lymphedema after treatment for breast cancer. SAPL was used first to remove the chronic, solid component of the soft-tissue excess. Volume excess in our patients' arms was reduced an average of approximately 83% and 110% after SAPL surgery. After the arms had sufficiently healed and the volume reductions had stabilized, VLNT was performed to reduce the need for continuous compression and reduce fluid re-accumulation. Following the VLNT procedures, the patients were able to remove their compression garments consistently during the day and still maintain their volume reductions. Neither patient had any postoperative episodes of cellulitis. SAPL and VLNT can be combined to achieve optimal outcomes in patients with chronic lymphedema.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24943048</PMID><DateCreated><Year>2014</Year><Month>07</Month><Day>02</Day></DateCreated><DateCompleted><Year>2015</Year><Month>07</Month><Day>27</Day></DateCompleted><DateRevised><Year>2014</Year><Month>07</Month><Day>02</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1524-4741</ISSN><JournalIssue CitedMedium="Internet"><Volume>20</Volume><Issue>4</Issue><PubDate><MedlineDate>2014 Jul-Aug</MedlineDate></PubDate></JournalIssue><Title>The breast journal</Title><ISOAbbreviation>Breast J</ISOAbbreviation></Journal><ArticleTitle>A novel two-stage surgical approach to treat chronic lymphedema.</ArticleTitle><Pagination><MedlinePgn>420-2</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/tbj.12282</ELocationID><Abstract><AbstractText>Surgical treatment of chronic lymphedema has seen significant advances. Suction-assisted protein lipectomy (SAPL) has been shown to safely and effectively reduce the solid component of swelling in chronic lymphedema. However, these patients must continuously use compression garments to control and prevent recurrence. Microsurgery procedures, including lymphaticovenous anastomosis (LVA) and vascularized lymph node transfer (VLNT), have been shown to be effective in the management of the fluid component of lymphedema and allow for decreased garment use. SAPL and VLNT were applied together in a two-stage approach in two patients with chronic lymphedema after treatment for breast cancer. SAPL was used first to remove the chronic, solid component of the soft-tissue excess. Volume excess in our patients' arms was reduced an average of approximately 83% and 110% after SAPL surgery. After the arms had sufficiently healed and the volume reductions had stabilized, VLNT was performed to reduce the need for continuous compression and reduce fluid re-accumulation. Following the VLNT procedures, the patients were able to remove their compression garments consistently during the day and still maintain their volume reductions. Neither patient had any postoperative episodes of cellulitis. SAPL and VLNT can be combined to achieve optimal outcomes in patients with chronic lymphedema.</AbstractText><CopyrightInformation>© 2014 Wiley Periodicals, Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Granzow</LastName><ForeName>Jay W</ForeName><Initials>JW</Initials><AffiliationInfo><Affiliation>Harbor-UCLA Medical Center and the UCLA David Geffen School of Medicine, Los Angeles, California.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Soderberg</LastName><ForeName>Julie M</ForeName><Initials>JM</Initials></Author><Author ValidYN="Y"><LastName>Dauphine</LastName><ForeName>Christine</ForeName><Initials>C</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>06</Month><Day>19</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Breast J</MedlineTA><NlmUniqueID>9505539</NlmUniqueID><ISSNLinking>1075-122X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000714" MajorTopicYN="N">Anastomosis, Surgical</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002908" MajorTopicYN="N">Chronic Disease</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015187" MajorTopicYN="N">Lipectomy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008198" MajorTopicYN="N">Lymph Nodes</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D042601" MajorTopicYN="N">Lymphatic Vessels</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">SAPL</Keyword><Keyword MajorTopicYN="N">Suction-assisted protein lipectomy</Keyword><Keyword MajorTopicYN="N">lymphaticovenous anastomosis</Keyword><Keyword MajorTopicYN="N">lymphedema</Keyword><Keyword MajorTopicYN="N">vascularized lymph node transfer</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>6</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>6</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>7</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24943048</ArticleId><ArticleId IdType="doi">10.1111/tbj.12282</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li></region></list><tree><noCountry><name sortKey="Dauphine, Christine" sort="Dauphine, Christine" uniqKey="Dauphine C" first="Christine" last="Dauphine">Christine Dauphine</name><name sortKey="Soderberg, Julie M" sort="Soderberg, Julie M" uniqKey="Soderberg J" first="Julie M" last="Soderberg">Julie M. Soderberg</name></noCountry><country name="États-Unis"><region name="Californie"><name sortKey="Granzow, Jay W" sort="Granzow, Jay W" uniqKey="Granzow J" first="Jay W" last="Granzow">Jay W. Granzow</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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