Treatment of postmastectomy lymphedema by bypassing the armpit with implanted silicone tubings.
Identifieur interne : 007B58 ( Ncbi/Merge ); précédent : 007B57; suivant : 007B59Treatment of postmastectomy lymphedema by bypassing the armpit with implanted silicone tubings.
Auteurs : Waldemar L. Olszewski [Pologne] ; Marzanna Zaleska [Pologne]Source :
- International angiology : a journal of the International Union of Angiology [ 1827-1839 ] ; 2017.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Aisselle (imagerie diagnostique), Complications postopératoires (), Complications postopératoires (étiologie), Femelle, Force de préhension manuelle, Humains, Lymphadénectomie (effets indésirables), Lymphoedème après cancer du sein (), Lymphoedème après cancer du sein (étiologie), Lymphoscintigraphie, Mastectomie (effets indésirables), Pologne, Prothèses et implants, Radiothérapie (effets indésirables), Silicone, Sujet âgé, Tumeurs du sein (), Vaisseaux lymphatiques (imagerie diagnostique), Échographie.
- MESH :
- effets indésirables : Lymphadénectomie, Mastectomie, Radiothérapie.
- imagerie diagnostique : Aisselle, Vaisseaux lymphatiques.
- étiologie : Complications postopératoires, Lymphoedème après cancer du sein.
- Adulte d'âge moyen, Complications postopératoires, Femelle, Force de préhension manuelle, Humains, Lymphoedème après cancer du sein, Lymphoscintigraphie, Pologne, Prothèses et implants, Silicone, Sujet âgé, Tumeurs du sein, Échographie.
English descriptors
- KwdEn :
- Aged, Axilla (diagnostic imaging), Breast Cancer Lymphedema (etiology), Breast Cancer Lymphedema (therapy), Breast Neoplasms (therapy), Female, Hand Strength, Humans, Lymph Node Excision (adverse effects), Lymphatic Vessels (diagnostic imaging), Lymphoscintigraphy, Mastectomy (adverse effects), Middle Aged, Poland, Postoperative Complications (etiology), Postoperative Complications (therapy), Prostheses and Implants, Radiotherapy (adverse effects), Silicones, Ultrasonography.
- MESH :
- chemical : Silicones.
- adverse effects : Lymph Node Excision, Mastectomy, Radiotherapy.
- diagnostic imaging : Axilla, Lymphatic Vessels.
- etiology : Breast Cancer Lymphedema, Postoperative Complications.
- therapy : Breast Cancer Lymphedema, Breast Neoplasms, Postoperative Complications.
- Aged, Female, Hand Strength, Humans, Lymphoscintigraphy, Middle Aged, Poland, Prostheses and Implants, Ultrasonography.
Abstract
Women treated for breast cancer are facing a life-time risk of developing lymphedema in up to 40% of this population. In advanced cases of lymphedema main lymphatics are obstructed and tissue fluid accumulates in the interstitial spaces forming fluid "lakes"and "channels". The only solution for fluid drainage would be creating artificial channel for flow away to the non-obstructed regions. The aim of this study was to form artificial pathways for edema fluid flow by subcutaneous implantation of silicone tubes into the swollen limb.
DOI: 10.23736/S0392-9590.16.03630-0
PubMed: 26603434
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Olszewski</name><affiliation wicri:level="1"><nlm:affiliation>Department of Vascular Surgery, Central Clinical Hospital, Ministry of Home Affairs, Warsaw, Poland - waldemar.l.olszewski@gmail.com; Department of Transplantation Surgery, Mossakowski Medical Research Center, Polish Academy of Sciences, Warsaw, Poland; Department of Epigenetics, Mossakowski Medical Research Center, Polish Academy of Sciences, Warsaw, Poland.</nlm:affiliation><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Vascular Surgery, Central Clinical Hospital, Ministry of Home Affairs, Warsaw, Poland - waldemar.l.olszewski@gmail.com; Department of Transplantation Surgery, Mossakowski Medical Research Center, Polish Academy of Sciences, Warsaw, Poland; Department of Epigenetics, Mossakowski Medical Research Center, Polish Academy of Sciences, Warsaw</wicri:regionArea><wicri:noRegion>Warsaw</wicri:noRegion></affiliation></author><author><name sortKey="Zaleska, Marzanna" sort="Zaleska, Marzanna" uniqKey="Zaleska M" first="Marzanna" last="Zaleska">Marzanna Zaleska</name><affiliation wicri:level="1"><nlm:affiliation>Department of Vascular Surgery, Central Clinical Hospital, Ministry of Home Affairs, Warsaw, Poland; Department of Transplantation Surgery, Mossakowski Medical Research Center, Polish Academy of Sciences, Warsaw, Poland; Department of Epigenetics, Mossakowski Medical Research Center, Polish Academy of Sciences, Warsaw, Poland; Department of Applied Physiology, Mossakowski Medical Research Center, Polish Academy of Sciences, Warsaw, Poland.</nlm:affiliation><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Vascular Surgery, Central Clinical Hospital, Ministry of Home Affairs, Warsaw, Poland; Department of Transplantation Surgery, Mossakowski Medical Research Center, Polish Academy of Sciences, Warsaw, Poland; Department of Epigenetics, Mossakowski Medical Research Center, Polish Academy of Sciences, Warsaw, Poland; Department of Applied Physiology, Mossakowski Medical Research Center, Polish Academy of Sciences, Warsaw</wicri:regionArea><wicri:noRegion>Warsaw</wicri:noRegion></affiliation></author></analytic><series><title level="j">International angiology : a journal of the International Union of Angiology</title><idno type="eISSN">1827-1839</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Axilla (diagnostic imaging)</term><term>Breast Cancer Lymphedema (etiology)</term><term>Breast Cancer Lymphedema (therapy)</term><term>Breast Neoplasms (therapy)</term><term>Female</term><term>Hand Strength</term><term>Humans</term><term>Lymph Node Excision (adverse effects)</term><term>Lymphatic Vessels (diagnostic imaging)</term><term>Lymphoscintigraphy</term><term>Mastectomy (adverse effects)</term><term>Middle Aged</term><term>Poland</term><term>Postoperative Complications (etiology)</term><term>Postoperative Complications (therapy)</term><term>Prostheses and Implants</term><term>Radiotherapy (adverse effects)</term><term>Silicones</term><term>Ultrasonography</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Aisselle (imagerie diagnostique)</term><term>Complications postopératoires ()</term><term>Complications postopératoires (étiologie)</term><term>Femelle</term><term>Force de préhension manuelle</term><term>Humains</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphoedème après cancer du sein ()</term><term>Lymphoedème après cancer du sein (étiologie)</term><term>Lymphoscintigraphie</term><term>Mastectomie (effets indésirables)</term><term>Pologne</term><term>Prothèses et implants</term><term>Radiothérapie (effets indésirables)</term><term>Silicone</term><term>Sujet âgé</term><term>Tumeurs du sein ()</term><term>Vaisseaux lymphatiques (imagerie diagnostique)</term><term>Échographie</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Silicones</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term><term>Mastectomy</term><term>Radiotherapy</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Axilla</term><term>Lymphatic Vessels</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lymphadénectomie</term><term>Mastectomie</term><term>Radiothérapie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Breast Cancer Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Aisselle</term><term>Vaisseaux lymphatiques</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Breast Cancer Lymphedema</term><term>Breast Neoplasms</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Complications postopératoires</term><term>Lymphoedème après cancer du sein</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Hand Strength</term><term>Humans</term><term>Lymphoscintigraphy</term><term>Middle Aged</term><term>Poland</term><term>Prostheses and Implants</term><term>Ultrasonography</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Complications postopératoires</term><term>Femelle</term><term>Force de préhension manuelle</term><term>Humains</term><term>Lymphoedème après cancer du sein</term><term>Lymphoscintigraphie</term><term>Pologne</term><term>Prothèses et implants</term><term>Silicone</term><term>Sujet âgé</term><term>Tumeurs du sein</term><term>Échographie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Women treated for breast cancer are facing a life-time risk of developing lymphedema in up to 40% of this population. In advanced cases of lymphedema main lymphatics are obstructed and tissue fluid accumulates in the interstitial spaces forming fluid "lakes"and "channels". The only solution for fluid drainage would be creating artificial channel for flow away to the non-obstructed regions. The aim of this study was to form artificial pathways for edema fluid flow by subcutaneous implantation of silicone tubes into the swollen limb.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26603434</PMID><DateCreated><Year>2015</Year><Month>11</Month><Day>25</Day></DateCreated><DateCompleted><Year>2017</Year><Month>05</Month><Day>23</Day></DateCompleted><DateRevised><Year>2017</Year><Month>05</Month><Day>23</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1827-1839</ISSN><JournalIssue CitedMedium="Internet"><Volume>36</Volume><Issue>1</Issue><PubDate><Year>2017</Year><Month>Feb</Month></PubDate></JournalIssue><Title>International angiology : a journal of the International Union of Angiology</Title><ISOAbbreviation>Int Angiol</ISOAbbreviation></Journal><ArticleTitle>Treatment of postmastectomy lymphedema by bypassing the armpit with implanted silicone tubings.</ArticleTitle><Pagination><MedlinePgn>50-58</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.23736/S0392-9590.16.03630-0</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Women treated for breast cancer are facing a life-time risk of developing lymphedema in up to 40% of this population. In advanced cases of lymphedema main lymphatics are obstructed and tissue fluid accumulates in the interstitial spaces forming fluid "lakes"and "channels". The only solution for fluid drainage would be creating artificial channel for flow away to the non-obstructed regions. The aim of this study was to form artificial pathways for edema fluid flow by subcutaneous implantation of silicone tubes into the swollen limb.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Implantation was carried out in ten patients with lymphedema after mastectomy, axillary lymphadenectomy and radiotherapy, stage II and III. Tubes were placed from hand dorsum, through forearm and arm to scapular region. Implantation was followed by routine arm sleeve compression. Prophylactic long term penicillin was administered. The follow-up is at present 10 months.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">We observed: implanted tubes brought about fast evacuation of excess tissue fluid; most decrease in circumference, volume and stiffness occurred within first two weeks; less limb heaviness and easier hand grip; lymphoscintigraphy tracer accumulated in tubes and around them; free fluid was seen on ultrasonography at both ends of tubes and in between; no postoperative complications.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">We propose a multimodality method including implantation, limb compression to generate fluid pressure gradient for flow and prevention of inflammation by administration of long-term penicillin. Simplicity of surgical procedure and lack of reaction to implant make the method worth applying in advanced stages of lymphedema in large cohorts of patients.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Olszewski</LastName><ForeName>Waldemar L</ForeName><Initials>WL</Initials><AffiliationInfo><Affiliation>Department of Vascular Surgery, Central Clinical Hospital, Ministry of Home Affairs, Warsaw, Poland - waldemar.l.olszewski@gmail.com; Department of Transplantation Surgery, Mossakowski Medical Research Center, Polish Academy of Sciences, Warsaw, Poland; Department of Epigenetics, Mossakowski Medical Research Center, Polish Academy of Sciences, Warsaw, Poland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zaleska</LastName><ForeName>Marzanna</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Vascular Surgery, Central Clinical Hospital, Ministry of Home Affairs, Warsaw, Poland; Department of Transplantation Surgery, Mossakowski Medical Research Center, Polish Academy of Sciences, Warsaw, Poland; Department of Epigenetics, Mossakowski Medical Research Center, Polish Academy of Sciences, Warsaw, Poland; Department of Applied Physiology, Mossakowski Medical Research Center, Polish Academy of Sciences, Warsaw, Poland.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>11</Month><Day>23</Day></ArticleDate></Article><MedlineJournalInfo><Country>Italy</Country><MedlineTA>Int Angiol</MedlineTA><NlmUniqueID>8402693</NlmUniqueID><ISSNLinking>0392-9590</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D012828">Silicones</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001365" MajorTopicYN="N">Axilla</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000072656" MajorTopicYN="N">Breast Cancer Lymphedema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018737" MajorTopicYN="N">Hand Strength</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="N">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D042601" MajorTopicYN="N">Lymphatic Vessels</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D061305" MajorTopicYN="N">Lymphoscintigraphy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008408" MajorTopicYN="N">Mastectomy</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011044" MajorTopicYN="N">Poland</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019736" MajorTopicYN="N">Prostheses and Implants</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011878" MajorTopicYN="N">Radiotherapy</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012828" MajorTopicYN="N">Silicones</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014463" MajorTopicYN="N">Ultrasonography</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>11</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>5</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>11</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26603434</ArticleId><ArticleId IdType="doi">10.23736/S0392-9590.16.03630-0</ArticleId><ArticleId IdType="pii">R34Y9999N00A150080</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Pologne</li></country></list><tree><country name="Pologne"><noRegion><name sortKey="Olszewski, Waldemar L" sort="Olszewski, Waldemar L" uniqKey="Olszewski W" first="Waldemar L" last="Olszewski">Waldemar L. Olszewski</name></noRegion><name sortKey="Zaleska, Marzanna" sort="Zaleska, Marzanna" uniqKey="Zaleska M" first="Marzanna" last="Zaleska">Marzanna Zaleska</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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