Development of functionally patent lymphatic meshes in postsurgical long-term resolution of peripheral secondary lymphedema.
Identifieur interne : 008058 ( Ncbi/Merge ); précédent : 008057; suivant : 008059Development of functionally patent lymphatic meshes in postsurgical long-term resolution of peripheral secondary lymphedema.
Auteurs : Sylvain Mukenge [Italie] ; Daniela Negrini [Italie] ; Marco Catena [Italie] ; Francesca Ratti [Italie] ; Flaviano Dosio [Italie] ; Pierluigi Paesano [Italie] ; Patrizio Rigatti [Italie] ; Gianfranco Ferla [Italie]Source :
- Journal of vascular surgery. Venous and lymphatic disorders [ 2213-333X ] ; 2013.
Abstract
In oncologic surgery, secondary lymphedema of male external genital organs and upper or lower limbs frequently develops as a result of excision or mechanical obstruction of collecting lymphatic trunks. We evaluated whether the short-term and long-term outcomes of microsurgical treatment of limb and genital organs improves tissue drainage in patients with secondary lymphedema by restoring the pre-existing lymphatic networks or through new lymphangiogenesis.
DOI: 10.1016/j.jvsv.2012.09.008
PubMed: 26992588
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Electronic address: mukenge.mvunde@hsr.it.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgery, Scientific Institute San Raffaele, Vita-Salute University, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Negrini, Daniela" sort="Negrini, Daniela" uniqKey="Negrini D" first="Daniela" last="Negrini">Daniela Negrini</name><affiliation wicri:level="1"><nlm:affiliation>Department of Surgical and Morphological Sciences, University of Insubria, Varese, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgical and Morphological Sciences, University of Insubria, Varese</wicri:regionArea><wicri:noRegion>Varese</wicri:noRegion></affiliation></author><author><name sortKey="Catena, Marco" sort="Catena, Marco" uniqKey="Catena M" first="Marco" last="Catena">Marco Catena</name><affiliation wicri:level="3"><nlm:affiliation>Department of Surgery, Scientific Institute San Raffaele, Vita-Salute University, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgery, Scientific Institute San Raffaele, Vita-Salute University, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Ratti, Francesca" sort="Ratti, Francesca" uniqKey="Ratti F" first="Francesca" last="Ratti">Francesca Ratti</name><affiliation wicri:level="3"><nlm:affiliation>Department of Surgery, Scientific Institute San Raffaele, Vita-Salute University, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgery, Scientific Institute San Raffaele, Vita-Salute University, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Dosio, Flaviano" sort="Dosio, Flaviano" uniqKey="Dosio F" first="Flaviano" last="Dosio">Flaviano Dosio</name><affiliation wicri:level="3"><nlm:affiliation>Nuclear Medicine Unit, Scientific Institute San Raffaele, Vita-Salute University, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Nuclear Medicine Unit, Scientific Institute San Raffaele, Vita-Salute University, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Paesano, Pierluigi" sort="Paesano, Pierluigi" uniqKey="Paesano P" first="Pierluigi" last="Paesano">Pierluigi Paesano</name><affiliation wicri:level="3"><nlm:affiliation>Department of Radiology, Scientific Institute San Raffaele, Vita-Salute University, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Radiology, Scientific Institute San Raffaele, Vita-Salute University, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Rigatti, Patrizio" sort="Rigatti, Patrizio" uniqKey="Rigatti P" first="Patrizio" last="Rigatti">Patrizio Rigatti</name><affiliation wicri:level="3"><nlm:affiliation>Department of Urology, Scientific Institute San Raffaele, Vita-Salute University, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Urology, Scientific Institute San Raffaele, Vita-Salute University, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Ferla, Gianfranco" sort="Ferla, Gianfranco" uniqKey="Ferla G" first="Gianfranco" last="Ferla">Gianfranco Ferla</name><affiliation wicri:level="3"><nlm:affiliation>Department of Surgery, Scientific Institute San Raffaele, Vita-Salute University, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgery, Scientific Institute San Raffaele, Vita-Salute University, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author></analytic><series><title level="j">Journal of vascular surgery. Venous and lymphatic disorders</title><idno type="ISSN">2213-333X</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In oncologic surgery, secondary lymphedema of male external genital organs and upper or lower limbs frequently develops as a result of excision or mechanical obstruction of collecting lymphatic trunks. We evaluated whether the short-term and long-term outcomes of microsurgical treatment of limb and genital organs improves tissue drainage in patients with secondary lymphedema by restoring the pre-existing lymphatic networks or through new lymphangiogenesis.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">26992588</PMID><DateCreated><Year>2016</Year><Month>03</Month><Day>19</Day></DateCreated><DateCompleted><Year>2016</Year><Month>03</Month><Day>23</Day></DateCompleted><DateRevised><Year>2016</Year><Month>03</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">2213-333X</ISSN><JournalIssue CitedMedium="Print"><Volume>1</Volume><Issue>3</Issue><PubDate><Year>2013</Year><Month>Jul</Month></PubDate></JournalIssue><Title>Journal of vascular surgery. Venous and lymphatic disorders</Title><ISOAbbreviation>J Vasc Surg Venous Lymphat Disord</ISOAbbreviation></Journal><ArticleTitle>Development of functionally patent lymphatic meshes in postsurgical long-term resolution of peripheral secondary lymphedema.</ArticleTitle><Pagination><MedlinePgn>280-8</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jvsv.2012.09.008</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S2213-333X(12)00028-5</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">In oncologic surgery, secondary lymphedema of male external genital organs and upper or lower limbs frequently develops as a result of excision or mechanical obstruction of collecting lymphatic trunks. We evaluated whether the short-term and long-term outcomes of microsurgical treatment of limb and genital organs improves tissue drainage in patients with secondary lymphedema by restoring the pre-existing lymphatic networks or through new lymphangiogenesis.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Of 110 secondary lymphedema patients, microsurgery was performed in 45 hospitalized patients. Patients were aged 25 to 75 years, had at least third-degree lymphedema, no satisfactory results from previous physical or pharmacologic therapy, without primitive neoplasia, at least 1 year since the last postsurgical adjuvant oncological treatment, and <15 years since the previous primary oncologic lymphedema development. A microsurgical lymphovenous shunt of the spermatic cord (n = 7), a lymphovenous shunt of the lower limbs (n = 32), or lymphatic grafting of the upper limbs (n = 6) was performed. The male external genitals were treated through an innovative lymphovenous shunt of the lymphatic collectors in the pampiniform plexus of the spermatic cord. For lower limb lymphedema, the lymphatics were shunted to the collaterals or saphenous vein. For upper limb lymphedema, a shunt was performed between the lymph vessels of the jugular-supraclavicular area and those in close continuity with the axillary region. The patency of the new lymphatic pathways was assessed using Photodynamic Eye (Hamamatsu Photonic K.K., Tokyo, Japan) lymphography.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Six months postoperatively, 36 responding patients showed an almost complete recovery from secondary lymphedema. Lymphatic meshes, consisting of several lymphatic vessels merging into well-canalized and complex networks developing in the perianastomotic area or between the adjacent proximal anastomotic lymphatic collectors, were commonly observed in patients who positively responded to microsurgery. These complexes were never encountered in nonresponding patients or in normal, nonedematous tissue.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Long-term postsurgical recovery from severe secondary lymphedema requires canalizing the lymphatic collectors along their original flow pattern and developing perianastomotic meshes. Because this phenomenon can be observed with the same characteristics in different tissues, such as the spermatic cord and the inguinocrural, inguinoscrotal, inguinotesticular, and brachial regions, the development of meshes seems to reflect a generalized phenomenon of local lymphangiogenesis triggered by the microsurgical procedure.</AbstractText><CopyrightInformation>Copyright © 2013 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mukenge</LastName><ForeName>Sylvain</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Surgery, Scientific Institute San Raffaele, Vita-Salute University, Milan, Italy. Electronic address: mukenge.mvunde@hsr.it.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Negrini</LastName><ForeName>Daniela</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Surgical and Morphological Sciences, University of Insubria, Varese, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Catena</LastName><ForeName>Marco</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Surgery, Scientific Institute San Raffaele, Vita-Salute University, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ratti</LastName><ForeName>Francesca</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Surgery, Scientific Institute San Raffaele, Vita-Salute University, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dosio</LastName><ForeName>Flaviano</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Nuclear Medicine Unit, Scientific Institute San Raffaele, Vita-Salute University, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Paesano</LastName><ForeName>Pierluigi</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Radiology, Scientific Institute San Raffaele, Vita-Salute University, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rigatti</LastName><ForeName>Patrizio</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Urology, Scientific Institute San Raffaele, Vita-Salute University, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ferla</LastName><ForeName>Gianfranco</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Surgery, Scientific Institute San Raffaele, Vita-Salute University, Milan, Italy.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>02</Month><Day>15</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Vasc Surg Venous Lymphat Disord</MedlineTA><NlmUniqueID>101607771</NlmUniqueID></MedlineJournalInfo></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2012</Year><Month>03</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2012</Year><Month>09</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2012</Year><Month>09</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>3</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>7</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>7</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26992588</ArticleId><ArticleId IdType="pii">S2213-333X(12)00028-5</ArticleId><ArticleId IdType="doi">10.1016/j.jvsv.2012.09.008</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Italie</li></country><region><li>Lombardie</li></region><settlement><li>Milan</li></settlement></list><tree><country name="Italie"><region name="Lombardie"><name sortKey="Mukenge, Sylvain" sort="Mukenge, Sylvain" uniqKey="Mukenge S" first="Sylvain" last="Mukenge">Sylvain Mukenge</name></region><name sortKey="Catena, Marco" sort="Catena, Marco" uniqKey="Catena M" first="Marco" last="Catena">Marco Catena</name><name sortKey="Dosio, Flaviano" sort="Dosio, Flaviano" uniqKey="Dosio F" first="Flaviano" last="Dosio">Flaviano Dosio</name><name sortKey="Ferla, Gianfranco" sort="Ferla, Gianfranco" uniqKey="Ferla G" first="Gianfranco" last="Ferla">Gianfranco Ferla</name><name sortKey="Negrini, Daniela" sort="Negrini, Daniela" uniqKey="Negrini D" first="Daniela" last="Negrini">Daniela Negrini</name><name sortKey="Paesano, Pierluigi" sort="Paesano, Pierluigi" uniqKey="Paesano P" first="Pierluigi" last="Paesano">Pierluigi Paesano</name><name sortKey="Ratti, Francesca" sort="Ratti, Francesca" uniqKey="Ratti F" first="Francesca" last="Ratti">Francesca Ratti</name><name sortKey="Rigatti, Patrizio" sort="Rigatti, Patrizio" uniqKey="Rigatti P" first="Patrizio" last="Rigatti">Patrizio Rigatti</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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