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[Lymphovenous anastomoses in the prevention of post-mastectomy edema of the arm].

Identifieur interne : 008801 ( Ncbi/Merge ); précédent : 008800; suivant : 008802

[Lymphovenous anastomoses in the prevention of post-mastectomy edema of the arm].

Auteurs : V I Pronin ; A A Adamian ; V Ia Zolotarevski ; Iu L. Rozanov ; T V Savchenko

Source :

RBID : pubmed:2762917

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English descriptors

Abstract

Analysis of the clinical and experimental data has prompted the authors to try surgical correction of an impaired lymph drainage in the arm after radical mastectomy by effecting lymphovenous anastomoses. These anastomoses are intended to eliminate lymphostasis, the principal reason of a postmastectomy edema, by draining the lymph, outflowing from the arm, to the vein. The optimal sites for the formation of a lymphovenous anastomosis have been found the cubital fossa and the anterointernal surface of the lower third of the shoulder. The formation of such an anastomosis simultaneously with radical mastectomy eliminates operation lymphorrhea of the wound already by days 4-5 postoperation, this facilitating the wound healing. Such an approach to radical mastectomy technique may completely prevent the development and progress of a postmastectomy edema of the arm.

PubMed: 2762917

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Le document en format XML

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<name sortKey="Adamian, A A" sort="Adamian, A A" uniqKey="Adamian A" first="A A" last="Adamian">A A Adamian</name>
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<name sortKey="Zolotarevski, V Ia" sort="Zolotarevski, V Ia" uniqKey="Zolotarevski V" first="V Ia" last="Zolotarevski">V Ia Zolotarevski</name>
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<name sortKey="Rozanov, Iu L" sort="Rozanov, Iu L" uniqKey="Rozanov I" first="Iu L" last="Rozanov">Iu L. Rozanov</name>
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<term>Breast Neoplasms (surgery)</term>
<term>Elbow (blood supply)</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphatic System (surgery)</term>
<term>Lymphedema (prevention & control)</term>
<term>Mastectomy, Radical (adverse effects)</term>
<term>Postoperative Complications (prevention & control)</term>
<term>Veins (surgery)</term>
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<term>Anastomose chirurgicale ()</term>
<term>Bras</term>
<term>Complications postopératoires ()</term>
<term>Coude ()</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème ()</term>
<term>Mastectomie radicale (effets indésirables)</term>
<term>Système lymphatique ()</term>
<term>Tumeurs du sein ()</term>
<term>Veines ()</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Mastectomy, Radical</term>
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<keywords scheme="MESH" qualifier="blood supply" xml:lang="en">
<term>Elbow</term>
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<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Mastectomie radicale</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Anastomosis, Surgical</term>
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<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Lymphedema</term>
<term>Postoperative Complications</term>
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<term>Breast Neoplasms</term>
<term>Lymphatic System</term>
<term>Veins</term>
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<term>Female</term>
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<div type="abstract" xml:lang="en">Analysis of the clinical and experimental data has prompted the authors to try surgical correction of an impaired lymph drainage in the arm after radical mastectomy by effecting lymphovenous anastomoses. These anastomoses are intended to eliminate lymphostasis, the principal reason of a postmastectomy edema, by draining the lymph, outflowing from the arm, to the vein. The optimal sites for the formation of a lymphovenous anastomosis have been found the cubital fossa and the anterointernal surface of the lower third of the shoulder. The formation of such an anastomosis simultaneously with radical mastectomy eliminates operation lymphorrhea of the wound already by days 4-5 postoperation, this facilitating the wound healing. Such an approach to radical mastectomy technique may completely prevent the development and progress of a postmastectomy edema of the arm.</div>
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