Microlymphaticovenous anastomosis in the treatment of lower limb obstructive lymphedema: analysis of 91 cases.
Identifieur interne : 009C66 ( Ncbi/Merge ); précédent : 009C65; suivant : 009C67Microlymphaticovenous anastomosis in the treatment of lower limb obstructive lymphedema: analysis of 91 cases.
Auteurs : G K Huang ; R Q Hu ; Z Z Liu ; Y L Shen ; T D Lan ; G P PanSource :
- Plastic and reconstructive surgery [ 0032-1052 ] ; 1985.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Bleu de méthylène, Dilatation pathologique, Enfant, Femelle, Humains, Jambe (), Jambe (anatomopathologie), Lymphoedème (), Lymphoedème (anatomopathologie), Microchirurgie, Mâle, Récidive, Système lymphatique (), Système lymphatique (anatomopathologie), Veines (), Études rétrospectives.
- MESH :
- anatomopathologie : Jambe, Lymphoedème, Système lymphatique.
- Adolescent, Adulte, Adulte d'âge moyen, Bleu de méthylène, Dilatation pathologique, Enfant, Femelle, Humains, Jambe, Lymphoedème, Microchirurgie, Mâle, Récidive, Système lymphatique, Veines, Études rétrospectives.
English descriptors
- KwdEn :
- Adolescent, Adult, Child, Dilatation, Pathologic, Female, Humans, Leg (blood supply), Leg (pathology), Leg (surgery), Lymphatic System (pathology), Lymphatic System (surgery), Lymphedema (pathology), Lymphedema (surgery), Male, Methylene Blue, Microsurgery, Middle Aged, Recurrence, Retrospective Studies, Veins (surgery).
- MESH :
- chemical : Methylene Blue.
- blood supply : Leg.
- pathology : Leg, Lymphatic System, Lymphedema.
- surgery : Leg, Lymphatic System, Lymphedema, Veins.
- Adolescent, Adult, Child, Dilatation, Pathologic, Female, Humans, Male, Microsurgery, Middle Aged, Recurrence, Retrospective Studies.
Abstract
Since 1980, 110 cases of lymphedema have been treated by microlymphaticovenous anastomosis. Of these 110 patients, 91 with obstructive lymphedema of lower limbs were reviewed. The immediate and long-term results have been very satisfactory. Excellent and good results were obtained in 79.1 percent. An average reduction in circumference of the affected limb of 6.4 cm and an average reduction of excess volume of 59.2 +/- 29.5 percent (representing 703 +/- 850 ml) were obtained. Subjective symptoms and objective signs were improved. Four patients (4.4 percent) showed poor results owing to severe fibrosis of neighboring tissue; no lymphatics could be located for anastomosis. As the authors gained experience with the operation over the last 3 years, they modified the operative procedure, the anastomotic technique, and the selection of collective lymphatics. The data obtained suggest that the quality of results is proportional to the number of anastomoses. In order to obtain the best results, the criteria for selection of patients and avoidance of postoperative relapse are discussed. Finally, a test for determination of the indications for microlymphatic surgery is described.
PubMed: 4059407
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Z" sort="Liu, Z Z" uniqKey="Liu Z" first="Z Z" last="Liu">Z Z Liu</name></author><author><name sortKey="Shen, Y L" sort="Shen, Y L" uniqKey="Shen Y" first="Y L" last="Shen">Y L Shen</name></author><author><name sortKey="Lan, T D" sort="Lan, T D" uniqKey="Lan T" first="T D" last="Lan">T D Lan</name></author><author><name sortKey="Pan, G P" sort="Pan, G P" uniqKey="Pan G" first="G P" last="Pan">G P Pan</name></author></analytic><series><title level="j">Plastic and reconstructive surgery</title><idno type="ISSN">0032-1052</idno><imprint><date when="1985" type="published">1985</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Child</term><term>Dilatation, Pathologic</term><term>Female</term><term>Humans</term><term>Leg (blood supply)</term><term>Leg (pathology)</term><term>Leg (surgery)</term><term>Lymphatic System (pathology)</term><term>Lymphatic System 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qualifier="anatomopathologie" xml:lang="fr"><term>Jambe</term><term>Lymphoedème</term><term>Système lymphatique</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Leg</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Leg</term><term>Lymphatic System</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Leg</term><term>Lymphatic System</term><term>Lymphedema</term><term>Veins</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Child</term><term>Dilatation, Pathologic</term><term>Female</term><term>Humans</term><term>Male</term><term>Microsurgery</term><term>Middle Aged</term><term>Recurrence</term><term>Retrospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bleu de méthylène</term><term>Dilatation pathologique</term><term>Enfant</term><term>Femelle</term><term>Humains</term><term>Jambe</term><term>Lymphoedème</term><term>Microchirurgie</term><term>Mâle</term><term>Récidive</term><term>Système lymphatique</term><term>Veines</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Since 1980, 110 cases of lymphedema have been treated by microlymphaticovenous anastomosis. Of these 110 patients, 91 with obstructive lymphedema of lower limbs were reviewed. The immediate and long-term results have been very satisfactory. Excellent and good results were obtained in 79.1 percent. An average reduction in circumference of the affected limb of 6.4 cm and an average reduction of excess volume of 59.2 +/- 29.5 percent (representing 703 +/- 850 ml) were obtained. Subjective symptoms and objective signs were improved. Four patients (4.4 percent) showed poor results owing to severe fibrosis of neighboring tissue; no lymphatics could be located for anastomosis. As the authors gained experience with the operation over the last 3 years, they modified the operative procedure, the anastomotic technique, and the selection of collective lymphatics. The data obtained suggest that the quality of results is proportional to the number of anastomoses. In order to obtain the best results, the criteria for selection of patients and avoidance of postoperative relapse are discussed. Finally, a test for determination of the indications for microlymphatic surgery is described.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">4059407</PMID><DateCreated><Year>1985</Year><Month>11</Month><Day>22</Day></DateCreated><DateCompleted><Year>1985</Year><Month>11</Month><Day>22</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0032-1052</ISSN><JournalIssue CitedMedium="Print"><Volume>76</Volume><Issue>5</Issue><PubDate><Year>1985</Year><Month>Nov</Month></PubDate></JournalIssue><Title>Plastic and reconstructive surgery</Title><ISOAbbreviation>Plast. Reconstr. Surg.</ISOAbbreviation></Journal><ArticleTitle>Microlymphaticovenous anastomosis in the treatment of lower limb obstructive lymphedema: analysis of 91 cases.</ArticleTitle><Pagination><MedlinePgn>671-85</MedlinePgn></Pagination><Abstract><AbstractText>Since 1980, 110 cases of lymphedema have been treated by microlymphaticovenous anastomosis. Of these 110 patients, 91 with obstructive lymphedema of lower limbs were reviewed. The immediate and long-term results have been very satisfactory. Excellent and good results were obtained in 79.1 percent. An average reduction in circumference of the affected limb of 6.4 cm and an average reduction of excess volume of 59.2 +/- 29.5 percent (representing 703 +/- 850 ml) were obtained. Subjective symptoms and objective signs were improved. Four patients (4.4 percent) showed poor results owing to severe fibrosis of neighboring tissue; no lymphatics could be located for anastomosis. As the authors gained experience with the operation over the last 3 years, they modified the operative procedure, the anastomotic technique, and the selection of collective lymphatics. The data obtained suggest that the quality of results is proportional to the number of anastomoses. In order to obtain the best results, the criteria for selection of patients and avoidance of postoperative relapse are discussed. 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