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Liposuction for chronic lymphoedema of the upper limb: 5 years of experience

Identifieur interne : 000086 ( PascalFrancis/Corpus ); précédent : 000085; suivant : 000087

Liposuction for chronic lymphoedema of the upper limb: 5 years of experience

Auteurs : Mark V. Schaverien ; Kirsty J. Munro ; Paul A. Baker ; D. Alex Munnoch

Source :

RBID : Pascal:12-0274035

Descripteurs français

English descriptors

Abstract

Background: Lymphoedema of the upper limb is a well-recognised complication of axillary surgery for breast cancer. Effective long-term treatment of lymphoedema by liposuction has previously been demonstrated. In this study we present our first five years of experience using this technique in treatment of upper limb lymphoedema. Methods: A prospective analysis of the results of 12 patients who underwent liposuction followed by compression therapy for chronic unilateral upper limb oedema with up to five years of follow-up was carried out. Hospital Anxiety and Depression Score questionnaires and a Visual Analogue Score for overall well-being were also completed pre- and post-operatively. Results: The mean duration of lymphoedema was seven years (range, 1-14), commencing at a mean of one year (range, 0-5) after axillary surgery. The mean excess arm volume at admission was 1391 ml and the ratio of the lymphoedematous to the unaffected arm was 1.48. The mean total aspirate volume was 1713 ml, of which 87 percent was fat. At one year the mean percentage volume reduction compared with the normal arm was 101 percent, meaning that the volume of both of patients' arms was virtually equivalent, and this reduction was stable with up to 5 years of follow-up. Postoperatively there were reductions in anxiety (p < 0.05) and depression scores, and an improvement in overall well-being. Discussion: Our first five years of experience of liposuction combined with application of compression garments has demonstrated significant, reproducible, and stable reduction of upper limb oedema with improvement of overall well-being and reduction in measurable anxiety and depression.

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Pour connaître la documentation sur le format Inist Standard.

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A05       @2 65
A06       @2 7
A08 01  1  ENG  @1 Liposuction for chronic lymphoedema of the upper limb: 5 years of experience
A11 01  1    @1 SCHAVERIEN (Mark V.)
A11 02  1    @1 MUNRO (Kirsty J.)
A11 03  1    @1 BAKER (Paul A.)
A11 04  1    @1 MUNNOCH (D. Alex)
A14 01      @1 Department of Plastic Surgery, Ninewells Hospital @2 Dundee DD1 9SY @3 GBR @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut.
A20       @1 935-942
A21       @1 2012
A23 01      @0 ENG
A43 01      @1 INIST @2 11042 @5 354000505263760150
A44       @0 0000 @1 © 2012 INIST-CNRS. All rights reserved.
A45       @0 30 ref.
A47 01  1    @0 12-0274035
A60       @1 P
A61       @0 A
A64 01  1    @0 Journal of plastic, reconstructive & aesthetic surgery
A66 01      @0 GBR
C01 01    ENG  @0 Background: Lymphoedema of the upper limb is a well-recognised complication of axillary surgery for breast cancer. Effective long-term treatment of lymphoedema by liposuction has previously been demonstrated. In this study we present our first five years of experience using this technique in treatment of upper limb lymphoedema. Methods: A prospective analysis of the results of 12 patients who underwent liposuction followed by compression therapy for chronic unilateral upper limb oedema with up to five years of follow-up was carried out. Hospital Anxiety and Depression Score questionnaires and a Visual Analogue Score for overall well-being were also completed pre- and post-operatively. Results: The mean duration of lymphoedema was seven years (range, 1-14), commencing at a mean of one year (range, 0-5) after axillary surgery. The mean excess arm volume at admission was 1391 ml and the ratio of the lymphoedematous to the unaffected arm was 1.48. The mean total aspirate volume was 1713 ml, of which 87 percent was fat. At one year the mean percentage volume reduction compared with the normal arm was 101 percent, meaning that the volume of both of patients' arms was virtually equivalent, and this reduction was stable with up to 5 years of follow-up. Postoperatively there were reductions in anxiety (p < 0.05) and depression scores, and an improvement in overall well-being. Discussion: Our first five years of experience of liposuction combined with application of compression garments has demonstrated significant, reproducible, and stable reduction of upper limb oedema with improvement of overall well-being and reduction in measurable anxiety and depression.
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C02 02  X    @0 002B12B04
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C03 01  X  ENG  @0 Lymphedema @5 01
C03 01  X  SPA  @0 Linfedema @5 01
C03 02  X  FRE  @0 Chirurgie @5 04
C03 02  X  ENG  @0 Surgery @5 04
C03 02  X  SPA  @0 Cirugía @5 04
C03 03  X  FRE  @0 Liposuccion @5 07
C03 03  X  ENG  @0 Liposuction @5 07
C03 03  X  SPA  @0 Liposucción @5 07
C03 04  X  FRE  @0 Chronique @5 08
C03 04  X  ENG  @0 Chronic @5 08
C03 04  X  SPA  @0 Crónico @5 08
C03 05  X  FRE  @0 Membre supérieur @5 09
C03 05  X  ENG  @0 Upper limb @5 09
C03 05  X  SPA  @0 Miembro superior @5 09
C03 06  X  FRE  @0 Pronostic @5 13
C03 06  X  ENG  @0 Prognosis @5 13
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C03 08  X  SPA  @0 Tratamiento @5 30
C07 01  X  FRE  @0 Pathologie de l'appareil circulatoire @5 37
C07 01  X  ENG  @0 Cardiovascular disease @5 37
C07 01  X  SPA  @0 Aparato circulatorio patología @5 37
C07 02  X  FRE  @0 Pathologie des vaisseaux lymphatiques @5 38
C07 02  X  ENG  @0 Lymphatic vessel disease @5 38
C07 02  X  SPA  @0 Linfático patología @5 38
N21       @1 205
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 12-0274035 INIST
ET : Liposuction for chronic lymphoedema of the upper limb: 5 years of experience
AU : SCHAVERIEN (Mark V.); MUNRO (Kirsty J.); BAKER (Paul A.); MUNNOCH (D. Alex)
AF : Department of Plastic Surgery, Ninewells Hospital/Dundee DD1 9SY/Royaume-Uni (1 aut., 2 aut., 3 aut., 4 aut.)
DT : Publication en série; Niveau analytique
SO : Journal of plastic, reconstructive & aesthetic surgery ; ISSN 1748-6815; Royaume-Uni; Da. 2012; Vol. 65; No. 7; Pp. 935-942; Bibl. 30 ref.
LA : Anglais
EA : Background: Lymphoedema of the upper limb is a well-recognised complication of axillary surgery for breast cancer. Effective long-term treatment of lymphoedema by liposuction has previously been demonstrated. In this study we present our first five years of experience using this technique in treatment of upper limb lymphoedema. Methods: A prospective analysis of the results of 12 patients who underwent liposuction followed by compression therapy for chronic unilateral upper limb oedema with up to five years of follow-up was carried out. Hospital Anxiety and Depression Score questionnaires and a Visual Analogue Score for overall well-being were also completed pre- and post-operatively. Results: The mean duration of lymphoedema was seven years (range, 1-14), commencing at a mean of one year (range, 0-5) after axillary surgery. The mean excess arm volume at admission was 1391 ml and the ratio of the lymphoedematous to the unaffected arm was 1.48. The mean total aspirate volume was 1713 ml, of which 87 percent was fat. At one year the mean percentage volume reduction compared with the normal arm was 101 percent, meaning that the volume of both of patients' arms was virtually equivalent, and this reduction was stable with up to 5 years of follow-up. Postoperatively there were reductions in anxiety (p < 0.05) and depression scores, and an improvement in overall well-being. Discussion: Our first five years of experience of liposuction combined with application of compression garments has demonstrated significant, reproducible, and stable reduction of upper limb oedema with improvement of overall well-being and reduction in measurable anxiety and depression.
CC : 002B25A; 002B12B04
FD : Lymphoedème; Chirurgie; Liposuccion; Chronique; Membre supérieur; Pronostic; Long terme; Traitement
FG : Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques
ED : Lymphedema; Surgery; Liposuction; Chronic; Upper limb; Prognosis; Long term; Treatment
EG : Cardiovascular disease; Lymphatic vessel disease
SD : Linfedema; Cirugía; Liposucción; Crónico; Miembro superior; Pronóstico; Largo plazo; Tratamiento
LO : INIST-11042.354000505263760150
ID : 12-0274035

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Pascal:12-0274035

Le document en format XML

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<div type="abstract" xml:lang="en">Background: Lymphoedema of the upper limb is a well-recognised complication of axillary surgery for breast cancer. Effective long-term treatment of lymphoedema by liposuction has previously been demonstrated. In this study we present our first five years of experience using this technique in treatment of upper limb lymphoedema. Methods: A prospective analysis of the results of 12 patients who underwent liposuction followed by compression therapy for chronic unilateral upper limb oedema with up to five years of follow-up was carried out. Hospital Anxiety and Depression Score questionnaires and a Visual Analogue Score for overall well-being were also completed pre- and post-operatively. Results: The mean duration of lymphoedema was seven years (range, 1-14), commencing at a mean of one year (range, 0-5) after axillary surgery. The mean excess arm volume at admission was 1391 ml and the ratio of the lymphoedematous to the unaffected arm was 1.48. The mean total aspirate volume was 1713 ml, of which 87 percent was fat. At one year the mean percentage volume reduction compared with the normal arm was 101 percent, meaning that the volume of both of patients' arms was virtually equivalent, and this reduction was stable with up to 5 years of follow-up. Postoperatively there were reductions in anxiety (p < 0.05) and depression scores, and an improvement in overall well-being. Discussion: Our first five years of experience of liposuction combined with application of compression garments has demonstrated significant, reproducible, and stable reduction of upper limb oedema with improvement of overall well-being and reduction in measurable anxiety and depression.</div>
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<ET>Liposuction for chronic lymphoedema of the upper limb: 5 years of experience</ET>
<AU>SCHAVERIEN (Mark V.); MUNRO (Kirsty J.); BAKER (Paul A.); MUNNOCH (D. Alex)</AU>
<AF>Department of Plastic Surgery, Ninewells Hospital/Dundee DD1 9SY/Royaume-Uni (1 aut., 2 aut., 3 aut., 4 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Journal of plastic, reconstructive & aesthetic surgery ; ISSN 1748-6815; Royaume-Uni; Da. 2012; Vol. 65; No. 7; Pp. 935-942; Bibl. 30 ref.</SO>
<LA>Anglais</LA>
<EA>Background: Lymphoedema of the upper limb is a well-recognised complication of axillary surgery for breast cancer. Effective long-term treatment of lymphoedema by liposuction has previously been demonstrated. In this study we present our first five years of experience using this technique in treatment of upper limb lymphoedema. Methods: A prospective analysis of the results of 12 patients who underwent liposuction followed by compression therapy for chronic unilateral upper limb oedema with up to five years of follow-up was carried out. Hospital Anxiety and Depression Score questionnaires and a Visual Analogue Score for overall well-being were also completed pre- and post-operatively. Results: The mean duration of lymphoedema was seven years (range, 1-14), commencing at a mean of one year (range, 0-5) after axillary surgery. The mean excess arm volume at admission was 1391 ml and the ratio of the lymphoedematous to the unaffected arm was 1.48. The mean total aspirate volume was 1713 ml, of which 87 percent was fat. At one year the mean percentage volume reduction compared with the normal arm was 101 percent, meaning that the volume of both of patients' arms was virtually equivalent, and this reduction was stable with up to 5 years of follow-up. Postoperatively there were reductions in anxiety (p < 0.05) and depression scores, and an improvement in overall well-being. Discussion: Our first five years of experience of liposuction combined with application of compression garments has demonstrated significant, reproducible, and stable reduction of upper limb oedema with improvement of overall well-being and reduction in measurable anxiety and depression.</EA>
<CC>002B25A; 002B12B04</CC>
<FD>Lymphoedème; Chirurgie; Liposuccion; Chronique; Membre supérieur; Pronostic; Long terme; Traitement</FD>
<FG>Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques</FG>
<ED>Lymphedema; Surgery; Liposuction; Chronic; Upper limb; Prognosis; Long term; Treatment</ED>
<EG>Cardiovascular disease; Lymphatic vessel disease</EG>
<SD>Linfedema; Cirugía; Liposucción; Crónico; Miembro superior; Pronóstico; Largo plazo; Tratamiento</SD>
<LO>INIST-11042.354000505263760150</LO>
<ID>12-0274035</ID>
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