Liposuction for chronic lymphoedema of the upper limb: 5 years of experience
Identifieur interne : 000086 ( PascalFrancis/Corpus ); précédent : 000085; suivant : 000087Liposuction for chronic lymphoedema of the upper limb: 5 years of experience
Auteurs : Mark V. Schaverien ; Kirsty J. Munro ; Paul A. Baker ; D. Alex MunnochSource :
- Journal of plastic, reconstructive & aesthetic surgery [ 1748-6815 ] ; 2012.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
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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Format Inist (serveur)
NO : | PASCAL 12-0274035 INIST |
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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:12-0274035Le document en format XML
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Liposuction for chronic lymphoedema of the upper limb: 5 years of experience</title>
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<front><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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<server><NO>PASCAL 12-0274035 INIST</NO>
<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>
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