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Anatomical distribution of tissue fluid and lymph in soft tissues of lower limbs in obstructive lymphedema-hints for physiotherapy

Identifieur interne : 000307 ( PascalFrancis/Corpus ); précédent : 000306; suivant : 000308

Anatomical distribution of tissue fluid and lymph in soft tissues of lower limbs in obstructive lymphedema-hints for physiotherapy

Auteurs : Waldemar L. Olszewski ; Pradeep Jain ; Govinda Ambujam ; Marzanna Zaleska ; Marta Cakala

Source :

RBID : Pascal:09-0414327

Descripteurs français

English descriptors

Abstract

Knowledge of the exact location of tissue fluid (TF) and stagnant lymph (L) in lymphedema is indispensable to rational physiotherapy and specifically defines where to apply external pressure and how much. We visualized the "TF&L" space in the skin and subcutaneous tissue of the foot, calf, and thigh in various stages of lymphedema, using special staining techniques, in specimens obtained during lymphatic microsurgical procedures or tissue debulking. With the collecting trunks obliterated, L was present only in the subepidermal lymphatics, whereas the bulk of mobile TF accumulated in the spontaneously formed spaces in the subcutaneous tissue, around small veins, above and below the muscular fascia. Deformation of subcutaneous tissue by free fluid led to formation of multiple interconnecting tissue channels. Thus, massaging of tissues can propel TF through the spontaneously formed tissue channels, but not the partially or totally obliterated lymph collectors. The subepidermal lymphatic network conducts only a small fraction of L. Pneumatic compression therapy promoted formation of TF fluid channels.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A01 01  1    @0 1286-0107
A05       @2 16
A06       @2 3
A08 01  1  ENG  @1 Anatomical distribution of tissue fluid and lymph in soft tissues of lower limbs in obstructive lymphedema-hints for physiotherapy
A11 01  1    @1 OLSZEWSKI (Waldemar L.)
A11 02  1    @1 JAIN (Pradeep)
A11 03  1    @1 AMBUJAM (Govinda)
A11 04  1    @1 ZALESKA (Marzanna)
A11 05  1    @1 CAKALA (Marta)
A14 01      @1 Department of Surgical Research and Transplantology, Medical Research Center, Polish Academy of Sciences @2 Warsaw @3 POL @Z 1 aut. @Z 4 aut. @Z 5 aut.
A14 02      @1 Department of Gastrointestinal and Transplantation Surgery, Central Clinical Hospital, Ministry of Internal Affairs @2 Warsaw @3 POL @Z 1 aut.
A14 03      @1 Rikshospitalet/Norwegian Radium Hospital @2 Oslo @3 NOR @Z 1 aut.
A14 04      @1 Indian Lymphology Centers, BHU Varanasi and TMC Thanjavur @3 INC @Z 2 aut. @Z 3 aut.
A20       @1 283-289
A21       @1 2009
A23 01      @0 ENG
A43 01      @1 INIST @2 27793 @5 354000171111220020
A44       @0 0000 @1 © 2009 INIST-CNRS. All rights reserved.
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C01 01    ENG  @0 Knowledge of the exact location of tissue fluid (TF) and stagnant lymph (L) in lymphedema is indispensable to rational physiotherapy and specifically defines where to apply external pressure and how much. We visualized the "TF&L" space in the skin and subcutaneous tissue of the foot, calf, and thigh in various stages of lymphedema, using special staining techniques, in specimens obtained during lymphatic microsurgical procedures or tissue debulking. With the collecting trunks obliterated, L was present only in the subepidermal lymphatics, whereas the bulk of mobile TF accumulated in the spontaneously formed spaces in the subcutaneous tissue, around small veins, above and below the muscular fascia. Deformation of subcutaneous tissue by free fluid led to formation of multiple interconnecting tissue channels. Thus, massaging of tissues can propel TF through the spontaneously formed tissue channels, but not the partially or totally obliterated lymph collectors. The subepidermal lymphatic network conducts only a small fraction of L. Pneumatic compression therapy promoted formation of TF fluid channels.
C02 01  X    @0 002B12B03
C03 01  X  FRE  @0 Lymphoedème @5 01
C03 01  X  ENG  @0 Lymphedema @5 01
C03 01  X  SPA  @0 Linfedema @5 01
C03 02  X  FRE  @0 Lymphe @5 09
C03 02  X  ENG  @0 Lymph @5 09
C03 02  X  SPA  @0 Linfa @5 09
C03 03  X  FRE  @0 Partie molle @5 10
C03 03  X  ENG  @0 Soft tissue @5 10
C03 03  X  SPA  @0 Parte blanda @5 10
C03 04  X  FRE  @0 Membre inférieur @5 11
C03 04  X  ENG  @0 Lower limb @5 11
C03 04  X  SPA  @0 Miembro inferior @5 11
C03 05  X  FRE  @0 Physiothérapie @5 12
C03 05  X  ENG  @0 Physiotherapy @5 12
C03 05  X  SPA  @0 Fisioterapia @5 12
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       @1 299
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 09-0414327 INIST
ET : Anatomical distribution of tissue fluid and lymph in soft tissues of lower limbs in obstructive lymphedema-hints for physiotherapy
AU : OLSZEWSKI (Waldemar L.); JAIN (Pradeep); AMBUJAM (Govinda); ZALESKA (Marzanna); CAKALA (Marta)
AF : Department of Surgical Research and Transplantology, Medical Research Center, Polish Academy of Sciences/Warsaw/Pologne (1 aut., 4 aut., 5 aut.); Department of Gastrointestinal and Transplantation Surgery, Central Clinical Hospital, Ministry of Internal Affairs/Warsaw/Pologne (1 aut.); Rikshospitalet/Norwegian Radium Hospital/Oslo/Norvège (1 aut.); Indian Lymphology Centers, BHU Varanasi and TMC Thanjavur/Inconnu (2 aut., 3 aut.)
DT : Publication en série; Niveau analytique
SO : Phlebolymphology; ISSN 1286-0107; France; Da. 2009; Vol. 16; No. 3; Pp. 283-289; Bibl. 16 ref.
LA : Anglais
EA : Knowledge of the exact location of tissue fluid (TF) and stagnant lymph (L) in lymphedema is indispensable to rational physiotherapy and specifically defines where to apply external pressure and how much. We visualized the "TF&L" space in the skin and subcutaneous tissue of the foot, calf, and thigh in various stages of lymphedema, using special staining techniques, in specimens obtained during lymphatic microsurgical procedures or tissue debulking. With the collecting trunks obliterated, L was present only in the subepidermal lymphatics, whereas the bulk of mobile TF accumulated in the spontaneously formed spaces in the subcutaneous tissue, around small veins, above and below the muscular fascia. Deformation of subcutaneous tissue by free fluid led to formation of multiple interconnecting tissue channels. Thus, massaging of tissues can propel TF through the spontaneously formed tissue channels, but not the partially or totally obliterated lymph collectors. The subepidermal lymphatic network conducts only a small fraction of L. Pneumatic compression therapy promoted formation of TF fluid channels.
CC : 002B12B03
FD : Lymphoedème; Lymphe; Partie molle; Membre inférieur; Physiothérapie
FG : Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques
ED : Lymphedema; Lymph; Soft tissue; Lower limb; Physiotherapy
EG : Cardiovascular disease; Lymphatic vessel disease
SD : Linfedema; Linfa; Parte blanda; Miembro inferior; Fisioterapia
LO : INIST-27793.354000171111220020
ID : 09-0414327

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Pascal:09-0414327

Le document en format XML

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<div type="abstract" xml:lang="en">Knowledge of the exact location of tissue fluid (TF) and stagnant lymph (L) in lymphedema is indispensable to rational physiotherapy and specifically defines where to apply external pressure and how much. We visualized the "TF&L" space in the skin and subcutaneous tissue of the foot, calf, and thigh in various stages of lymphedema, using special staining techniques, in specimens obtained during lymphatic microsurgical procedures or tissue debulking. With the collecting trunks obliterated, L was present only in the subepidermal lymphatics, whereas the bulk of mobile TF accumulated in the spontaneously formed spaces in the subcutaneous tissue, around small veins, above and below the muscular fascia. Deformation of subcutaneous tissue by free fluid led to formation of multiple interconnecting tissue channels. Thus, massaging of tissues can propel TF through the spontaneously formed tissue channels, but not the partially or totally obliterated lymph collectors. The subepidermal lymphatic network conducts only a small fraction of L. Pneumatic compression therapy promoted formation of TF fluid channels.</div>
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<NO>PASCAL 09-0414327 INIST</NO>
<ET>Anatomical distribution of tissue fluid and lymph in soft tissues of lower limbs in obstructive lymphedema-hints for physiotherapy</ET>
<AU>OLSZEWSKI (Waldemar L.); JAIN (Pradeep); AMBUJAM (Govinda); ZALESKA (Marzanna); CAKALA (Marta)</AU>
<AF>Department of Surgical Research and Transplantology, Medical Research Center, Polish Academy of Sciences/Warsaw/Pologne (1 aut., 4 aut., 5 aut.); Department of Gastrointestinal and Transplantation Surgery, Central Clinical Hospital, Ministry of Internal Affairs/Warsaw/Pologne (1 aut.); Rikshospitalet/Norwegian Radium Hospital/Oslo/Norvège (1 aut.); Indian Lymphology Centers, BHU Varanasi and TMC Thanjavur/Inconnu (2 aut., 3 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Phlebolymphology; ISSN 1286-0107; France; Da. 2009; Vol. 16; No. 3; Pp. 283-289; Bibl. 16 ref.</SO>
<LA>Anglais</LA>
<EA>Knowledge of the exact location of tissue fluid (TF) and stagnant lymph (L) in lymphedema is indispensable to rational physiotherapy and specifically defines where to apply external pressure and how much. We visualized the "TF&L" space in the skin and subcutaneous tissue of the foot, calf, and thigh in various stages of lymphedema, using special staining techniques, in specimens obtained during lymphatic microsurgical procedures or tissue debulking. With the collecting trunks obliterated, L was present only in the subepidermal lymphatics, whereas the bulk of mobile TF accumulated in the spontaneously formed spaces in the subcutaneous tissue, around small veins, above and below the muscular fascia. Deformation of subcutaneous tissue by free fluid led to formation of multiple interconnecting tissue channels. Thus, massaging of tissues can propel TF through the spontaneously formed tissue channels, but not the partially or totally obliterated lymph collectors. The subepidermal lymphatic network conducts only a small fraction of L. Pneumatic compression therapy promoted formation of TF fluid channels.</EA>
<CC>002B12B03</CC>
<FD>Lymphoedème; Lymphe; Partie molle; Membre inférieur; Physiothérapie</FD>
<FG>Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques</FG>
<ED>Lymphedema; Lymph; Soft tissue; Lower limb; Physiotherapy</ED>
<EG>Cardiovascular disease; Lymphatic vessel disease</EG>
<SD>Linfedema; Linfa; Parte blanda; Miembro inferior; Fisioterapia</SD>
<LO>INIST-27793.354000171111220020</LO>
<ID>09-0414327</ID>
</server>
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