LymphedemaV1, PascalFrancis, Corpus, bibRecord, 000316

Elective Amputation of the Toes in Severe Lymphedema of the Lower Leg: Rationale and Indications

Identifieur interne : 000316 ( PascalFrancis/Corpus ); précédent : 000315; suivant : 000317

Elective Amputation of the Toes in Severe Lymphedema of the Lower Leg: Rationale and Indications

Auteurs : Hung-Chi Chen ; BAHAR BASSIRI GHARB ; Christopher J. Salgado ; Antonio Rampazzo ; Enny Xu ; Stephano Spanio Di Spilimbergo ; Syi Su

Source :

Annals of plastic surgery [ 0148-7043 ] ; 2009.

RBID : Pascal:09-0350510

Descripteurs français

Pascal (Inist)
- Lymphoedème, Amputation chirurgicale, Electif, Orteil, Jambe, Indication, Chirurgie plastique, Traitement, Forme grave.

English descriptors

KwdEn :
- Elective, Indication, Leg, Lymphedema, Plastic surgery, Surgical amputation, Toe, Treatment.

Abstract

Entry lesions at the toes interdigital spaces, in the setting of chronic lymphedema, are strongly associated with repetitive infective episodes which cause significant morbidity. A prospective study was designed to evaluate the outcome in 2 groups of patients affected by end stage III lymphedema of the lower extremity, treated with the Charles procedure with or without simultaneous amputation of the toes. At a mean 3 years of follow-up, 20% of the patients receiving elective toes amputation experienced recurrence of the infection and none required more proximal amputations. Among the patients not desiring elective toes amputation; 83% suffered multiples attacks of cellulitis and in 88% the toes were eventually amputated. The difference in the number of infective episodes between the 2 groups was highly significant. No cases of recurrent lymphedema were registered. Elective toes amputation in combination with the Charles procedure reduces recurrent cellulitis and long-term morbidity in stage III lymphedema of the lower leg.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

A01	`01`	`1`		`@0 0148-7043`
A02	`01`			`@0 APCSD4`
A03		`1`		`@0 Ann. plast. surg.`
A05				`@2 63`
A06				`@2 2`
A08	`01`	`1`	`ENG`	`@1 Elective Amputation of the Toes in Severe Lymphedema of the Lower Leg: Rationale and Indications`
A11	`01`	`1`		`@1 CHEN (Hung-Chi)`
A11	`02`	`1`		`@1 BAHAR BASSIRI GHARB`
A11	`03`	`1`		`@1 SALGADO (Christopher J.)`
A11	`04`	`1`		`@1 RAMPAZZO (Antonio)`
A11	`05`	`1`		`@1 XU (Enny)`
A11	`06`	`1`		`@1 SPANIO DI SPILIMBERGO (Stephano)`
A11	`07`	`1`		`@1 SU (Syi)`
A14	`01`			`@1 Department of Plastic Surgery, E-Da Hospital/I-Shou University @3 TWN @Z 1 aut. @Z 2 aut. @Z 4 aut. @Z 5 aut. @Z 6 aut. @Z 7 aut.`
A14	`02`			`@1 Department of Plastic Surgery, University Hospitals Cleveland/ Case Western Reserve University @2 Cleveland, OH @3 USA @Z 3 aut.`
A14	`03`			`@1 College of Public Health National Taiwan University @2 Taipei @3 TWN @Z 7 aut.`
A20				`@1 193-197`
A21				`@1 2009`
A23	`01`			`@0 ENG`
A43	`01`			`@1 INIST @2 18346 @5 354000170941530160`
A44				`@0 0000 @1 © 2009 INIST-CNRS. All rights reserved.`
A45				`@0 22 ref.`
A47	`01`	`1`		`@0 09-0350510`
A60				`@1 P`
A61				`@0 A`
A64	`01`	`1`		`@0 Annals of plastic surgery`
A66	`01`			`@0 USA`
C01	`01`		`ENG`	@0 Entry lesions at the toes interdigital spaces, in the setting of chronic lymphedema, are strongly associated with repetitive infective episodes which cause significant morbidity. A prospective study was designed to evaluate the outcome in 2 groups of patients affected by end stage III lymphedema of the lower extremity, treated with the Charles procedure with or without simultaneous amputation of the toes. At a mean 3 years of follow-up, 20% of the patients receiving elective toes amputation experienced recurrence of the infection and none required more proximal amputations. Among the patients not desiring elective toes amputation; 83% suffered multiples attacks of cellulitis and in 88% the toes were eventually amputated. The difference in the number of infective episodes between the 2 groups was highly significant. No cases of recurrent lymphedema were registered. Elective toes amputation in combination with the Charles procedure reduces recurrent cellulitis and long-term morbidity in stage III lymphedema of the lower leg.
C02	`01`	`X`		`@0 002B25I`
C02	`02`	`X`		`@0 002B12B04`
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 Amputation chirurgicale @5 04`
C03	`02`	`X`	`ENG`	`@0 Surgical amputation @5 04`
C03	`02`	`X`	`SPA`	`@0 Amputación quirúrgica @5 04`
C03	`03`	`X`	`FRE`	`@0 Electif @5 07`
C03	`03`	`X`	`ENG`	`@0 Elective @5 07`
C03	`03`	`X`	`SPA`	`@0 Electivo @5 07`
C03	`04`	`X`	`FRE`	`@0 Orteil @5 08`
C03	`04`	`X`	`ENG`	`@0 Toe @5 08`
C03	`04`	`X`	`SPA`	`@0 Ortejo @5 08`
C03	`05`	`X`	`FRE`	`@0 Jambe @5 09`
C03	`05`	`X`	`ENG`	`@0 Leg @5 09`
C03	`05`	`X`	`SPA`	`@0 Pierna @5 09`
C03	`06`	`X`	`FRE`	`@0 Indication @5 13`
C03	`06`	`X`	`ENG`	`@0 Indication @5 13`
C03	`06`	`X`	`SPA`	`@0 Indicación @5 13`
C03	`07`	`X`	`FRE`	`@0 Chirurgie plastique @5 14`
C03	`07`	`X`	`ENG`	`@0 Plastic surgery @5 14`
C03	`07`	`X`	`SPA`	`@0 Cirugía plástica @5 14`
C03	`08`	`X`	`FRE`	`@0 Traitement @5 30`
C03	`08`	`X`	`ENG`	`@0 Treatment @5 30`
C03	`08`	`X`	`SPA`	`@0 Tratamiento @5 30`
C03	`09`	`X`	`FRE`	`@0 Forme grave @4 INC @5 86`
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				`@1 257`
N44	`01`			`@1 OTO`
N82				`@1 OTO`

Format Inist (serveur)

NO :	PASCAL 09-0350510 INIST
ET :	Elective Amputation of the Toes in Severe Lymphedema of the Lower Leg: Rationale and Indications
AU :	CHEN (Hung-Chi); BAHAR BASSIRI GHARB; SALGADO (Christopher J.); RAMPAZZO (Antonio); XU (Enny); SPANIO DI SPILIMBERGO (Stephano); SU (Syi)
AF :	Department of Plastic Surgery, E-Da Hospital/I-Shou University/Taïwan (1 aut., 2 aut., 4 aut., 5 aut., 6 aut., 7 aut.); Department of Plastic Surgery, University Hospitals Cleveland/ Case Western Reserve University/Cleveland, OH/Etats-Unis (3 aut.); College of Public Health National Taiwan University/Taipei/Taïwan (7 aut.)
DT :	Publication en série; Niveau analytique
SO :	Annals of plastic surgery; ISSN 0148-7043; Coden APCSD4; Etats-Unis; Da. 2009; Vol. 63; No. 2; Pp. 193-197; Bibl. 22 ref.
LA :	Anglais
EA :	Entry lesions at the toes interdigital spaces, in the setting of chronic lymphedema, are strongly associated with repetitive infective episodes which cause significant morbidity. A prospective study was designed to evaluate the outcome in 2 groups of patients affected by end stage III lymphedema of the lower extremity, treated with the Charles procedure with or without simultaneous amputation of the toes. At a mean 3 years of follow-up, 20% of the patients receiving elective toes amputation experienced recurrence of the infection and none required more proximal amputations. Among the patients not desiring elective toes amputation; 83% suffered multiples attacks of cellulitis and in 88% the toes were eventually amputated. The difference in the number of infective episodes between the 2 groups was highly significant. No cases of recurrent lymphedema were registered. Elective toes amputation in combination with the Charles procedure reduces recurrent cellulitis and long-term morbidity in stage III lymphedema of the lower leg.
CC :	002B25I; 002B12B04
FD :	Lymphoedème; Amputation chirurgicale; Electif; Orteil; Jambe; Indication; Chirurgie plastique; Traitement; Forme grave
FG :	Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques
ED :	Lymphedema; Surgical amputation; Elective; Toe; Leg; Indication; Plastic surgery; Treatment
EG :	Cardiovascular disease; Lymphatic vessel disease
SD :	Linfedema; Amputación quirúrgica; Electivo; Ortejo; Pierna; Indicación; Cirugía plástica; Tratamiento
LO :	INIST-18346.354000170941530160
ID :	09-0350510

Links to Exploration step

Pascal:09-0350510

Le document en format XML

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<front><div type="abstract" xml:lang="en">Entry lesions at the toes interdigital spaces, in the setting of chronic lymphedema, are strongly associated with repetitive infective episodes which cause significant morbidity. A prospective study was designed to evaluate the outcome in 2 groups of patients affected by end stage III lymphedema of the lower extremity, treated with the Charles procedure with or without simultaneous amputation of the toes. At a mean 3 years of follow-up, 20% of the patients receiving elective toes amputation experienced recurrence of the infection and none required more proximal amputations. Among the patients not desiring elective toes amputation; 83% suffered multiples attacks of cellulitis and in 88% the toes were eventually amputated. The difference in the number of infective episodes between the 2 groups was highly significant. No cases of recurrent lymphedema were registered. Elective toes amputation in combination with the Charles procedure reduces recurrent cellulitis and long-term morbidity in stage III lymphedema of the lower leg.</div>
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<fC01 i1="01" l="ENG"><s0>Entry lesions at the toes interdigital spaces, in the setting of chronic lymphedema, are strongly associated with repetitive infective episodes which cause significant morbidity. A prospective study was designed to evaluate the outcome in 2 groups of patients affected by end stage III lymphedema of the lower extremity, treated with the Charles procedure with or without simultaneous amputation of the toes. At a mean 3 years of follow-up, 20% of the patients receiving elective toes amputation experienced recurrence of the infection and none required more proximal amputations. Among the patients not desiring elective toes amputation; 83% suffered multiples attacks of cellulitis and in 88% the toes were eventually amputated. The difference in the number of infective episodes between the 2 groups was highly significant. No cases of recurrent lymphedema were registered. Elective toes amputation in combination with the Charles procedure reduces recurrent cellulitis and long-term morbidity in stage III lymphedema of the lower leg.</s0>
</fC01>
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</fC02>
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</fC02>
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<s5>01</s5>
</fC03>
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<s5>01</s5>
</fC03>
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<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE"><s0>Amputation chirurgicale</s0>
<s5>04</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG"><s0>Surgical amputation</s0>
<s5>04</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA"><s0>Amputación quirúrgica</s0>
<s5>04</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE"><s0>Electif</s0>
<s5>07</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG"><s0>Elective</s0>
<s5>07</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA"><s0>Electivo</s0>
<s5>07</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE"><s0>Orteil</s0>
<s5>08</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG"><s0>Toe</s0>
<s5>08</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA"><s0>Ortejo</s0>
<s5>08</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Jambe</s0>
<s5>09</s5>
</fC03>
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<s5>09</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Pierna</s0>
<s5>09</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Indication</s0>
<s5>13</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>Indication</s0>
<s5>13</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Indicación</s0>
<s5>13</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Chirurgie plastique</s0>
<s5>14</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>Plastic surgery</s0>
<s5>14</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>Cirugía plástica</s0>
<s5>14</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Traitement</s0>
<s5>30</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Treatment</s0>
<s5>30</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Tratamiento</s0>
<s5>30</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Forme grave</s0>
<s4>INC</s4>
<s5>86</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Pathologie de l'appareil circulatoire</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Cardiovascular disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Aparato circulatorio patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Pathologie des vaisseaux lymphatiques</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Lymphatic vessel disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Linfático patología</s0>
<s5>38</s5>
</fC07>
<fN21><s1>257</s1>
</fN21>
<fN44 i1="01"><s1>OTO</s1>
</fN44>
<fN82><s1>OTO</s1>
</fN82>
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<server><NO>PASCAL 09-0350510 INIST</NO>
<ET>Elective Amputation of the Toes in Severe Lymphedema of the Lower Leg: Rationale and Indications</ET>
<AU>CHEN (Hung-Chi); BAHAR BASSIRI GHARB; SALGADO (Christopher J.); RAMPAZZO (Antonio); XU (Enny); SPANIO DI SPILIMBERGO (Stephano); SU (Syi)</AU>
<AF>Department of Plastic Surgery, E-Da Hospital/I-Shou University/Taïwan (1 aut., 2 aut., 4 aut., 5 aut., 6 aut., 7 aut.); Department of Plastic Surgery, University Hospitals Cleveland/ Case Western Reserve University/Cleveland, OH/Etats-Unis (3 aut.); College of Public Health National Taiwan University/Taipei/Taïwan (7 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Annals of plastic surgery; ISSN 0148-7043; Coden APCSD4; Etats-Unis; Da. 2009; Vol. 63; No. 2; Pp. 193-197; Bibl. 22 ref.</SO>
<LA>Anglais</LA>
<EA>Entry lesions at the toes interdigital spaces, in the setting of chronic lymphedema, are strongly associated with repetitive infective episodes which cause significant morbidity. A prospective study was designed to evaluate the outcome in 2 groups of patients affected by end stage III lymphedema of the lower extremity, treated with the Charles procedure with or without simultaneous amputation of the toes. At a mean 3 years of follow-up, 20% of the patients receiving elective toes amputation experienced recurrence of the infection and none required more proximal amputations. Among the patients not desiring elective toes amputation; 83% suffered multiples attacks of cellulitis and in 88% the toes were eventually amputated. The difference in the number of infective episodes between the 2 groups was highly significant. No cases of recurrent lymphedema were registered. Elective toes amputation in combination with the Charles procedure reduces recurrent cellulitis and long-term morbidity in stage III lymphedema of the lower leg.</EA>
<CC>002B25I; 002B12B04</CC>
<FD>Lymphoedème; Amputation chirurgicale; Electif; Orteil; Jambe; Indication; Chirurgie plastique; Traitement; Forme grave</FD>
<FG>Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques</FG>
<ED>Lymphedema; Surgical amputation; Elective; Toe; Leg; Indication; Plastic surgery; Treatment</ED>
<EG>Cardiovascular disease; Lymphatic vessel disease</EG>
<SD>Linfedema; Amputación quirúrgica; Electivo; Ortejo; Pierna; Indicación; Cirugía plástica; Tratamiento</SD>
<LO>INIST-18346.354000170941530160</LO>
<ID>09-0350510</ID>
</server>
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Elective Amputation of the Toes in Severe Lymphedema of the Lower Leg: Rationale and Indications

Elective Amputation of the Toes in Severe Lymphedema of the Lower Leg: Rationale and Indications

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