LymphedemaV1, PascalFrancis, Corpus, bibRecord, 000320

Circumferential suction-assisted lipectomy for lymphoedema after surgery for breast cancer

Identifieur interne : 000320 ( PascalFrancis/Corpus ); précédent : 000319; suivant : 000321

Circumferential suction-assisted lipectomy for lymphoedema after surgery for breast cancer

Auteurs : R. J. Damstra ; H. G. J. M. Voesten ; P. Klinkert ; H. Brorson

Source :

British journal of surgery [ 0007-1323 ] ; 2009.

RBID : Pascal:09-0314465

Descripteurs français

Pascal (Inist)
- Lymphoedème, Liposuccion, Chirurgie, Tumeur maligne, Glande mammaire, Médecine, Cancer du sein, Traitement.

English descriptors

KwdEn :
- Breast cancer, Liposuction, Lymphedema, Malignant tumor, Mammary gland, Medicine, Surgery, Treatment.

Abstract

Background: The incidence of arm lymphoedema after treatment for breast cancer ranges from 1 to 49 per cent. Although most women can be treated by non-operative means with satisfying results, end-stage lymphoedema is often non-responsive to compression, where hypertrophy of adipose tissue limits the outcome value of compression or massage. Methods: This was a prospective study of 37 women with unilateral non-pitting lymphoedema. After initial conservative treatment for 2-4 days, circumferential suction-assisted lipectomy was used to remove excess volume. Limb compression was resumed after surgery with short-stretch bandages, followed by flat-knit compression garments. Results: The mean preoperative excess arm volume was 1399 ml. The total aspirate volume was 2124 ml with 93 per cent aspirate adipose tissue content. After 12 months, the mean reduction in excess volume was 118 per cent. The percentage reduction in excess volume after 12 months was linearly related to the preoperative excess volume but showed no linear relationship with the duration of lymphoedema or surgeon experience. Conclusion: Circumferential lipectomy combined with lifelong compression hose is an effective technique in end-stage lymphoedema after treatment for breast cancer.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A02	`01`			`@0 BJSUAM`
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A11	`01`	`1`		`@1 DAMSTRA (R. J.)`
A11	`02`	`1`		`@1 VOESTEN (H. G. J. M.)`
A11	`03`	`1`		`@1 KLINKERT (P.)`
A11	`04`	`1`		`@1 BRORSON (H.)`
A14	`01`			`@1 Departments of Dermatology, Phlebology and Lymphology, Tjongerschans Hospital @2 Heerenveen @3 NLD @Z 1 aut.`
A14	`02`			`@1 Vascular Surgery, Nij Smellinghe Hospital, Drachten, Tjongerschans Hospital @2 Heerenveen @3 NLD @Z 2 aut.`
A14	`03`			`@1 Department of Vascular Surgery, Tjongerschans Hospital @2 Heerenveen @3 NLD @Z 3 aut.`
A14	`04`			`@1 Department of Clinical Sciences Malmö, Lund University, Plastic and Reconstructive Surgery, Malmö University Hospital @2 Malmö @3 SWE @Z 4 aut.`
A20				`@1 859-864`
A21				`@1 2009`
A23	`01`			`@0 ENG`
A43	`01`			`@1 INIST @2 5039 @5 354000187257890050`
A44				`@0 0000 @1 © 2009 INIST-CNRS. All rights reserved.`
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A47	`01`	`1`		`@0 09-0314465`
A60				`@1 P`
A61				`@0 A`
A64	`01`	`1`		`@0 British journal of surgery`
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C01	`01`		`ENG`	@0 Background: The incidence of arm lymphoedema after treatment for breast cancer ranges from 1 to 49 per cent. Although most women can be treated by non-operative means with satisfying results, end-stage lymphoedema is often non-responsive to compression, where hypertrophy of adipose tissue limits the outcome value of compression or massage. Methods: This was a prospective study of 37 women with unilateral non-pitting lymphoedema. After initial conservative treatment for 2-4 days, circumferential suction-assisted lipectomy was used to remove excess volume. Limb compression was resumed after surgery with short-stretch bandages, followed by flat-knit compression garments. Results: The mean preoperative excess arm volume was 1399 ml. The total aspirate volume was 2124 ml with 93 per cent aspirate adipose tissue content. After 12 months, the mean reduction in excess volume was 118 per cent. The percentage reduction in excess volume after 12 months was linearly related to the preoperative excess volume but showed no linear relationship with the duration of lymphoedema or surgeon experience. Conclusion: Circumferential lipectomy combined with lifelong compression hose is an effective technique in end-stage lymphoedema after treatment for breast cancer.
C02	`01`	`X`		`@0 002B01`
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C03	`03`	`X`	`ENG`	`@0 Surgery @5 03`
C03	`03`	`X`	`SPA`	`@0 Cirugía @5 03`
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C03	`05`	`X`	`ENG`	`@0 Mammary gland @5 05`
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C03	`07`	`X`	`ENG`	`@0 Breast cancer @2 NM @5 07`
C03	`07`	`X`	`SPA`	`@0 Cáncer del pecho @2 NM @5 07`
C03	`08`	`X`	`FRE`	`@0 Traitement @5 25`
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C03	`08`	`X`	`SPA`	`@0 Tratamiento @5 25`
C07	`01`	`X`	`FRE`	`@0 Cancer @2 NM`
C07	`01`	`X`	`ENG`	`@0 Cancer @2 NM`
C07	`01`	`X`	`SPA`	`@0 Cáncer @2 NM`
C07	`02`	`X`	`FRE`	`@0 Pathologie de l'appareil circulatoire @5 37`
C07	`02`	`X`	`ENG`	`@0 Cardiovascular disease @5 37`
C07	`02`	`X`	`SPA`	`@0 Aparato circulatorio patología @5 37`
C07	`03`	`X`	`FRE`	`@0 Pathologie des vaisseaux lymphatiques @5 38`
C07	`03`	`X`	`ENG`	`@0 Lymphatic vessel disease @5 38`
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C07	`04`	`X`	`SPA`	`@0 Glándula mamaria patología @2 NM @5 39`
C07	`05`	`X`	`FRE`	`@0 Pathologie du sein @2 NM @5 40`
C07	`05`	`X`	`ENG`	`@0 Breast disease @2 NM @5 40`
C07	`05`	`X`	`SPA`	`@0 Seno patología @2 NM @5 40`
N21				`@1 229`
N44	`01`			`@1 OTO`
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Format Inist (serveur)

NO :	PASCAL 09-0314465 INIST
ET :	Circumferential suction-assisted lipectomy for lymphoedema after surgery for breast cancer
AU :	DAMSTRA (R. J.); VOESTEN (H. G. J. M.); KLINKERT (P.); BRORSON (H.)
AF :	Departments of Dermatology, Phlebology and Lymphology, Tjongerschans Hospital/Heerenveen/Pays-Bas (1 aut.); Vascular Surgery, Nij Smellinghe Hospital, Drachten, Tjongerschans Hospital/Heerenveen/Pays-Bas (2 aut.); Department of Vascular Surgery, Tjongerschans Hospital/Heerenveen/Pays-Bas (3 aut.); Department of Clinical Sciences Malmö, Lund University, Plastic and Reconstructive Surgery, Malmö University Hospital/Malmö/Suède (4 aut.)
DT :	Publication en série; Niveau analytique
SO :	British journal of surgery; ISSN 0007-1323; Coden BJSUAM; Royaume-Uni; Da. 2009; Vol. 96; No. 8; Pp. 859-864; Bibl. 29 ref.
LA :	Anglais
EA :	Background: The incidence of arm lymphoedema after treatment for breast cancer ranges from 1 to 49 per cent. Although most women can be treated by non-operative means with satisfying results, end-stage lymphoedema is often non-responsive to compression, where hypertrophy of adipose tissue limits the outcome value of compression or massage. Methods: This was a prospective study of 37 women with unilateral non-pitting lymphoedema. After initial conservative treatment for 2-4 days, circumferential suction-assisted lipectomy was used to remove excess volume. Limb compression was resumed after surgery with short-stretch bandages, followed by flat-knit compression garments. Results: The mean preoperative excess arm volume was 1399 ml. The total aspirate volume was 2124 ml with 93 per cent aspirate adipose tissue content. After 12 months, the mean reduction in excess volume was 118 per cent. The percentage reduction in excess volume after 12 months was linearly related to the preoperative excess volume but showed no linear relationship with the duration of lymphoedema or surgeon experience. Conclusion: Circumferential lipectomy combined with lifelong compression hose is an effective technique in end-stage lymphoedema after treatment for breast cancer.
CC :	002B01; 002B25A
FD :	Lymphoedème; Liposuccion; Chirurgie; Tumeur maligne; Glande mammaire; Médecine; Cancer du sein; Traitement
FG :	Cancer; Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques; Pathologie de la glande mammaire; Pathologie du sein
ED :	Lymphedema; Liposuction; Surgery; Malignant tumor; Mammary gland; Medicine; Breast cancer; Treatment
EG :	Cancer; Cardiovascular disease; Lymphatic vessel disease; Mammary gland diseases; Breast disease
SD :	Linfedema; Liposucción; Cirugía; Tumor maligno; Glándula mamaria; Medicina; Cáncer del pecho; Tratamiento
LO :	INIST-5039.354000187257890050
ID :	09-0314465

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Pascal:09-0314465

Le document en format XML

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<term>Medicine</term>
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<front><div type="abstract" xml:lang="en">Background: The incidence of arm lymphoedema after treatment for breast cancer ranges from 1 to 49 per cent. Although most women can be treated by non-operative means with satisfying results, end-stage lymphoedema is often non-responsive to compression, where hypertrophy of adipose tissue limits the outcome value of compression or massage. Methods: This was a prospective study of 37 women with unilateral non-pitting lymphoedema. After initial conservative treatment for 2-4 days, circumferential suction-assisted lipectomy was used to remove excess volume. Limb compression was resumed after surgery with short-stretch bandages, followed by flat-knit compression garments. Results: The mean preoperative excess arm volume was 1399 ml. The total aspirate volume was 2124 ml with 93 per cent aspirate adipose tissue content. After 12 months, the mean reduction in excess volume was 118 per cent. The percentage reduction in excess volume after 12 months was linearly related to the preoperative excess volume but showed no linear relationship with the duration of lymphoedema or surgeon experience. Conclusion: Circumferential lipectomy combined with lifelong compression hose is an effective technique in end-stage lymphoedema after treatment for breast cancer.</div>
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<fC01 i1="01" l="ENG"><s0>Background: The incidence of arm lymphoedema after treatment for breast cancer ranges from 1 to 49 per cent. Although most women can be treated by non-operative means with satisfying results, end-stage lymphoedema is often non-responsive to compression, where hypertrophy of adipose tissue limits the outcome value of compression or massage. Methods: This was a prospective study of 37 women with unilateral non-pitting lymphoedema. After initial conservative treatment for 2-4 days, circumferential suction-assisted lipectomy was used to remove excess volume. Limb compression was resumed after surgery with short-stretch bandages, followed by flat-knit compression garments. Results: The mean preoperative excess arm volume was 1399 ml. The total aspirate volume was 2124 ml with 93 per cent aspirate adipose tissue content. After 12 months, the mean reduction in excess volume was 118 per cent. The percentage reduction in excess volume after 12 months was linearly related to the preoperative excess volume but showed no linear relationship with the duration of lymphoedema or surgeon experience. Conclusion: Circumferential lipectomy combined with lifelong compression hose is an effective technique in end-stage lymphoedema after treatment for breast cancer.</s0>
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<s5>38</s5>
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<fC07 i1="04" i2="X" l="SPA"><s0>Glándula mamaria patología</s0>
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<s2>NM</s2>
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<server><NO>PASCAL 09-0314465 INIST</NO>
<ET>Circumferential suction-assisted lipectomy for lymphoedema after surgery for breast cancer</ET>
<AU>DAMSTRA (R. J.); VOESTEN (H. G. J. M.); KLINKERT (P.); BRORSON (H.)</AU>
<AF>Departments of Dermatology, Phlebology and Lymphology, Tjongerschans Hospital/Heerenveen/Pays-Bas (1 aut.); Vascular Surgery, Nij Smellinghe Hospital, Drachten, Tjongerschans Hospital/Heerenveen/Pays-Bas (2 aut.); Department of Vascular Surgery, Tjongerschans Hospital/Heerenveen/Pays-Bas (3 aut.); Department of Clinical Sciences Malmö, Lund University, Plastic and Reconstructive Surgery, Malmö University Hospital/Malmö/Suède (4 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>British journal of surgery; ISSN 0007-1323; Coden BJSUAM; Royaume-Uni; Da. 2009; Vol. 96; No. 8; Pp. 859-864; Bibl. 29 ref.</SO>
<LA>Anglais</LA>
<EA>Background: The incidence of arm lymphoedema after treatment for breast cancer ranges from 1 to 49 per cent. Although most women can be treated by non-operative means with satisfying results, end-stage lymphoedema is often non-responsive to compression, where hypertrophy of adipose tissue limits the outcome value of compression or massage. Methods: This was a prospective study of 37 women with unilateral non-pitting lymphoedema. After initial conservative treatment for 2-4 days, circumferential suction-assisted lipectomy was used to remove excess volume. Limb compression was resumed after surgery with short-stretch bandages, followed by flat-knit compression garments. Results: The mean preoperative excess arm volume was 1399 ml. The total aspirate volume was 2124 ml with 93 per cent aspirate adipose tissue content. After 12 months, the mean reduction in excess volume was 118 per cent. The percentage reduction in excess volume after 12 months was linearly related to the preoperative excess volume but showed no linear relationship with the duration of lymphoedema or surgeon experience. Conclusion: Circumferential lipectomy combined with lifelong compression hose is an effective technique in end-stage lymphoedema after treatment for breast cancer.</EA>
<CC>002B01; 002B25A</CC>
<FD>Lymphoedème; Liposuccion; Chirurgie; Tumeur maligne; Glande mammaire; Médecine; Cancer du sein; Traitement</FD>
<FG>Cancer; Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques; Pathologie de la glande mammaire; Pathologie du sein</FG>
<ED>Lymphedema; Liposuction; Surgery; Malignant tumor; Mammary gland; Medicine; Breast cancer; Treatment</ED>
<EG>Cancer; Cardiovascular disease; Lymphatic vessel disease; Mammary gland diseases; Breast disease</EG>
<SD>Linfedema; Liposucción; Cirugía; Tumor maligno; Glándula mamaria; Medicina; Cáncer del pecho; Tratamiento</SD>
<LO>INIST-5039.354000187257890050</LO>
<ID>09-0314465</ID>
</server>
</inist>
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Circumferential suction-assisted lipectomy for lymphoedema after surgery for breast cancer

Circumferential suction-assisted lipectomy for lymphoedema after surgery for breast cancer

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