The feasibility of a fiber optic laser approach to relieving lymphedematous syndrome: a case report
Identifieur interne : 002357 ( Pmc/Curation ); précédent : 002356; suivant : 002358The feasibility of a fiber optic laser approach to relieving lymphedematous syndrome: a case report
Auteurs : Beniamino Palmieri [Italie] ; Alessandro Di Cerbo [Italie] ; Valentina Rottigni [Italie] ; Gregorio Fistetto [Italie] ; Tommaso Iannitti [Italie, États-Unis]Source :
- OncoTargets and therapy [ 1178-6930 ] ; 2013.
Abstract
Here we report a case of successful fiber optic laser treatment of lymphedema in a swollen arm post mastectomy. At the moment, this procedure has only anecdotal evidence to justify its use, but in our experience is a feasible, minimally invasive day-stay procedure which has been demonstrated to be safe and effective. Further nonhomogeneous case pooling and follow-up would enable guidelines and definite surgical protocols for its use to be implemented.
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DOI: 10.2147/OTT.S39420
PubMed: 23425774
PubMed Central: 3576130
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del Secondo Parere, Modena</wicri:regionArea></affiliation></author><author><name sortKey="Di Cerbo, Alessandro" sort="Di Cerbo, Alessandro" uniqKey="Di Cerbo A" first="Alessandro" last="Di Cerbo">Alessandro Di Cerbo</name><affiliation wicri:level="1"><nlm:aff id="af1-ott-6-085">University of Modena, Department of General Surgery and Surgical Specialties, Modena, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>University of Modena, Department of General Surgery and Surgical Specialties, Modena</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="af2-ott-6-085">Poliambulatorio del Secondo Parere, Modena, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Poliambulatorio del Secondo Parere, Modena</wicri:regionArea></affiliation></author><author><name sortKey="Rottigni, Valentina" sort="Rottigni, Valentina" uniqKey="Rottigni V" first="Valentina" last="Rottigni">Valentina Rottigni</name><affiliation wicri:level="1"><nlm:aff id="af1-ott-6-085">University of Modena, Department of General Surgery and Surgical Specialties, Modena, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>University of Modena, Department of General Surgery and Surgical Specialties, Modena</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="af2-ott-6-085">Poliambulatorio del Secondo Parere, Modena, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Poliambulatorio del Secondo Parere, Modena</wicri:regionArea></affiliation></author><author><name sortKey="Fistetto, Gregorio" sort="Fistetto, Gregorio" uniqKey="Fistetto G" first="Gregorio" last="Fistetto">Gregorio Fistetto</name><affiliation wicri:level="1"><nlm:aff id="af2-ott-6-085">Poliambulatorio del Secondo Parere, Modena, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Poliambulatorio del Secondo Parere, Modena</wicri:regionArea></affiliation></author><author><name sortKey="Iannitti, Tommaso" sort="Iannitti, Tommaso" uniqKey="Iannitti T" first="Tommaso" last="Iannitti">Tommaso Iannitti</name><affiliation wicri:level="1"><nlm:aff id="af2-ott-6-085">Poliambulatorio del Secondo Parere, Modena, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Poliambulatorio del Secondo Parere, Modena</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="af3-ott-6-085">University of Kentucky, Department of Physiology, Lexington, KY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Kentucky, Department of Physiology, Lexington, KY</wicri:regionArea></affiliation></author></analytic><series><title level="j">OncoTargets and therapy</title><idno type="eISSN">1178-6930</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Here we report a case of successful fiber optic laser treatment of lymphedema in a swollen arm post mastectomy. At the moment, this procedure has only anecdotal evidence to justify its use, but in our experience is a feasible, minimally invasive day-stay procedure which has been demonstrated to be safe and effective. Further nonhomogeneous case pooling and follow-up would enable guidelines and definite surgical protocols for its use to be implemented.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Fahy, Ak" uniqKey="Fahy A">AK Fahy</name></author><author><name sortKey="Waldow, Sm" uniqKey="Waldow S">SM Waldow</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Palmieri, B" uniqKey="Palmieri B">B Palmieri</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Palmieri, B" uniqKey="Palmieri B">B Palmieri</name></author><author><name sortKey="Iannitti, T" uniqKey="Iannitti T">T Iannitti</name></author><author><name sortKey="Fistetto, G" uniqKey="Fistetto G">G Fistetto</name></author><author><name sortKey="Rottigni, V" uniqKey="Rottigni V">V Rottigni</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sanna, S" uniqKey="Sanna S">S Sanna</name></author><author><name sortKey="Monteverde, M" uniqKey="Monteverde M">M Monteverde</name></author><author><name sortKey="Taurchini, M" uniqKey="Taurchini M">M Taurchini</name></author><author><name sortKey="Dell More, D" uniqKey="Dell More D">D Dell’Amore</name></author><author><name sortKey="Palmieri, B" uniqKey="Palmieri B">B Palmieri</name></author><author><name sortKey="Rottigni, V" uniqKey="Rottigni V">V Rottigni</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shires, Cb" uniqKey="Shires C">CB Shires</name></author><author><name sortKey="Shete, Mm" uniqKey="Shete M">MM Shete</name></author><author><name sortKey="Thompson, Jw" uniqKey="Thompson J">JW Thompson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sikovec, A" uniqKey="Sikovec A">A Šikovec</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dirican, A" uniqKey="Dirican A">A Dirican</name></author><author><name sortKey="Andacoglu, O" uniqKey="Andacoglu O">O Andacoglu</name></author><author><name sortKey="Johnson, R" uniqKey="Johnson R">R Johnson</name></author><author><name sortKey="Mcguire, K" uniqKey="Mcguire K">K McGuire</name></author><author><name sortKey="Mager, L" uniqKey="Mager L">L Mager</name></author><author><name sortKey="Soran, A" uniqKey="Soran A">A Soran</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ahmed Omar, Mt" uniqKey="Ahmed Omar M">MT Ahmed Omar</name></author><author><name sortKey="Abd El Gayed Ebid, A" uniqKey="Abd El Gayed Ebid A">A Abd-El-Gayed Ebid</name></author><author><name sortKey="El Morsy, Am" uniqKey="El Morsy A">AM El Morsy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Leduc, O" uniqKey="Leduc O">O Leduc</name></author><author><name sortKey="Leduc, A" uniqKey="Leduc A">A Leduc</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Luo, H" uniqKey="Luo H">H Luo</name></author><author><name sortKey="Fishbein, Mc" uniqKey="Fishbein M">MC Fishbein</name></author><author><name sortKey="Bar Cohen, Y" uniqKey="Bar Cohen Y">Y Bar-Cohen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ergenoglu, Mu" uniqKey="Ergenoglu M">MU Ergenoglu</name></author><author><name sortKey="Sayin, Mm" uniqKey="Sayin M">MM Sayin</name></author><author><name sortKey="Kucukaksu, Ds" uniqKey="Kucukaksu D">DS Kucukaksu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Walsh, Jt" uniqKey="Walsh J">JT Walsh</name></author><author><name sortKey="Flotte, Tj" uniqKey="Flotte T">TJ Flotte</name></author><author><name sortKey="Deutsch, Tf" uniqKey="Deutsch T">TF Deutsch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Seebach, C" uniqKey="Seebach C">C Seebach</name></author><author><name sortKey="Henrich, D" uniqKey="Henrich D">D Henrich</name></author><author><name sortKey="Wilhelm, K" uniqKey="Wilhelm K">K Wilhelm</name></author><author><name sortKey="Barker, Jh" uniqKey="Barker J">JH Barker</name></author><author><name sortKey="Marzi, I" uniqKey="Marzi I">I Marzi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Choi, I" uniqKey="Choi I">I Choi</name></author><author><name sortKey="Lee, S" uniqKey="Lee S">S Lee</name></author><author><name sortKey="Kyoung Chung, H" uniqKey="Kyoung Chung H">H Kyoung Chung</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Onco Targets Ther</journal-id><journal-id journal-id-type="iso-abbrev">Onco Targets Ther</journal-id><journal-id journal-id-type="publisher-id">OncoTargets and Therapy</journal-id><journal-title-group><journal-title>OncoTargets and therapy</journal-title></journal-title-group><issn pub-type="epub">1178-6930</issn><publisher><publisher-name>Dove Medical Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23425774</article-id><article-id pub-id-type="pmc">3576130</article-id><article-id pub-id-type="doi">10.2147/OTT.S39420</article-id><article-id pub-id-type="publisher-id">ott-6-085</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>The feasibility of a fiber optic laser approach to relieving lymphedematous syndrome: a case report</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Palmieri</surname><given-names>Beniamino</given-names></name><xref ref-type="aff" rid="af1-ott-6-085">1</xref><xref ref-type="aff" rid="af2-ott-6-085">2</xref></contrib><contrib contrib-type="author"><name><surname>Di Cerbo</surname><given-names>Alessandro</given-names></name><xref ref-type="aff" rid="af1-ott-6-085">1</xref><xref ref-type="aff" rid="af2-ott-6-085">2</xref></contrib><contrib contrib-type="author"><name><surname>Rottigni</surname><given-names>Valentina</given-names></name><xref ref-type="aff" rid="af1-ott-6-085">1</xref><xref ref-type="aff" rid="af2-ott-6-085">2</xref></contrib><contrib contrib-type="author"><name><surname>Fistetto</surname><given-names>Gregorio</given-names></name><xref ref-type="aff" rid="af2-ott-6-085">2</xref></contrib><contrib contrib-type="author"><name><surname>Iannitti</surname><given-names>Tommaso</given-names></name><xref ref-type="aff" rid="af2-ott-6-085">2</xref><xref ref-type="aff" rid="af3-ott-6-085">3</xref><xref ref-type="corresp" rid="c1-ott-6-085"></xref></contrib></contrib-group><aff id="af1-ott-6-085"><label>1</label>University of Modena, Department of General Surgery and Surgical Specialties, Modena, Italy</aff><aff id="af2-ott-6-085"><label>2</label>Poliambulatorio del Secondo Parere, Modena, Italy</aff><aff id="af3-ott-6-085"><label>3</label>University of Kentucky, Department of Physiology, Lexington, KY, USA</aff><author-notes><corresp id="c1-ott-6-085">Correspondence: Tommaso Iannitti Department of Physiology, School of Medicine, University of Kentucky Medical Center, Lexington, KY 40536-0298, USA, Tel +39 328 2813314, Email <email>tommaso.iannitti@gmail.com</email></corresp></author-notes><pub-date pub-type="collection"><year>2013</year></pub-date><pub-date pub-type="epub"><day>11</day><month>2</month><year>2013</year></pub-date><volume>6</volume><fpage>85</fpage><lpage>88</lpage><permissions><copyright-statement>© 2013 Palmieri et al, publisher and licensee Dove Medical Press Ltd</copyright-statement><copyright-year>2013</copyright-year><license><license-p>This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.</license-p></license></permissions><abstract><p>Here we report a case of successful fiber optic laser treatment of lymphedema in a swollen arm post mastectomy. At the moment, this procedure has only anecdotal evidence to justify its use, but in our experience is a feasible, minimally invasive day-stay procedure which has been demonstrated to be safe and effective. Further nonhomogeneous case pooling and follow-up would enable guidelines and definite surgical protocols for its use to be implemented.</p></abstract><abstract abstract-type="graphical"><title>Video abstract</title><p><media xlink:href="OTT-6-85-s.avi" xlink:type="simple" id="d34e124" position="anchor" mimetype="video" mime-subtype="x-msvideo"></media></p></abstract><kwd-group><title>Keywords</title><kwd>fiber optic</kwd><kwd>lymphedema</kwd><kwd>Nd:YAG</kwd><kwd>laser</kwd><kwd>mastectomy</kwd></kwd-group></article-meta></front><floats-group><fig id="f1-ott-6-085" position="float"><label>Figure 1</label><caption><p>(<bold>A</bold>) Radial short tunnels along the right upper arm. (<bold>B</bold> and <bold>C</bold>) Nd:YAG laser device and operating settings. (<bold>D</bold>) Introduction of the fiber optic laser through an incision in the skin, along with the skin cooling system.</p></caption><graphic xlink:href="ott-6-085Fig1"></graphic></fig><fig id="f2-ott-6-085" position="float"><label>Figure 2</label><caption><p>Introduction of a 21-gauge plastic venous catheter and subsequently of the fiber optic laser through an incision in the skin.</p></caption><graphic xlink:href="ott-6-085Fig2"></graphic></fig><fig id="f3-ott-6-085" position="float"><label>Figure 3</label><caption><p>Two-cm reduction in right arm circumference after first treatment with Nd:YAG 1062 nm (15 W) endovenous laser.</p><p><bold>Note:</bold> “Diameter” refers to right arm circumference diameter.</p></caption><graphic xlink:href="ott-6-085Fig3"></graphic></fig><table-wrap id="t1-ott-6-085" position="float"><label>Table 1</label><caption><p>Patient’s upper limb circumference measurements before and after first and second treatment</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" valign="top" rowspan="1" colspan="1"></th><th align="left" valign="top" rowspan="1" colspan="1"><bold>Right arm</bold></th><th align="left" valign="top" rowspan="1" colspan="1"><bold>Left arm</bold></th><th align="left" valign="top" rowspan="1" colspan="1"><bold>Right forearm</bold></th><th align="left" valign="top" rowspan="1" colspan="1"><bold>Left forearm</bold></th><th align="left" valign="top" rowspan="1" colspan="1"><bold>Right wrist</bold></th><th align="left" valign="top" rowspan="1" colspan="1"><bold>Left wrist</bold></th></tr></thead><tbody><tr><td align="left" valign="top" rowspan="1" colspan="1">First treatment</td><td align="left" valign="top" rowspan="1" colspan="1">36 cm</td><td align="left" valign="top" rowspan="1" colspan="1">30 cm</td><td align="left" valign="top" rowspan="1" colspan="1">33 cm</td><td align="left" valign="top" rowspan="1" colspan="1">26 cm</td><td align="left" valign="top" rowspan="1" colspan="1">22 cm</td><td align="left" valign="top" rowspan="1" colspan="1">19 cm</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">First follow-up (10 days)</td><td align="left" valign="top" rowspan="1" colspan="1">34 cm</td><td align="left" valign="top" rowspan="1" colspan="1">30 cm</td><td align="left" valign="top" rowspan="1" colspan="1">31 cm</td><td align="left" valign="top" rowspan="1" colspan="1">26 cm</td><td align="left" valign="top" rowspan="1" colspan="1">22 cm</td><td align="left" valign="top" rowspan="1" colspan="1">19 cm</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Second treatment</td><td align="left" valign="top" rowspan="1" colspan="1">34 cm</td><td align="left" valign="top" rowspan="1" colspan="1">30 cm</td><td align="left" valign="top" rowspan="1" colspan="1">31 cm</td><td align="left" valign="top" rowspan="1" colspan="1">26 cm</td><td align="left" valign="top" rowspan="1" colspan="1">20 cm</td><td align="left" valign="top" rowspan="1" colspan="1">19 cm</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Second follow-up (4 months)</td><td align="left" valign="top" rowspan="1" colspan="1">34 cm</td><td align="left" valign="top" rowspan="1" colspan="1">30 cm</td><td align="left" valign="top" rowspan="1" colspan="1">30 cm</td><td align="left" valign="top" rowspan="1" colspan="1">26 cm</td><td align="left" valign="top" rowspan="1" colspan="1">20 cm</td><td align="left" valign="top" rowspan="1" colspan="1">19 cm</td></tr></tbody></table><table-wrap-foot><fn id="tfn1-ott-6-085"><p><bold>Note:</bold> Partial relapse of treated segments observed after second follow-up.</p></fn></table-wrap-foot></table-wrap></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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