Abdominoplasty with Lymphatic Microsurgery for Patients with Secondary Lower Extremity Lymphedema.
Identifieur interne : 000492 ( PubMed/Checkpoint ); précédent : 000491; suivant : 000493Abdominoplasty with Lymphatic Microsurgery for Patients with Secondary Lower Extremity Lymphedema.
Auteurs : Shinsuke Akita [Japon] ; Yoshihisa Yamaji ; Hideki Tokumoto ; Naoki Adachi ; Yoshitaro Sasahara ; Yoshitaka Kubota ; Motone Kuriyama ; Nobuyuki MitsukawaSource :
- Plastic and reconstructive surgery [ 1529-4242 ] ; 2017.
Abstract
Patients with secondary lower extremity lymphedema (LEL) often develop suprapubic lymphedema. We developed a novel surgical method of shaping the lower abdomen and debulking suprapubic lymphedema with simultaneous reconstruction of lymphatic flow in case of LEL.
DOI: 10.1097/PRS.0000000000003755
PubMed: 28746237
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Abdominoplasty with Lymphatic Microsurgery for Patients with Secondary Lower Extremity Lymphedema.</title><author><name sortKey="Akita, Shinsuke" sort="Akita, Shinsuke" uniqKey="Akita S" first="Shinsuke" last="Akita">Shinsuke Akita</name><affiliation wicri:level="1"><nlm:affiliation>1. Department of Plastic, Reconstructive, and Aesthetic Surgery, Chiba University Graduate School of Medicine, Chiba, Japan 2. Division of Plastic and Reconstructive Surgery, Chiba Cancer Center, Chiba, Japan 3. Department of Surgery, Mito Medical Center, Ibaragi-cho, Japan 4. Department of Plastic and Reconstructive Surgery, Kochi Medical School Hospital, Nankoku, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>1. Department of Plastic, Reconstructive, and Aesthetic Surgery, Chiba University Graduate School of Medicine, Chiba, Japan 2. Division of Plastic and Reconstructive Surgery, Chiba Cancer Center, Chiba, Japan 3. Department of Surgery, Mito Medical Center, Ibaragi-cho, Japan 4. Department of Plastic and Reconstructive Surgery, Kochi Medical School Hospital, Nankoku</wicri:regionArea><wicri:noRegion>Nankoku</wicri:noRegion></affiliation></author><author><name sortKey="Yamaji, Yoshihisa" sort="Yamaji, Yoshihisa" uniqKey="Yamaji Y" first="Yoshihisa" last="Yamaji">Yoshihisa Yamaji</name></author><author><name sortKey="Tokumoto, Hideki" sort="Tokumoto, Hideki" uniqKey="Tokumoto H" first="Hideki" last="Tokumoto">Hideki Tokumoto</name></author><author><name sortKey="Adachi, Naoki" sort="Adachi, Naoki" uniqKey="Adachi N" first="Naoki" last="Adachi">Naoki Adachi</name></author><author><name sortKey="Sasahara, Yoshitaro" sort="Sasahara, Yoshitaro" uniqKey="Sasahara Y" first="Yoshitaro" last="Sasahara">Yoshitaro Sasahara</name></author><author><name sortKey="Kubota, Yoshitaka" sort="Kubota, Yoshitaka" uniqKey="Kubota Y" first="Yoshitaka" last="Kubota">Yoshitaka Kubota</name></author><author><name sortKey="Kuriyama, Motone" sort="Kuriyama, Motone" uniqKey="Kuriyama M" first="Motone" last="Kuriyama">Motone Kuriyama</name></author><author><name sortKey="Mitsukawa, Nobuyuki" sort="Mitsukawa, Nobuyuki" uniqKey="Mitsukawa N" first="Nobuyuki" last="Mitsukawa">Nobuyuki Mitsukawa</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28746237</idno><idno type="pmid">28746237</idno><idno type="doi">10.1097/PRS.0000000000003755</idno><idno type="wicri:Area/PubMed/Corpus">000087</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000087</idno><idno type="wicri:Area/PubMed/Curation">000087</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000087</idno><idno type="wicri:Area/PubMed/Checkpoint">000087</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000087</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Abdominoplasty with Lymphatic Microsurgery for Patients with Secondary Lower Extremity Lymphedema.</title><author><name sortKey="Akita, Shinsuke" sort="Akita, Shinsuke" uniqKey="Akita S" first="Shinsuke" last="Akita">Shinsuke Akita</name><affiliation wicri:level="1"><nlm:affiliation>1. Department of Plastic, Reconstructive, and Aesthetic Surgery, Chiba University Graduate School of Medicine, Chiba, Japan 2. Division of Plastic and Reconstructive Surgery, Chiba Cancer Center, Chiba, Japan 3. Department of Surgery, Mito Medical Center, Ibaragi-cho, Japan 4. Department of Plastic and Reconstructive Surgery, Kochi Medical School Hospital, Nankoku, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>1. Department of Plastic, Reconstructive, and Aesthetic Surgery, Chiba University Graduate School of Medicine, Chiba, Japan 2. Division of Plastic and Reconstructive Surgery, Chiba Cancer Center, Chiba, Japan 3. Department of Surgery, Mito Medical Center, Ibaragi-cho, Japan 4. Department of Plastic and Reconstructive Surgery, Kochi Medical School Hospital, Nankoku</wicri:regionArea><wicri:noRegion>Nankoku</wicri:noRegion></affiliation></author><author><name sortKey="Yamaji, Yoshihisa" sort="Yamaji, Yoshihisa" uniqKey="Yamaji Y" first="Yoshihisa" last="Yamaji">Yoshihisa Yamaji</name></author><author><name sortKey="Tokumoto, Hideki" sort="Tokumoto, Hideki" uniqKey="Tokumoto H" first="Hideki" last="Tokumoto">Hideki Tokumoto</name></author><author><name sortKey="Adachi, Naoki" sort="Adachi, Naoki" uniqKey="Adachi N" first="Naoki" last="Adachi">Naoki Adachi</name></author><author><name sortKey="Sasahara, Yoshitaro" sort="Sasahara, Yoshitaro" uniqKey="Sasahara Y" first="Yoshitaro" last="Sasahara">Yoshitaro Sasahara</name></author><author><name sortKey="Kubota, Yoshitaka" sort="Kubota, Yoshitaka" uniqKey="Kubota Y" first="Yoshitaka" last="Kubota">Yoshitaka Kubota</name></author><author><name sortKey="Kuriyama, Motone" sort="Kuriyama, Motone" uniqKey="Kuriyama M" first="Motone" last="Kuriyama">Motone Kuriyama</name></author><author><name sortKey="Mitsukawa, Nobuyuki" sort="Mitsukawa, Nobuyuki" uniqKey="Mitsukawa N" first="Nobuyuki" last="Mitsukawa">Nobuyuki Mitsukawa</name></author></analytic><series><title level="j">Plastic and reconstructive surgery</title><idno type="eISSN">1529-4242</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Patients with secondary lower extremity lymphedema (LEL) often develop suprapubic lymphedema. We developed a novel surgical method of shaping the lower abdomen and debulking suprapubic lymphedema with simultaneous reconstruction of lymphatic flow in case of LEL.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">28746237</PMID><DateCreated><Year>2017</Year><Month>07</Month><Day>26</Day></DateCreated><DateRevised><Year>2017</Year><Month>07</Month><Day>26</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1529-4242</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2017</Year><Month>Jul</Month><Day>12</Day></PubDate></JournalIssue><Title>Plastic and reconstructive surgery</Title><ISOAbbreviation>Plast. Reconstr. Surg.</ISOAbbreviation></Journal><ArticleTitle>Abdominoplasty with Lymphatic Microsurgery for Patients with Secondary Lower Extremity Lymphedema.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1097/PRS.0000000000003755</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Patients with secondary lower extremity lymphedema (LEL) often develop suprapubic lymphedema. We developed a novel surgical method of shaping the lower abdomen and debulking suprapubic lymphedema with simultaneous reconstruction of lymphatic flow in case of LEL.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A skin incision in a fleur-de-lis pattern was performed for horizontal and vertical abdominal skin and fat resection. A caudal-based isosceles triangular flap was created on the central suprapubic region to reduce wound tension at the intersection of the horizontal and vertical incisions. After resection and debulking of the suprapubic region, a lymphaticovenular anastomosis (LVA) between the efferent lymphatic vessel of the groin node and the superficial inferior epigastric vein was created or vascularized lymph node transfer (LNT) to the groin region was performed to restore lymphatic flow. LVA and LNT were also performed at the lower extremities to improve LEL. Perioperative change in limb volume was evaluated using the LEL index, and lymphatic function was evaluated by lymphoscintigraphy.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Simultaneous abdominoplasty and reconstructive lymphatic microsurgery were performed in 11 patients. The LEL index improved perioperatively, with a significant difference (p < 0.01). In eight patients who underwent lymphoscintigraphy before and after surgery, the lymphatic function was found to have not deteriorated in any limb.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">When simultaneous lymphatic microsurgeries and careful observation for complications were performed, abdominoplasty resulted in good outcomes in patients with LEL and suprapubic lymphedema without worsening of lymphedema.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Akita</LastName><ForeName>Shinsuke</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>1. Department of Plastic, Reconstructive, and Aesthetic Surgery, Chiba University Graduate School of Medicine, Chiba, Japan 2. Division of Plastic and Reconstructive Surgery, Chiba Cancer Center, Chiba, Japan 3. Department of Surgery, Mito Medical Center, Ibaragi-cho, Japan 4. Department of Plastic and Reconstructive Surgery, Kochi Medical School Hospital, Nankoku, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yamaji</LastName><ForeName>Yoshihisa</ForeName><Initials>Y</Initials></Author><Author ValidYN="Y"><LastName>Tokumoto</LastName><ForeName>Hideki</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Adachi</LastName><ForeName>Naoki</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Sasahara</LastName><ForeName>Yoshitaro</ForeName><Initials>Y</Initials></Author><Author ValidYN="Y"><LastName>Kubota</LastName><ForeName>Yoshitaka</ForeName><Initials>Y</Initials></Author><Author ValidYN="Y"><LastName>Kuriyama</LastName><ForeName>Motone</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Mitsukawa</LastName><ForeName>Nobuyuki</ForeName><Initials>N</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>07</Month><Day>12</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Plast Reconstr Surg</MedlineTA><NlmUniqueID>1306050</NlmUniqueID><ISSNLinking>0032-1052</ISSNLinking></MedlineJournalInfo></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>7</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>7</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>7</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28746237</ArticleId><ArticleId IdType="doi">10.1097/PRS.0000000000003755</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Japon</li></country></list><tree><noCountry><name sortKey="Adachi, Naoki" sort="Adachi, Naoki" uniqKey="Adachi N" first="Naoki" last="Adachi">Naoki Adachi</name><name sortKey="Kubota, Yoshitaka" sort="Kubota, Yoshitaka" uniqKey="Kubota Y" first="Yoshitaka" last="Kubota">Yoshitaka Kubota</name><name sortKey="Kuriyama, Motone" sort="Kuriyama, Motone" uniqKey="Kuriyama M" first="Motone" last="Kuriyama">Motone Kuriyama</name><name sortKey="Mitsukawa, Nobuyuki" sort="Mitsukawa, Nobuyuki" uniqKey="Mitsukawa N" first="Nobuyuki" last="Mitsukawa">Nobuyuki Mitsukawa</name><name sortKey="Sasahara, Yoshitaro" sort="Sasahara, Yoshitaro" uniqKey="Sasahara Y" first="Yoshitaro" last="Sasahara">Yoshitaro Sasahara</name><name sortKey="Tokumoto, Hideki" sort="Tokumoto, Hideki" uniqKey="Tokumoto H" first="Hideki" last="Tokumoto">Hideki Tokumoto</name><name sortKey="Yamaji, Yoshihisa" sort="Yamaji, Yoshihisa" uniqKey="Yamaji Y" first="Yoshihisa" last="Yamaji">Yoshihisa Yamaji</name></noCountry><country name="Japon"><noRegion><name sortKey="Akita, Shinsuke" sort="Akita, Shinsuke" uniqKey="Akita S" first="Shinsuke" last="Akita">Shinsuke Akita</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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