An Integrative Therapeutic Concept for Surgical Treatment of Severe Cases of Lymphedema of the Lower Extremity.
Identifieur interne : 000A82 ( PubMed/Checkpoint ); précédent : 000A81; suivant : 000A83An Integrative Therapeutic Concept for Surgical Treatment of Severe Cases of Lymphedema of the Lower Extremity.
Auteurs : Jurij Kiefer [Allemagne] ; Georgios Koulaxouzidis [Allemagne] ; G Björn Stark [Allemagne] ; Etelka Foeldi [Allemagne] ; Nestor Torio-Padron [Allemagne] ; Vincenzo Penna [Allemagne]Source :
- Obesity surgery [ 1708-0428 ] ; 2016.
Abstract
Lymphedema results from insufficient lymphatic drainage and typically affects the extremities. Recent studies revealed obesity as another cause of extremity lymphedema. Conservative treatment of patients with elephantiastic lymphedema of the lower extremity is limited and often inadequate. Resecting surgery plays an important role in these cases. Here, we investigated the effects of an integrated therapy concept on outcome and complication rates.
DOI: 10.1007/s11695-015-1982-2
PubMed: 26612693
Affiliations:
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Reconstructive Surgery, Burn Centre, BG Trauma Center Ludwigshafen, Plastic and Hand Surgery, University of Heidelberg, Ludwig-Guttman-Str. 13, D-67071, Ludwigshafen</wicri:regionArea><wicri:noRegion>67071, Ludwigshafen</wicri:noRegion><wicri:noRegion>67071, Ludwigshafen</wicri:noRegion><wicri:noRegion>Ludwigshafen</wicri:noRegion></affiliation></author><author><name sortKey="Koulaxouzidis, Georgios" sort="Koulaxouzidis, Georgios" uniqKey="Koulaxouzidis G" first="Georgios" last="Koulaxouzidis">Georgios Koulaxouzidis</name><affiliation wicri:level="3"><nlm:affiliation>Department of Plastic and Hand Surgery, University of Freiburg Medical Centre, Freiburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Plastic and Hand Surgery, University of Freiburg Medical Centre, Freiburg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Fribourg-en-Brisgau</region><settlement type="city">Fribourg-en-Brisgau</settlement></placeName></affiliation></author><author><name sortKey="Stark, G Bjorn" sort="Stark, G Bjorn" uniqKey="Stark G" first="G Björn" last="Stark">G Björn Stark</name><affiliation wicri:level="3"><nlm:affiliation>Department of Plastic and Hand Surgery, University of Freiburg Medical Centre, Freiburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Plastic and Hand Surgery, University of Freiburg Medical Centre, Freiburg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Fribourg-en-Brisgau</region><settlement type="city">Fribourg-en-Brisgau</settlement></placeName></affiliation></author><author><name sortKey="Foeldi, Etelka" sort="Foeldi, Etelka" uniqKey="Foeldi E" first="Etelka" last="Foeldi">Etelka Foeldi</name><affiliation wicri:level="1"><nlm:affiliation>Földi Clinic for 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type="city">Fribourg-en-Brisgau</settlement></placeName></affiliation></author><author><name sortKey="Penna, Vincenzo" sort="Penna, Vincenzo" uniqKey="Penna V" first="Vincenzo" last="Penna">Vincenzo Penna</name><affiliation wicri:level="3"><nlm:affiliation>Department of Plastic and Hand Surgery, University of Freiburg Medical Centre, Freiburg, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Plastic and Hand Surgery, University of Freiburg Medical Centre, Freiburg</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Fribourg-en-Brisgau</region><settlement type="city">Fribourg-en-Brisgau</settlement></placeName></affiliation></author></analytic><series><title level="j">Obesity surgery</title><idno type="eISSN">1708-0428</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lymphedema results from insufficient lymphatic drainage and typically affects the extremities. Recent studies revealed obesity as another cause of extremity lymphedema. Conservative treatment of patients with elephantiastic lymphedema of the lower extremity is limited and often inadequate. Resecting surgery plays an important role in these cases. Here, we investigated the effects of an integrated therapy concept on outcome and complication rates.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">26612693</PMID><DateCreated><Year>2016</Year><Month>06</Month><Day>14</Day></DateCreated><DateRevised><Year>2016</Year><Month>06</Month><Day>14</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1708-0428</ISSN><JournalIssue CitedMedium="Internet"><Volume>26</Volume><Issue>7</Issue><PubDate><Year>2016</Year><Month>Jul</Month></PubDate></JournalIssue><Title>Obesity surgery</Title><ISOAbbreviation>Obes Surg</ISOAbbreviation></Journal><ArticleTitle>An Integrative Therapeutic Concept for Surgical Treatment of Severe Cases of Lymphedema of the Lower Extremity.</ArticleTitle><Pagination><MedlinePgn>1436-42</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s11695-015-1982-2</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Lymphedema results from insufficient lymphatic drainage and typically affects the extremities. Recent studies revealed obesity as another cause of extremity lymphedema. Conservative treatment of patients with elephantiastic lymphedema of the lower extremity is limited and often inadequate. Resecting surgery plays an important role in these cases. Here, we investigated the effects of an integrated therapy concept on outcome and complication rates.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We retrospectively analyzed the clinical outcome of 26 patients with elephantiastic lymphedema of the lower limb who underwent a complex decongestive physical therapy (CDP) perioperatively and reduction surgery in our clinic between 1998 and 2011. We subsequently compared these patients (group A) with a control group of 30 patients (group B) who received medial thigh lift due to post-bariatric or aesthetic issues between 2011 and 2013. The incidence of complications, reoperations, blood transfusion, and duration of hospital stay was analyzed. All patients in group A received CDP perioperatively in a specialized lymphological clinic.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Both groups are comparable in terms of age and sex. Patients significantly differ in terms of BMI (p < 0.001). Thirty-six reductive procedures were performed in group A and 30 in group B. We did not see any significant difference in the incidence of complications (p = 1.000) and the rate of postoperative blood transfusions (p = 0.116).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">We were able to show that an integrative concept including surgery is a good additional option for the treatment of severe cases of lymphedema in appropriate candidates. Furthermore, an adequate perioperative conservative setting helps to minimize possible complications.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kiefer</LastName><ForeName>Jurij</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Hand, Plastic and Reconstructive Surgery, Burn Centre, BG Trauma Center Ludwigshafen, Plastic and Hand Surgery, University of Heidelberg, Ludwig-Guttman-Str. 13, D-67071, Ludwigshafen, Germany. jurij.kiefer@bgu-ludwigshafen.de.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Koulaxouzidis</LastName><ForeName>Georgios</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Plastic and Hand Surgery, University of Freiburg Medical Centre, Freiburg, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stark</LastName><ForeName>G Björn</ForeName><Initials>GB</Initials><AffiliationInfo><Affiliation>Department of Plastic and Hand Surgery, University of Freiburg Medical Centre, Freiburg, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Foeldi</LastName><ForeName>Etelka</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Földi Clinic for Lymphology, Hinterzarten, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Torio-Padron</LastName><ForeName>Nestor</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Plastic and Hand Surgery, University of Freiburg Medical Centre, Freiburg, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Penna</LastName><ForeName>Vincenzo</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Department of Plastic and Hand Surgery, University of Freiburg Medical Centre, Freiburg, Germany.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Obes Surg</MedlineTA><NlmUniqueID>9106714</NlmUniqueID><ISSNLinking>0960-8923</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Decongestive physical therapy</Keyword><Keyword MajorTopicYN="N">Elephantiasis</Keyword><Keyword MajorTopicYN="N">Lymphedema</Keyword><Keyword MajorTopicYN="N">Medial thigh lift</Keyword><Keyword MajorTopicYN="N">Wedge skin resection</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>11</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>11</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>11</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26612693</ArticleId><ArticleId IdType="doi">10.1007/s11695-015-1982-2</ArticleId><ArticleId IdType="pii">10.1007/s11695-015-1982-2</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li></country><region><li>Bade-Wurtemberg</li><li>District de Fribourg-en-Brisgau</li></region><settlement><li>Fribourg-en-Brisgau</li></settlement></list><tree><country name="Allemagne"><noRegion><name sortKey="Kiefer, Jurij" sort="Kiefer, Jurij" uniqKey="Kiefer J" first="Jurij" last="Kiefer">Jurij Kiefer</name></noRegion><name sortKey="Foeldi, Etelka" sort="Foeldi, Etelka" uniqKey="Foeldi E" first="Etelka" last="Foeldi">Etelka Foeldi</name><name sortKey="Koulaxouzidis, Georgios" sort="Koulaxouzidis, Georgios" uniqKey="Koulaxouzidis G" first="Georgios" last="Koulaxouzidis">Georgios Koulaxouzidis</name><name sortKey="Penna, Vincenzo" sort="Penna, Vincenzo" uniqKey="Penna V" first="Vincenzo" last="Penna">Vincenzo Penna</name><name sortKey="Stark, G Bjorn" sort="Stark, G Bjorn" uniqKey="Stark G" first="G Björn" last="Stark">G Björn Stark</name><name sortKey="Torio Padron, Nestor" sort="Torio Padron, Nestor" uniqKey="Torio Padron N" first="Nestor" last="Torio-Padron">Nestor Torio-Padron</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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