A Single-Site Technique of Multiple Lymphatic-Venous Anastomoses for the Treatment of Peripheral Lymphedema: Long-Term Clinical Outcome.
Identifieur interne : 000B15 ( PubMed/Checkpoint ); précédent : 000B14; suivant : 000B16A Single-Site Technique of Multiple Lymphatic-Venous Anastomoses for the Treatment of Peripheral Lymphedema: Long-Term Clinical Outcome.
Auteurs : Corrado Cesare Campisi [Italie] ; Melissa Ryan [Italie] ; Francesco Boccardo [Italie] ; Corradino Campisi [Italie]Source :
- Journal of reconstructive microsurgery [ 1098-8947 ] ; 2016.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- methods : Microsurgery.
- surgery : Lower Extremity, Lymphatic Vessels, Lymphedema, Upper Extremity, Veins.
- Anastomosis, Surgical, Female, Humans, Lymphoscintigraphy, Male, Postoperative Complications, Treatment Outcome.
Abstract
The authors' vast surgical experience in the treatment of primary and secondary peripheral lymphedemas using microsurgical procedures at the Centre of Lymphatic Surgery and Microsurgery of the University of Genoa, Italy, is reported. The objective is to describe the techniques and the long-lasting clinical outcomes based on 40 years' experience and research, with particular reference to advanced derivative and reconstructive lymphatic microsurgery at a single site.
DOI: 10.1055/s-0035-1549163
PubMed: 26029991
Affiliations:
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sortKey="Campisi, Corrado Cesare" sort="Campisi, Corrado Cesare" uniqKey="Campisi C" first="Corrado Cesare" last="Campisi">Corrado Cesare Campisi</name><affiliation wicri:level="1"><nlm:affiliation>Plastic, Reconstructive and Aesthetic Surgery, Lymphatic Surgery and Microsurgery, Department of Surgery (DISC), IRCCS University Hospital San Martino, IIST National Institute for Cancer Research, Genoa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Plastic, Reconstructive and Aesthetic Surgery, Lymphatic Surgery and Microsurgery, Department of Surgery (DISC), IRCCS University Hospital San Martino, IIST National Institute for Cancer Research, Genoa</wicri:regionArea><wicri:noRegion>Genoa</wicri:noRegion></affiliation></author><author><name sortKey="Ryan, Melissa" sort="Ryan, Melissa" uniqKey="Ryan M" first="Melissa" last="Ryan">Melissa Ryan</name><affiliation wicri:level="1"><nlm:affiliation>Unit of Lymphatic Surgery and Microsurgery, Department of Surgery (DISC), IST National Institute for Cancer Research, IRCCS University Hospital San Martino, Genoa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Unit of Lymphatic Surgery and Microsurgery, Department of Surgery (DISC), IST National Institute for Cancer Research, IRCCS University Hospital San Martino, Genoa</wicri:regionArea><wicri:noRegion>Genoa</wicri:noRegion></affiliation></author><author><name sortKey="Boccardo, Francesco" sort="Boccardo, Francesco" uniqKey="Boccardo F" first="Francesco" last="Boccardo">Francesco Boccardo</name><affiliation wicri:level="1"><nlm:affiliation>Unit of Lymphatic Surgery and Microsurgery, Department of Surgery (DISC), IST National Institute for Cancer Research, IRCCS University Hospital San Martino, Genoa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Unit of Lymphatic Surgery and Microsurgery, Department of Surgery (DISC), IST National Institute for Cancer Research, IRCCS University Hospital San Martino, Genoa</wicri:regionArea><wicri:noRegion>Genoa</wicri:noRegion></affiliation></author><author><name sortKey="Campisi, Corradino" sort="Campisi, Corradino" uniqKey="Campisi C" first="Corradino" last="Campisi">Corradino Campisi</name><affiliation wicri:level="1"><nlm:affiliation>Unit of Lymphatic Surgery and Microsurgery, Department of Surgery (DISC), IST National Institute for Cancer Research, IRCCS University Hospital San Martino, Genoa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Unit of Lymphatic Surgery and Microsurgery, Department of Surgery (DISC), IST National Institute for Cancer Research, IRCCS University Hospital San Martino, Genoa</wicri:regionArea><wicri:noRegion>Genoa</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of reconstructive microsurgery</title><idno type="eISSN">1098-8947</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anastomosis, Surgical</term><term>Female</term><term>Humans</term><term>Lower Extremity (surgery)</term><term>Lymphatic Vessels (surgery)</term><term>Lymphedema (surgery)</term><term>Lymphoscintigraphy</term><term>Male</term><term>Microsurgery (methods)</term><term>Postoperative Complications</term><term>Treatment Outcome</term><term>Upper Extremity (surgery)</term><term>Veins (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Anastomose chirurgicale</term><term>Complications postopératoires</term><term>Femelle</term><term>Humains</term><term>Lymphoedème ()</term><term>Lymphoscintigraphie</term><term>Membre inférieur ()</term><term>Membre supérieur ()</term><term>Microchirurgie ()</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Vaisseaux lymphatiques ()</term><term>Veines ()</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Microsurgery</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lower Extremity</term><term>Lymphatic Vessels</term><term>Lymphedema</term><term>Upper Extremity</term><term>Veins</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Anastomosis, Surgical</term><term>Female</term><term>Humans</term><term>Lymphoscintigraphy</term><term>Male</term><term>Postoperative Complications</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Anastomose chirurgicale</term><term>Complications postopératoires</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Lymphoscintigraphie</term><term>Membre inférieur</term><term>Membre supérieur</term><term>Microchirurgie</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Vaisseaux lymphatiques</term><term>Veines</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The authors' vast surgical experience in the treatment of primary and secondary peripheral lymphedemas using microsurgical procedures at the Centre of Lymphatic Surgery and Microsurgery of the University of Genoa, Italy, is reported. The objective is to describe the techniques and the long-lasting clinical outcomes based on 40 years' experience and research, with particular reference to advanced derivative and reconstructive lymphatic microsurgery at a single site.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26029991</PMID><DateCreated><Year>2016</Year><Month>01</Month><Day>07</Day></DateCreated><DateCompleted><Year>2016</Year><Month>10</Month><Day>07</Day></DateCompleted><DateRevised><Year>2016</Year><Month>12</Month><Day>30</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1098-8947</ISSN><JournalIssue CitedMedium="Internet"><Volume>32</Volume><Issue>1</Issue><PubDate><Year>2016</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Journal of reconstructive microsurgery</Title><ISOAbbreviation>J Reconstr Microsurg</ISOAbbreviation></Journal><ArticleTitle>A Single-Site Technique of Multiple Lymphatic-Venous Anastomoses for the Treatment of Peripheral Lymphedema: Long-Term Clinical Outcome.</ArticleTitle><Pagination><MedlinePgn>42-9</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1055/s-0035-1549163</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The authors' vast surgical experience in the treatment of primary and secondary peripheral lymphedemas using microsurgical procedures at the Centre of Lymphatic Surgery and Microsurgery of the University of Genoa, Italy, is reported. The objective is to describe the techniques and the long-lasting clinical outcomes based on 40 years' experience and research, with particular reference to advanced derivative and reconstructive lymphatic microsurgery at a single site.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">More than 2,600 patients affected by upper and/or lower limb lymphedema, between 1973 and 2013, underwent lymphatic microsurgery. Derivative multiple lymphatic-venous anastomoses (MLVA) or lymphatic pathway reconstruction using interpositioned vein-grafted shunts multiple lymphatic venous lymphatic anastomoses (MLVLA) were performed at a single site, either the axillary or inguinal-crural region. Patients were followed up for a minimum of 5 years to over 20 years. Clinical outcomes included excess limb volume (ELV), frequency of dermatolymphangioadenitis (DLA) attacks, and use of conservative therapies.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Compared with preoperative conditions, patients obtained significant reductions in ELV of over 84%, with an average follow-up of 10 years or more. Over 86% of patients with earlier stages of disease (stage IB or IIA) progressively stopped using conservative therapies and 42% of patients with later stages (stages IIB and III) decreased the frequency of physical therapies. DLA attacks considerably reduced by over 91%.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">MLVA or MLVLA techniques when performed at a single site produce excellent outcomes in the treatment of both primary and secondary lymphedemas, giving the possibility of a complete restoration of lymphatic flow in early stages of disease when tissue changes are minimal.</AbstractText><CopyrightInformation>Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Campisi</LastName><ForeName>Corrado Cesare</ForeName><Initials>CC</Initials><AffiliationInfo><Affiliation>Plastic, Reconstructive and Aesthetic Surgery, Lymphatic Surgery and Microsurgery, Department of Surgery (DISC), IRCCS University Hospital San Martino, IIST National Institute for Cancer Research, Genoa, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ryan</LastName><ForeName>Melissa</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Unit of Lymphatic Surgery and Microsurgery, Department of Surgery (DISC), IST National Institute for Cancer Research, IRCCS University Hospital San Martino, Genoa, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Boccardo</LastName><ForeName>Francesco</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Unit of Lymphatic Surgery and Microsurgery, Department of Surgery (DISC), IST National Institute for Cancer Research, IRCCS University Hospital San Martino, Genoa, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Campisi</LastName><ForeName>Corradino</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Unit of Lymphatic Surgery and Microsurgery, Department of Surgery (DISC), IST National Institute for Cancer Research, IRCCS University Hospital San Martino, Genoa, Italy.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>06</Month><Day>01</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Reconstr Microsurg</MedlineTA><NlmUniqueID>8502670</NlmUniqueID><ISSNLinking>0743-684X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000714" MajorTopicYN="N">Anastomosis, Surgical</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D035002" MajorTopicYN="N">Lower Extremity</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D042601" MajorTopicYN="N">Lymphatic Vessels</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D061305" MajorTopicYN="N">Lymphoscintigraphy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008866" MajorTopicYN="N">Microsurgery</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D034941" MajorTopicYN="N">Upper Extremity</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014680" MajorTopicYN="N">Veins</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>6</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>6</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>10</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26029991</ArticleId><ArticleId IdType="doi">10.1055/s-0035-1549163</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Campisi, Corrado Cesare" sort="Campisi, Corrado Cesare" uniqKey="Campisi C" first="Corrado Cesare" last="Campisi">Corrado Cesare Campisi</name></noRegion><name sortKey="Boccardo, Francesco" sort="Boccardo, Francesco" uniqKey="Boccardo F" first="Francesco" last="Boccardo">Francesco Boccardo</name><name sortKey="Campisi, Corradino" sort="Campisi, Corradino" uniqKey="Campisi C" first="Corradino" last="Campisi">Corradino Campisi</name><name sortKey="Ryan, Melissa" sort="Ryan, Melissa" uniqKey="Ryan M" first="Melissa" last="Ryan">Melissa Ryan</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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