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Understanding the three-dimensional anatomy of the superficial lymphatics of the limbs.

Identifieur interne : 001192 ( PubMed/Checkpoint ); précédent : 001191; suivant : 001193

Understanding the three-dimensional anatomy of the superficial lymphatics of the limbs.

Auteurs : Saam S. Tourani ; G Ian Taylor ; Mark W. Ashton

Source :

RBID : pubmed:25347638

Descripteurs français

English descriptors

Abstract

There are minimal data in the current literature regarding the depth of the superficial lymphatic collectors of the limbs in relation to the various subcutaneous tissue layers.

DOI: 10.1097/PRS.0000000000000640
PubMed: 25347638


Affiliations:


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pubmed:25347638

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<title xml:lang="en">Understanding the three-dimensional anatomy of the superficial lymphatics of the limbs.</title>
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<name sortKey="Tourani, Saam S" sort="Tourani, Saam S" uniqKey="Tourani S" first="Saam S" last="Tourani">Saam S. Tourani</name>
<affiliation>
<nlm:affiliation>Parkville, Victoria, Australia From Anatomy and Neuroscience, University of Melbourne.</nlm:affiliation>
<wicri:noCountry code="subField">University of Melbourne</wicri:noCountry>
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<author>
<name sortKey="Taylor, G Ian" sort="Taylor, G Ian" uniqKey="Taylor G" first="G Ian" last="Taylor">G Ian Taylor</name>
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<name sortKey="Ashton, Mark W" sort="Ashton, Mark W" uniqKey="Ashton M" first="Mark W" last="Ashton">Mark W. Ashton</name>
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<title xml:lang="en">Understanding the three-dimensional anatomy of the superficial lymphatics of the limbs.</title>
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<name sortKey="Tourani, Saam S" sort="Tourani, Saam S" uniqKey="Tourani S" first="Saam S" last="Tourani">Saam S. Tourani</name>
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<title level="j">Plastic and reconstructive surgery</title>
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<term>Cadaver</term>
<term>Dissection</term>
<term>Female</term>
<term>Humans</term>
<term>Imaging, Three-Dimensional</term>
<term>Indocyanine Green</term>
<term>Lower Extremity (anatomy & histology)</term>
<term>Lower Extremity (diagnostic imaging)</term>
<term>Lymphatic System (anatomy & histology)</term>
<term>Lymphatic Vessels (anatomy & histology)</term>
<term>Lymphatic Vessels (diagnostic imaging)</term>
<term>Male</term>
<term>Microdissection (methods)</term>
<term>Radiography</term>
<term>Saphenous Vein (anatomy & histology)</term>
<term>Saphenous Vein (diagnostic imaging)</term>
<term>Sensitivity and Specificity</term>
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<term>Upper Extremity (diagnostic imaging)</term>
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<term>Adulte</term>
<term>Cadavre</term>
<term>Dissection</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle</term>
<term>Membre inférieur (anatomie et histologie)</term>
<term>Membre inférieur (imagerie diagnostique)</term>
<term>Membre supérieur (anatomie et histologie)</term>
<term>Membre supérieur (imagerie diagnostique)</term>
<term>Microdissection ()</term>
<term>Mâle</term>
<term>Radiographie</term>
<term>Sensibilité et spécificité</term>
<term>Système lymphatique (anatomie et histologie)</term>
<term>Vaisseaux lymphatiques (anatomie et histologie)</term>
<term>Vaisseaux lymphatiques (imagerie diagnostique)</term>
<term>Veine saphène (anatomie et histologie)</term>
<term>Veine saphène (imagerie diagnostique)</term>
<term>Vert indocyanine</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Indocyanine Green</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomie et histologie" xml:lang="fr">
<term>Membre inférieur</term>
<term>Membre supérieur</term>
<term>Système lymphatique</term>
<term>Vaisseaux lymphatiques</term>
<term>Veine saphène</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en">
<term>Lower Extremity</term>
<term>Lymphatic System</term>
<term>Lymphatic Vessels</term>
<term>Saphenous Vein</term>
<term>Upper Extremity</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Lower Extremity</term>
<term>Lymphatic Vessels</term>
<term>Saphenous Vein</term>
<term>Upper Extremity</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr">
<term>Membre inférieur</term>
<term>Membre supérieur</term>
<term>Vaisseaux lymphatiques</term>
<term>Veine saphène</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Microdissection</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Cadaver</term>
<term>Dissection</term>
<term>Female</term>
<term>Humans</term>
<term>Imaging, Three-Dimensional</term>
<term>Male</term>
<term>Radiography</term>
<term>Sensitivity and Specificity</term>
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<term>Cadavre</term>
<term>Dissection</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle</term>
<term>Microdissection</term>
<term>Mâle</term>
<term>Radiographie</term>
<term>Sensibilité et spécificité</term>
<term>Vert indocyanine</term>
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<front>
<div type="abstract" xml:lang="en">There are minimal data in the current literature regarding the depth of the superficial lymphatic collectors of the limbs in relation to the various subcutaneous tissue layers.</div>
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<Month>10</Month>
<Day>28</Day>
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<Year>2016</Year>
<Month>11</Month>
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<Volume>134</Volume>
<Issue>5</Issue>
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<Year>2014</Year>
<Month>Nov</Month>
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<Title>Plastic and reconstructive surgery</Title>
<ISOAbbreviation>Plast. Reconstr. Surg.</ISOAbbreviation>
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<ArticleTitle>Understanding the three-dimensional anatomy of the superficial lymphatics of the limbs.</ArticleTitle>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">There are minimal data in the current literature regarding the depth of the superficial lymphatic collectors of the limbs in relation to the various subcutaneous tissue layers.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Injection, microdissection, radiographic, and histologic studies of the superficial lymphatics and the subcutaneous tissues of 32 limbs from 15 human cadavers were performed.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Five layers were consistently identified in the integument of all the upper and lower limb specimens: (1) skin, (2) subcutaneous fat, (3) superficial fascia, (4) loose areolar tissue, and (5) deep fascia. Layer 2 was further divided into superficial (2a) and deep (2c) compartments by a thin, transparent, horizontal septum (layer 2b). The main superficial veins and the superficial nerves coursed in layer 4. The lymphatic collectors were found at layer 2c and layer 4.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The use of consistent nomenclature to describe the subcutaneous tissue layers facilitates a greater understanding and discussion of the anatomy. In lymphovenous anastomosis for the treatment of lymphedema, indocyanine green lymphography is an unreliable method for identification of the superficial collectors of the thigh. The medial proximal leg, the dorsum of the wrist over the anatomical snuffbox, and the volar proximal forearm provide suitable areas for locating superficial collectors with nearby matching size veins. In vertical medial thigh lift, choosing a dissection plane superficial to the great saphenous vein is unlikely to preserve the collectors of the ventromedial bundle.</AbstractText>
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<LastName>Tourani</LastName>
<ForeName>Saam S</ForeName>
<Initials>SS</Initials>
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<Affiliation>Parkville, Victoria, Australia From Anatomy and Neuroscience, University of Melbourne.</Affiliation>
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