Treatment of various secondary lymphedemas by microsurgical lymph vessel transplantation.
Identifieur interne : 001D70 ( PubMed/Checkpoint ); précédent : 001D69; suivant : 001D71Treatment of various secondary lymphedemas by microsurgical lymph vessel transplantation.
Auteurs : Gunther Felmerer [Allemagne] ; Thorsten Sattler ; Christian Lohrmann ; Dalia TobbiaSource :
- Microsurgery [ 1098-2752 ] ; 2012.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Anastomose chirurgicale, Complications postopératoires (), Femelle, Humains, Lymphoedème (), Lymphoedème (étiologie), Microchirurgie, Mâle, Résultat thérapeutique, Transplantation autologue, Tumeurs (), Vaisseaux lymphatiques (), Vaisseaux lymphatiques (transplantation), Études rétrospectives.
- MESH :
English descriptors
- KwdEn :
- Adult, Anastomosis, Surgical, Female, Humans, Lymphatic Vessels (surgery), Lymphatic Vessels (transplantation), Lymphedema (etiology), Lymphedema (surgery), Male, Microsurgery, Middle Aged, Neoplasms (complications), Neoplasms (surgery), Postoperative Complications (surgery), Retrospective Studies, Transplantation, Autologous, Treatment Outcome.
- MESH :
- complications : Neoplasms.
- etiology : Lymphedema.
- surgery : Lymphatic Vessels, Lymphedema, Neoplasms, Postoperative Complications.
- transplantation : Lymphatic Vessels.
- Adult, Anastomosis, Surgical, Female, Humans, Male, Microsurgery, Middle Aged, Retrospective Studies, Transplantation, Autologous, Treatment Outcome.
Abstract
Chronic lymphedema is a debilitating complication of cancer diagnosis and therapy and poses many challenges for health care professionals. It remains a poorly understood condition that has the potential to occur after any intervention affecting lymph node drainage mechanism. Microsurgical lymph vessel transplantation is increasingly recognized as a promising method for bypassing the obstructed lymph pathways and promoting long-term reduction of edema in the affected limb. A detailed review of 14 patients with postoperative lymphedema treated with autologous lymph vessel transplantation between October 2005 and November 2009 was performed. In this report, the authors gave an account of their experience in utilizing this operative method to alleviate secondary lymphedema including upper limb, lower limb, genital, and facial edemas. Lymph vessel transplantation enhanced lymphatic drainage in patients with secondary lymphedema. In the upper and lower extremities, three patients had completed symptomatic recovery and another nine patients achieved reasonable reduction of lymphedema, four of these needed no further lymph drainage or compression garments and the remaining maintained their improvement with further decongestive therapy with or without compression garments. The patients with facial and genital edemas also experienced significant symptomatic improvement. The authors were able to establish long-term patency of the lymph vessel anastomosis by magnetic resonance lymphangiography.
DOI: 10.1002/micr.20968
PubMed: 22113994
Affiliations:
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qualifier="surgery" xml:lang="en"><term>Lymphatic Vessels</term><term>Lymphedema</term><term>Neoplasms</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Lymphatic Vessels</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term><term>Vaisseaux lymphatiques</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Anastomosis, Surgical</term><term>Female</term><term>Humans</term><term>Male</term><term>Microsurgery</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Transplantation, Autologous</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Anastomose chirurgicale</term><term>Complications postopératoires</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Microchirurgie</term><term>Mâle</term><term>Résultat 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It remains a poorly understood condition that has the potential to occur after any intervention affecting lymph node drainage mechanism. Microsurgical lymph vessel transplantation is increasingly recognized as a promising method for bypassing the obstructed lymph pathways and promoting long-term reduction of edema in the affected limb. A detailed review of 14 patients with postoperative lymphedema treated with autologous lymph vessel transplantation between October 2005 and November 2009 was performed. In this report, the authors gave an account of their experience in utilizing this operative method to alleviate secondary lymphedema including upper limb, lower limb, genital, and facial edemas. Lymph vessel transplantation enhanced lymphatic drainage in patients with secondary lymphedema. In the upper and lower extremities, three patients had completed symptomatic recovery and another nine patients achieved reasonable reduction of lymphedema, four of these needed no further lymph drainage or compression garments and the remaining maintained their improvement with further decongestive therapy with or without compression garments. The patients with facial and genital edemas also experienced significant symptomatic improvement. The authors were able to establish long-term patency of the lymph vessel anastomosis by magnetic resonance lymphangiography.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22113994</PMID><DateCreated><Year>2012</Year><Month>03</Month><Day>15</Day></DateCreated><DateCompleted><Year>2012</Year><Month>07</Month><Day>27</Day></DateCompleted><DateRevised><Year>2012</Year><Month>03</Month><Day>15</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1098-2752</ISSN><JournalIssue CitedMedium="Internet"><Volume>32</Volume><Issue>3</Issue><PubDate><Year>2012</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Microsurgery</Title><ISOAbbreviation>Microsurgery</ISOAbbreviation></Journal><ArticleTitle>Treatment of various secondary lymphedemas by microsurgical lymph vessel transplantation.</ArticleTitle><Pagination><MedlinePgn>171-7</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/micr.20968</ELocationID><Abstract><AbstractText>Chronic lymphedema is a debilitating complication of cancer diagnosis and therapy and poses many challenges for health care professionals. It remains a poorly understood condition that has the potential to occur after any intervention affecting lymph node drainage mechanism. Microsurgical lymph vessel transplantation is increasingly recognized as a promising method for bypassing the obstructed lymph pathways and promoting long-term reduction of edema in the affected limb. A detailed review of 14 patients with postoperative lymphedema treated with autologous lymph vessel transplantation between October 2005 and November 2009 was performed. In this report, the authors gave an account of their experience in utilizing this operative method to alleviate secondary lymphedema including upper limb, lower limb, genital, and facial edemas. Lymph vessel transplantation enhanced lymphatic drainage in patients with secondary lymphedema. In the upper and lower extremities, three patients had completed symptomatic recovery and another nine patients achieved reasonable reduction of lymphedema, four of these needed no further lymph drainage or compression garments and the remaining maintained their improvement with further decongestive therapy with or without compression garments. The patients with facial and genital edemas also experienced significant symptomatic improvement. The authors were able to establish long-term patency of the lymph vessel anastomosis by magnetic resonance lymphangiography.</AbstractText><CopyrightInformation>Copyright © 2011 Wiley Periodicals, Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Felmerer</LastName><ForeName>Gunther</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Division of Plastic Surgery, Department of Trauma Surgery, Plastic and Reconstructive Surgery, University of Medicine, Göttingen, Germany. gunther.felmerer@med.uni-goettingen.de</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sattler</LastName><ForeName>Thorsten</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>Lohrmann</LastName><ForeName>Christian</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Tobbia</LastName><ForeName>Dalia</ForeName><Initials>D</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D023362">Evaluation Studies</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2011</Year><Month>11</Month><Day>24</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Microsurgery</MedlineTA><NlmUniqueID>8309230</NlmUniqueID><ISSNLinking>0738-1085</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><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="D042601" MajorTopicYN="N">Lymphatic Vessels</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName><QualifierName UI="Q000637" MajorTopicYN="Y">transplantation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008866" MajorTopicYN="Y">Microsurgery</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009369" MajorTopicYN="N">Neoplasms</DescriptorName><QualifierName UI="Q000150" 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PubStatus="accepted"><Year>2011</Year><Month>09</Month><Day>01</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>11</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>11</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>7</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">22113994</ArticleId><ArticleId IdType="doi">10.1002/micr.20968</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li></country><region><li>Basse-Saxe</li></region><settlement><li>Göttingen</li></settlement></list><tree><noCountry><name sortKey="Lohrmann, Christian" sort="Lohrmann, Christian" uniqKey="Lohrmann C" first="Christian" last="Lohrmann">Christian Lohrmann</name><name sortKey="Sattler, Thorsten" sort="Sattler, Thorsten" uniqKey="Sattler T" first="Thorsten" last="Sattler">Thorsten Sattler</name><name sortKey="Tobbia, Dalia" sort="Tobbia, Dalia" uniqKey="Tobbia D" first="Dalia" last="Tobbia">Dalia Tobbia</name></noCountry><country name="Allemagne"><region name="Basse-Saxe"><name sortKey="Felmerer, Gunther" sort="Felmerer, Gunther" uniqKey="Felmerer G" first="Gunther" last="Felmerer">Gunther Felmerer</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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