Integrated concept of treatment for reduction of morbidity after resection of panniculus morbidus associated with lymphoedema.
Identifieur interne : 002005 ( PubMed/Checkpoint ); précédent : 002004; suivant : 002006Integrated concept of treatment for reduction of morbidity after resection of panniculus morbidus associated with lymphoedema.
Auteurs : Gunther Felmerer [Allemagne] ; Wojciech Karcz ; Etelka Földi ; Dalia TobbiaSource :
- Journal of plastic surgery and hand surgery [ 2000-6764 ] ; 2012.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- Abdominal Wall (pathology), Abdominoplasty (methods), Humans, Lymphedema (complications), Lymphedema (pathology), Lymphedema (therapy), Obesity, Morbid (pathology), Obesity, Morbid (surgery), Physical Therapy Modalities, Postoperative Complications (prevention & control), Preoperative Care, Wound Healing.
- MESH :
- complications : Lymphedema.
- methods : Abdominoplasty.
- pathology : Abdominal Wall, Lymphedema, Obesity, Morbid.
- prevention & control : Postoperative Complications.
- surgery : Obesity, Morbid.
- therapy : Lymphedema.
- Humans, Physical Therapy Modalities, Preoperative Care, Wound Healing.
Abstract
A subgroup of grossly obese patients may develop a large hanging abdominal apron, panniculus morbidus, which can contain an element of lymphoedema. This hinders normal activities and prevents adequate hygiene. We reviewed published reports and found that the complications that result from resection of a panniculus had been well described, but the presence of lymphoedema and the possible benefit of appropriate physiotherapy was not addressed. Our first aim was to assess our overall morbidity. Secondly we assessed whether perioperative complex decongestive physical therapy had the potential to reduce the incidence of commonly encountered complications. We retrospectively reviewed the casenotes of all massively obese patients who had panniculectomies between 1998 and 2008. We identified two groups of patients, in the first of which were 38 patients who were given perioperative complex decongestive physical therapy (CDP). In the second group were 18 patients who had no additional treatment perioperatively. We then compared the differences between the groups in the incidence of complications, reoperation rate, duration of hospital stay, and wound complications. All the patients not given perioperative treatment developed a postoperative complication. Only 6 patients in the treated group had minor wound problems. The rates and severity of complications associated with this type of operation can be improved if the patient has access to additional care in a specialised rehabilitation centre during the perioperative period.
DOI: 10.3109/2000656X.2012.700007
PubMed: 22909237
Affiliations:
Links toward previous steps (curation, corpus...)
Links to Exploration step
pubmed:22909237Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Integrated concept of treatment for reduction of morbidity after resection of panniculus morbidus associated with lymphoedema.</title><author><name sortKey="Felmerer, Gunther" sort="Felmerer, Gunther" uniqKey="Felmerer G" first="Gunther" last="Felmerer">Gunther Felmerer</name><affiliation wicri:level="3"><nlm:affiliation>Division of Plastic Surgery, Department of Trauma Surgery, Plastic and Reconstructive Surgery, University of Medicine, Göttingen, Germany. gunther.felmerer@med.uni-goettingen.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Division of Plastic Surgery, Department of Trauma Surgery, Plastic and Reconstructive Surgery, University of Medicine, Göttingen</wicri:regionArea><placeName><region type="land" nuts="2">Basse-Saxe</region><settlement type="city">Göttingen</settlement></placeName></affiliation></author><author><name sortKey="Karcz, Wojciech" sort="Karcz, Wojciech" uniqKey="Karcz W" first="Wojciech" last="Karcz">Wojciech Karcz</name></author><author><name sortKey="Foldi, Etelka" sort="Foldi, Etelka" uniqKey="Foldi E" first="Etelka" last="Földi">Etelka Földi</name></author><author><name sortKey="Tobbia, Dalia" sort="Tobbia, Dalia" uniqKey="Tobbia D" first="Dalia" last="Tobbia">Dalia Tobbia</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="RBID">pubmed:22909237</idno><idno type="pmid">22909237</idno><idno type="doi">10.3109/2000656X.2012.700007</idno><idno type="wicri:Area/PubMed/Corpus">001F89</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001F89</idno><idno type="wicri:Area/PubMed/Curation">001F89</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001F89</idno><idno type="wicri:Area/PubMed/Checkpoint">001F89</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001F89</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Integrated concept of treatment for reduction of morbidity after resection of panniculus morbidus associated with lymphoedema.</title><author><name sortKey="Felmerer, Gunther" sort="Felmerer, Gunther" uniqKey="Felmerer G" first="Gunther" last="Felmerer">Gunther Felmerer</name><affiliation wicri:level="3"><nlm:affiliation>Division of Plastic Surgery, Department of Trauma Surgery, Plastic and Reconstructive Surgery, University of Medicine, Göttingen, Germany. gunther.felmerer@med.uni-goettingen.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Division of Plastic Surgery, Department of Trauma Surgery, Plastic and Reconstructive Surgery, University of Medicine, Göttingen</wicri:regionArea><placeName><region type="land" nuts="2">Basse-Saxe</region><settlement type="city">Göttingen</settlement></placeName></affiliation></author><author><name sortKey="Karcz, Wojciech" sort="Karcz, Wojciech" uniqKey="Karcz W" first="Wojciech" last="Karcz">Wojciech Karcz</name></author><author><name sortKey="Foldi, Etelka" sort="Foldi, Etelka" uniqKey="Foldi E" first="Etelka" last="Földi">Etelka Földi</name></author><author><name sortKey="Tobbia, Dalia" sort="Tobbia, Dalia" uniqKey="Tobbia D" first="Dalia" last="Tobbia">Dalia Tobbia</name></author></analytic><series><title level="j">Journal of plastic surgery and hand surgery</title><idno type="eISSN">2000-6764</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abdominal Wall (pathology)</term><term>Abdominoplasty (methods)</term><term>Humans</term><term>Lymphedema (complications)</term><term>Lymphedema (pathology)</term><term>Lymphedema (therapy)</term><term>Obesity, Morbid (pathology)</term><term>Obesity, Morbid (surgery)</term><term>Physical Therapy Modalities</term><term>Postoperative Complications (prevention & control)</term><term>Preoperative Care</term><term>Wound Healing</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Abdominoplastie ()</term><term>Cicatrisation de plaie</term><term>Complications postopératoires ()</term><term>Humains</term><term>Lymphoedème ()</term><term>Lymphoedème (anatomopathologie)</term><term>Obésité morbide ()</term><term>Obésité morbide (anatomopathologie)</term><term>Paroi abdominale (anatomopathologie)</term><term>Soins préopératoires</term><term>Techniques de physiothérapie</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Lymphoedème</term><term>Obésité morbide</term><term>Paroi abdominale</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Abdominoplasty</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Abdominal Wall</term><term>Lymphedema</term><term>Obesity, Morbid</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Obesity, Morbid</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Physical Therapy Modalities</term><term>Preoperative Care</term><term>Wound Healing</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Abdominoplastie</term><term>Cicatrisation de plaie</term><term>Complications postopératoires</term><term>Humains</term><term>Lymphoedème</term><term>Obésité morbide</term><term>Soins préopératoires</term><term>Techniques de physiothérapie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A subgroup of grossly obese patients may develop a large hanging abdominal apron, panniculus morbidus, which can contain an element of lymphoedema. This hinders normal activities and prevents adequate hygiene. We reviewed published reports and found that the complications that result from resection of a panniculus had been well described, but the presence of lymphoedema and the possible benefit of appropriate physiotherapy was not addressed. Our first aim was to assess our overall morbidity. Secondly we assessed whether perioperative complex decongestive physical therapy had the potential to reduce the incidence of commonly encountered complications. We retrospectively reviewed the casenotes of all massively obese patients who had panniculectomies between 1998 and 2008. We identified two groups of patients, in the first of which were 38 patients who were given perioperative complex decongestive physical therapy (CDP). In the second group were 18 patients who had no additional treatment perioperatively. We then compared the differences between the groups in the incidence of complications, reoperation rate, duration of hospital stay, and wound complications. All the patients not given perioperative treatment developed a postoperative complication. Only 6 patients in the treated group had minor wound problems. The rates and severity of complications associated with this type of operation can be improved if the patient has access to additional care in a specialised rehabilitation centre during the perioperative period.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22909237</PMID><DateCreated><Year>2012</Year><Month>08</Month><Day>22</Day></DateCreated><DateCompleted><Year>2013</Year><Month>01</Month><Day>10</Day></DateCompleted><DateRevised><Year>2012</Year><Month>08</Month><Day>22</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">2000-6764</ISSN><JournalIssue CitedMedium="Internet"><Volume>46</Volume><Issue>3-4</Issue><PubDate><Year>2012</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Journal of plastic surgery and hand surgery</Title><ISOAbbreviation>J Plast Surg Hand Surg</ISOAbbreviation></Journal><ArticleTitle>Integrated concept of treatment for reduction of morbidity after resection of panniculus morbidus associated with lymphoedema.</ArticleTitle><Pagination><MedlinePgn>172-6</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3109/2000656X.2012.700007</ELocationID><Abstract><AbstractText>A subgroup of grossly obese patients may develop a large hanging abdominal apron, panniculus morbidus, which can contain an element of lymphoedema. This hinders normal activities and prevents adequate hygiene. We reviewed published reports and found that the complications that result from resection of a panniculus had been well described, but the presence of lymphoedema and the possible benefit of appropriate physiotherapy was not addressed. Our first aim was to assess our overall morbidity. Secondly we assessed whether perioperative complex decongestive physical therapy had the potential to reduce the incidence of commonly encountered complications. We retrospectively reviewed the casenotes of all massively obese patients who had panniculectomies between 1998 and 2008. We identified two groups of patients, in the first of which were 38 patients who were given perioperative complex decongestive physical therapy (CDP). In the second group were 18 patients who had no additional treatment perioperatively. We then compared the differences between the groups in the incidence of complications, reoperation rate, duration of hospital stay, and wound complications. All the patients not given perioperative treatment developed a postoperative complication. Only 6 patients in the treated group had minor wound problems. The rates and severity of complications associated with this type of operation can be improved if the patient has access to additional care in a specialised rehabilitation centre during the perioperative period.</AbstractText></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>Karcz</LastName><ForeName>Wojciech</ForeName><Initials>W</Initials></Author><Author ValidYN="Y"><LastName>Földi</LastName><ForeName>Etelka</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Tobbia</LastName><ForeName>Dalia</ForeName><Initials>D</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Sweden</Country><MedlineTA>J Plast Surg Hand Surg</MedlineTA><NlmUniqueID>101534130</NlmUniqueID><ISSNLinking>2000-6764</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D034861" MajorTopicYN="N">Abdominal Wall</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D061645" MajorTopicYN="Y">Abdominoplasty</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009767" MajorTopicYN="N">Obesity, Morbid</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D026741" MajorTopicYN="N">Physical Therapy Modalities</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011300" MajorTopicYN="N">Preoperative Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014945" MajorTopicYN="N">Wound Healing</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>8</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>8</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>1</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">22909237</ArticleId><ArticleId IdType="doi">10.3109/2000656X.2012.700007</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="Foldi, Etelka" sort="Foldi, Etelka" uniqKey="Foldi E" first="Etelka" last="Földi">Etelka Földi</name><name sortKey="Karcz, Wojciech" sort="Karcz, Wojciech" uniqKey="Karcz W" first="Wojciech" last="Karcz">Wojciech Karcz</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)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/PubMed/Checkpoint
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002005 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/PubMed/Checkpoint/biblio.hfd -nk 002005 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= LymphedemaV1
|flux= PubMed
|étape= Checkpoint
|type= RBID
|clé= pubmed:22909237
|texte= Integrated concept of treatment for reduction of morbidity after resection of panniculus morbidus associated with lymphoedema.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/PubMed/Checkpoint/RBID.i -Sk "pubmed:22909237" \
| HfdSelect -Kh $EXPLOR_AREA/Data/PubMed/Checkpoint/biblio.hfd \
| NlmPubMed2Wicri -a LymphedemaV1
| This area was generated with Dilib version V0.6.31. |  |