Breast reconstruction and lymphedema.
Identifieur interne : 002941 ( PubMed/Checkpoint ); précédent : 002940; suivant : 002942Breast reconstruction and lymphedema.
Auteurs : David W. Chang [États-Unis] ; Sugene KimSource :
- Plastic and reconstructive surgery [ 1529-4242 ] ; 2010.
Descripteurs français
- KwdFr :
- MESH :
- effets des radiations : Aisselle.
- effets indésirables : Mammoplastie.
- épidémiologie : Complications postopératoires, Lymphoedème.
- Adulte, Facteurs temps, Femelle, Humains, Lambeaux chirurgicaux, Mammoplastie, Tumeurs du sein, Études rétrospectives.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Mammaplasty.
- epidemiology : Lymphedema, Postoperative Complications.
- methods : Mammaplasty.
- radiation effects : Axilla.
- surgery : Breast Neoplasms.
- Adult, Female, Humans, Retrospective Studies, Surgical Flaps, Time Factors.
Abstract
The authors conducted this study to determine the following: Does delayed breast reconstruction that requires surgical dissection in the previously operated on and/or irradiated axilla lead to a higher incidence of lymphedema? In patients who have developed lymphedema following mastectomy, does delayed breast reconstruction with autologous flap reduce the severity of the lymphedema?
DOI: 10.1097/PRS.0b013e3181c49477
PubMed: 20048582
Affiliations:
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pubmed:20048582Le document en format XML
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Anderson Cancer Center, Houston, Texas 77030-4009</wicri:regionArea><wicri:noRegion>Texas 77030-4009</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Sugene" sort="Kim, Sugene" uniqKey="Kim S" first="Sugene" last="Kim">Sugene Kim</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2010">2010</date><idno type="RBID">pubmed:20048582</idno><idno type="pmid">20048582</idno><idno type="doi">10.1097/PRS.0b013e3181c49477</idno><idno type="wicri:Area/PubMed/Corpus">002C19</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002C19</idno><idno type="wicri:Area/PubMed/Curation">002C19</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">002C19</idno><idno type="wicri:Area/PubMed/Checkpoint">002C19</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">002C19</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Breast reconstruction and lymphedema.</title><author><name sortKey="Chang, David W" sort="Chang, David W" uniqKey="Chang D" first="David W" last="Chang">David W. Chang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic Surgery, University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030-4009, USA. dchang@mdanderson.org</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Plastic Surgery, University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030-4009</wicri:regionArea><wicri:noRegion>Texas 77030-4009</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Sugene" sort="Kim, Sugene" uniqKey="Kim S" first="Sugene" last="Kim">Sugene Kim</name></author></analytic><series><title level="j">Plastic and reconstructive surgery</title><idno type="eISSN">1529-4242</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Axilla (radiation effects)</term><term>Breast Neoplasms (surgery)</term><term>Female</term><term>Humans</term><term>Lymphedema (epidemiology)</term><term>Mammaplasty (adverse effects)</term><term>Mammaplasty (methods)</term><term>Postoperative Complications (epidemiology)</term><term>Retrospective Studies</term><term>Surgical Flaps</term><term>Time Factors</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Aisselle (effets des radiations)</term><term>Complications postopératoires (épidémiologie)</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Lambeaux chirurgicaux</term><term>Lymphoedème (épidémiologie)</term><term>Mammoplastie ()</term><term>Mammoplastie (effets indésirables)</term><term>Tumeurs du sein ()</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Mammaplasty</term></keywords><keywords scheme="MESH" qualifier="effets des radiations" xml:lang="fr"><term>Aisselle</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Mammoplastie</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Mammaplasty</term></keywords><keywords scheme="MESH" qualifier="radiation effects" xml:lang="en"><term>Axilla</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Complications postopératoires</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Retrospective Studies</term><term>Surgical Flaps</term><term>Time Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Lambeaux chirurgicaux</term><term>Mammoplastie</term><term>Tumeurs du sein</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The authors conducted this study to determine the following: Does delayed breast reconstruction that requires surgical dissection in the previously operated on and/or irradiated axilla lead to a higher incidence of lymphedema? In patients who have developed lymphedema following mastectomy, does delayed breast reconstruction with autologous flap reduce the severity of the lymphedema?</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20048582</PMID><DateCreated><Year>2010</Year><Month>01</Month><Day>05</Day></DateCreated><DateCompleted><Year>2010</Year><Month>02</Month><Day>16</Day></DateCompleted><DateRevised><Year>2015</Year><Month>06</Month><Day>24</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1529-4242</ISSN><JournalIssue CitedMedium="Internet"><Volume>125</Volume><Issue>1</Issue><PubDate><Year>2010</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Plastic and reconstructive surgery</Title><ISOAbbreviation>Plast. Reconstr. Surg.</ISOAbbreviation></Journal><ArticleTitle>Breast reconstruction and lymphedema.</ArticleTitle><Pagination><MedlinePgn>19-23</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/PRS.0b013e3181c49477</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The authors conducted this study to determine the following: Does delayed breast reconstruction that requires surgical dissection in the previously operated on and/or irradiated axilla lead to a higher incidence of lymphedema? In patients who have developed lymphedema following mastectomy, does delayed breast reconstruction with autologous flap reduce the severity of the lymphedema?</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Four hundred eighty-two consecutive delayed autologous breast reconstructions performed at the authors' institution were evaluated. The authors evaluated the effects of flap choice, recipient vessel choice, previous radiotherapy, and previous axillary node dissection on lymphedema development after breast reconstruction. The authors also evaluated the effect of autologous breast reconstruction on the status of the preexisting lymphedema.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Four hundred forty-four delayed breast reconstructions were performed using 394 free flaps and 50 latissimus dorsi flaps in patients with no lymphedema. Lymphedema developed in 16 cases (3.6 percent). The type of flap, the site of recipient vessel, previous radiotherapy, and previous axillary node dissection did not have a significant effect on the incidence of lymphedema after breast reconstruction. Breast reconstructions were performed in 38 patients who already had lymphedema: nine (23.7 percent) demonstrated significant improvement, and none demonstrated worsening of lymphedema after breast reconstruction.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The incidence of lymphedema following delayed autologous breast reconstruction is low, and the use of thoracodorsal vessels or a latissimus dorsi flap, even in patients with previous axillary node dissection or irradiation, was not associated with a significantly higher risk of developing lymphedema. In patients who developed lymphedema following mastectomy, delayed autologous breast reconstruction may help reduce the severity of lymphedema.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Chang</LastName><ForeName>David W</ForeName><Initials>DW</Initials><AffiliationInfo><Affiliation>Department of Plastic Surgery, University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030-4009, USA. dchang@mdanderson.org</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kim</LastName><ForeName>Sugene</ForeName><Initials>S</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Plast Reconstr Surg</MedlineTA><NlmUniqueID>1306050</NlmUniqueID><ISSNLinking>0032-1052</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Plast Reconstr Surg. 2010 Sep;126(3):1125-7; author reply 1127</RefSource><PMID Version="1">20811259</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001365" MajorTopicYN="N">Axilla</DescriptorName><QualifierName UI="Q000528" MajorTopicYN="N">radiation effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016462" MajorTopicYN="Y">Mammaplasty</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013524" MajorTopicYN="Y">Surgical Flaps</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2010</Year><Month>1</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2010</Year><Month>1</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2010</Year><Month>2</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">20048582</ArticleId><ArticleId IdType="doi">10.1097/PRS.0b013e3181c49477</ArticleId><ArticleId IdType="pii">00006534-201001000-00004</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country></list><tree><noCountry><name sortKey="Kim, Sugene" sort="Kim, Sugene" uniqKey="Kim S" first="Sugene" last="Kim">Sugene Kim</name></noCountry><country name="États-Unis"><noRegion><name sortKey="Chang, David W" sort="Chang, David W" uniqKey="Chang D" first="David W" last="Chang">David W. 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