Circumferential suction-assisted lipectomy for lymphoedema after surgery for breast cancer.
Identifieur interne : 002D12 ( PubMed/Checkpoint ); précédent : 002D11; suivant : 002D13Circumferential suction-assisted lipectomy for lymphoedema after surgery for breast cancer.
Auteurs : R J Damstra [Pays-Bas] ; H G J M. Voesten ; P. Klinkert ; H. BrorsonSource :
- The British journal of surgery [ 1365-2168 ] ; 2009.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Bras, Complications postopératoires (), Complications postopératoires (étiologie), Dispositifs à compression pneumatique intermittente, Durée du séjour, Femelle, Humains, Lipectomie (), Lymphoedème (), Lymphoedème (anatomopathologie), Lymphoedème (étiologie), Soins postopératoires, Sujet âgé, Tissu adipeux (anatomopathologie), Tumeurs du sein (), Tumeurs du sein (anatomopathologie), Études prospectives.
- MESH :
- anatomopathologie : Lymphoedème, Tissu adipeux, Tumeurs du sein.
- étiologie : Complications postopératoires, Lymphoedème.
- Adulte, Adulte d'âge moyen, Bras, Complications postopératoires, Dispositifs à compression pneumatique intermittente, Durée du séjour, Femelle, Humains, Lipectomie, Lymphoedème, Soins postopératoires, Sujet âgé, Tumeurs du sein, Études prospectives.
English descriptors
- KwdEn :
- Adipose Tissue (pathology), Adult, Aged, Arm, Breast Neoplasms (pathology), Breast Neoplasms (surgery), Female, Humans, Intermittent Pneumatic Compression Devices, Length of Stay, Lipectomy (methods), Lymphedema (etiology), Lymphedema (pathology), Lymphedema (surgery), Middle Aged, Postoperative Care, Postoperative Complications (etiology), Postoperative Complications (surgery), Prospective Studies.
- MESH :
- etiology : Lymphedema, Postoperative Complications.
- methods : Lipectomy.
- pathology : Adipose Tissue, Breast Neoplasms, Lymphedema.
- surgery : Breast Neoplasms, Lymphedema, Postoperative Complications.
- Adult, Aged, Arm, Female, Humans, Intermittent Pneumatic Compression Devices, Length of Stay, Middle Aged, Postoperative Care, Prospective Studies.
Abstract
The incidence of arm lymphoedema after treatment for breast cancer ranges from 1 to 49 per cent. Although most women can be treated by non-operative means with satisfying results, end-stage lymphoedema is often non-responsive to compression, where hypertrophy of adipose tissue limits the outcome value of compression or massage.
DOI: 10.1002/bjs.6658
PubMed: 19591161
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Circumferential suction-assisted lipectomy for lymphoedema after surgery for breast cancer.</title><author><name sortKey="Damstra, R J" sort="Damstra, R J" uniqKey="Damstra R" first="R J" last="Damstra">R J Damstra</name><affiliation wicri:level="1"><nlm:affiliation>Department of Dermatology, Phlebology and Lymphology, Nij Smellinghe Hospital, The Netherlands. r.damstra@nijsmellinghe.nl</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Dermatology, Phlebology and Lymphology, Nij Smellinghe Hospital</wicri:regionArea><wicri:noRegion>Nij Smellinghe Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Voesten, H G J M" sort="Voesten, H G J M" uniqKey="Voesten H" first="H G J M" last="Voesten">H G J M. Voesten</name></author><author><name sortKey="Klinkert, P" sort="Klinkert, P" uniqKey="Klinkert P" first="P" last="Klinkert">P. Klinkert</name></author><author><name sortKey="Brorson, H" sort="Brorson, H" uniqKey="Brorson H" first="H" last="Brorson">H. Brorson</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2009">2009</date><idno type="RBID">pubmed:19591161</idno><idno type="pmid">19591161</idno><idno type="doi">10.1002/bjs.6658</idno><idno type="wicri:Area/PubMed/Corpus">002E06</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002E06</idno><idno type="wicri:Area/PubMed/Curation">002E06</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">002E06</idno><idno type="wicri:Area/PubMed/Checkpoint">002E06</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">002E06</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Circumferential suction-assisted lipectomy for lymphoedema after surgery for breast cancer.</title><author><name sortKey="Damstra, R J" sort="Damstra, R J" uniqKey="Damstra R" first="R J" last="Damstra">R J Damstra</name><affiliation wicri:level="1"><nlm:affiliation>Department of Dermatology, Phlebology and Lymphology, Nij Smellinghe Hospital, The Netherlands. r.damstra@nijsmellinghe.nl</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Dermatology, Phlebology and Lymphology, Nij Smellinghe Hospital</wicri:regionArea><wicri:noRegion>Nij Smellinghe Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Voesten, H G J M" sort="Voesten, H G J M" uniqKey="Voesten H" first="H G J M" last="Voesten">H G J M. Voesten</name></author><author><name sortKey="Klinkert, P" sort="Klinkert, P" uniqKey="Klinkert P" first="P" last="Klinkert">P. Klinkert</name></author><author><name sortKey="Brorson, H" sort="Brorson, H" uniqKey="Brorson H" first="H" last="Brorson">H. Brorson</name></author></analytic><series><title level="j">The British journal of surgery</title><idno type="eISSN">1365-2168</idno><imprint><date when="2009" type="published">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adipose Tissue (pathology)</term><term>Adult</term><term>Aged</term><term>Arm</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (surgery)</term><term>Female</term><term>Humans</term><term>Intermittent Pneumatic Compression Devices</term><term>Length of Stay</term><term>Lipectomy (methods)</term><term>Lymphedema (etiology)</term><term>Lymphedema (pathology)</term><term>Lymphedema (surgery)</term><term>Middle Aged</term><term>Postoperative Care</term><term>Postoperative Complications (etiology)</term><term>Postoperative Complications (surgery)</term><term>Prospective Studies</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bras</term><term>Complications postopératoires ()</term><term>Complications postopératoires (étiologie)</term><term>Dispositifs à compression pneumatique intermittente</term><term>Durée du séjour</term><term>Femelle</term><term>Humains</term><term>Lipectomie ()</term><term>Lymphoedème ()</term><term>Lymphoedème (anatomopathologie)</term><term>Lymphoedème (étiologie)</term><term>Soins postopératoires</term><term>Sujet âgé</term><term>Tissu adipeux (anatomopathologie)</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (anatomopathologie)</term><term>Études prospectives</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Lymphoedème</term><term>Tissu adipeux</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lipectomy</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Adipose Tissue</term><term>Breast Neoplasms</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Complications postopératoires</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Arm</term><term>Female</term><term>Humans</term><term>Intermittent Pneumatic Compression Devices</term><term>Length of Stay</term><term>Middle Aged</term><term>Postoperative Care</term><term>Prospective Studies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bras</term><term>Complications postopératoires</term><term>Dispositifs à compression pneumatique intermittente</term><term>Durée du séjour</term><term>Femelle</term><term>Humains</term><term>Lipectomie</term><term>Lymphoedème</term><term>Soins postopératoires</term><term>Sujet âgé</term><term>Tumeurs du sein</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The incidence of arm lymphoedema after treatment for breast cancer ranges from 1 to 49 per cent. Although most women can be treated by non-operative means with satisfying results, end-stage lymphoedema is often non-responsive to compression, where hypertrophy of adipose tissue limits the outcome value of compression or massage.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">19591161</PMID><DateCreated><Year>2009</Year><Month>07</Month><Day>15</Day></DateCreated><DateCompleted><Year>2009</Year><Month>08</Month><Day>27</Day></DateCompleted><DateRevised><Year>2009</Year><Month>07</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1365-2168</ISSN><JournalIssue CitedMedium="Internet"><Volume>96</Volume><Issue>8</Issue><PubDate><Year>2009</Year><Month>Aug</Month></PubDate></JournalIssue><Title>The British journal of surgery</Title><ISOAbbreviation>Br J Surg</ISOAbbreviation></Journal><ArticleTitle>Circumferential suction-assisted lipectomy for lymphoedema after surgery for breast cancer.</ArticleTitle><Pagination><MedlinePgn>859-64</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/bjs.6658</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The incidence of arm lymphoedema after treatment for breast cancer ranges from 1 to 49 per cent. Although most women can be treated by non-operative means with satisfying results, end-stage lymphoedema is often non-responsive to compression, where hypertrophy of adipose tissue limits the outcome value of compression or massage.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">This was a prospective study of 37 women with unilateral non-pitting lymphoedema. After initial conservative treatment for 2-4 days, circumferential suction-assisted lipectomy was used to remove excess volume. Limb compression was resumed after surgery with short-stretch bandages, followed by flat-knit compression garments.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The mean preoperative excess arm volume was 1399 ml. The total aspirate volume was 2124 ml with 93 per cent aspirate adipose tissue content. After 12 months, the mean reduction in excess volume was 118 per cent. The percentage reduction in excess volume after 12 months was linearly related to the preoperative excess volume but showed no linear relationship with the duration of lymphoedema or surgeon experience.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Circumferential lipectomy combined with lifelong compression hose is an effective technique in end-stage lymphoedema after treatment for breast cancer.</AbstractText><CopyrightInformation>Copyright 2009 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Damstra</LastName><ForeName>R J</ForeName><Initials>RJ</Initials><AffiliationInfo><Affiliation>Department of Dermatology, Phlebology and Lymphology, Nij Smellinghe Hospital, The Netherlands. r.damstra@nijsmellinghe.nl</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Voesten</LastName><ForeName>H G J M</ForeName><Initials>HG</Initials></Author><Author ValidYN="Y"><LastName>Klinkert</LastName><ForeName>P</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Brorson</LastName><ForeName>H</ForeName><Initials>H</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Br J Surg</MedlineTA><NlmUniqueID>0372553</NlmUniqueID><ISSNLinking>0007-1323</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000273" MajorTopicYN="N">Adipose Tissue</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001132" MajorTopicYN="N">Arm</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D048228" MajorTopicYN="N">Intermittent Pneumatic Compression Devices</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007902" MajorTopicYN="N">Length of Stay</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015187" MajorTopicYN="N">Lipectomy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011182" MajorTopicYN="N">Postoperative Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2009</Year><Month>7</Month><Day>11</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2009</Year><Month>7</Month><Day>11</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2009</Year><Month>8</Month><Day>28</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">19591161</ArticleId><ArticleId IdType="doi">10.1002/bjs.6658</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Pays-Bas</li></country></list><tree><noCountry><name sortKey="Brorson, H" sort="Brorson, H" uniqKey="Brorson H" first="H" last="Brorson">H. Brorson</name><name sortKey="Klinkert, P" sort="Klinkert, P" uniqKey="Klinkert P" first="P" last="Klinkert">P. Klinkert</name><name sortKey="Voesten, H G J M" sort="Voesten, H G J M" uniqKey="Voesten H" first="H G J M" last="Voesten">H G J M. Voesten</name></noCountry><country name="Pays-Bas"><noRegion><name sortKey="Damstra, R J" sort="Damstra, R J" uniqKey="Damstra R" first="R J" last="Damstra">R J Damstra</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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