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A review of the surgical treatment of vulval lymphangioma and lymphangiectasia: four case reviews.

Identifieur interne : 003693 ( PubMed/Checkpoint ); précédent : 003692; suivant : 003694

A review of the surgical treatment of vulval lymphangioma and lymphangiectasia: four case reviews.

Auteurs : Dalbir Singh Makh [Royaume-Uni] ; Peter Mortimer (dermatologue)‎ [Royaume-Uni] ; B. Powell

Source :

RBID : pubmed:17113538

Descripteurs français

English descriptors

Abstract

To evaluate whether surgical management of vulval lymphoedema and/or lymphangiectasia conveys any longstanding patient benefit.

DOI: 10.1016/j.bjps.2005.12.018
PubMed: 17113538


Affiliations:


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pubmed:17113538

Le document en format XML

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<title xml:lang="en">A review of the surgical treatment of vulval lymphangioma and lymphangiectasia: four case reviews.</title>
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<name sortKey="Makh, Dalbir Singh" sort="Makh, Dalbir Singh" uniqKey="Makh D" first="Dalbir Singh" last="Makh">Dalbir Singh Makh</name>
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<nlm:affiliation>Department of Plastic Surgery, Plastic Surgery Unit, St George's Hospital, London, SW17 ORE, UK. dalbir_makh@hotmail.com</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Plastic Surgery, Plastic Surgery Unit, St George's Hospital, London, SW17 ORE</wicri:regionArea>
<wicri:noRegion>SW17 ORE</wicri:noRegion>
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<name sortKey="Mortimer, P" sort="Mortimer, P" uniqKey="Mortimer P" first="P" last="Mortimer">Peter Mortimer (dermatologue)‎</name>
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<name sortKey="Powell, B" sort="Powell, B" uniqKey="Powell B" first="B" last="Powell">B. Powell</name>
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<title xml:lang="en">A review of the surgical treatment of vulval lymphangioma and lymphangiectasia: four case reviews.</title>
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<title level="j">Journal of plastic, reconstructive & aesthetic surgery : JPRAS</title>
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<term>Adolescent</term>
<term>Adult</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphangiectasis (surgery)</term>
<term>Lymphangioma (pathology)</term>
<term>Lymphangioma (surgery)</term>
<term>Retrospective Studies</term>
<term>Vulvar Diseases (surgery)</term>
<term>Vulvar Neoplasms (pathology)</term>
<term>Vulvar Neoplasms (surgery)</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Adolescent</term>
<term>Adulte</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphangiectasie ()</term>
<term>Lymphangiome ()</term>
<term>Lymphangiome (anatomopathologie)</term>
<term>Maladies de la vulve ()</term>
<term>Tumeurs de la vulve ()</term>
<term>Tumeurs de la vulve (anatomopathologie)</term>
<term>Études rétrospectives</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Lymphangiome</term>
<term>Tumeurs de la vulve</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Lymphangioma</term>
<term>Vulvar Neoplasms</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Lymphangiectasis</term>
<term>Lymphangioma</term>
<term>Vulvar Diseases</term>
<term>Vulvar Neoplasms</term>
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<term>Lymphangiectasie</term>
<term>Lymphangiome</term>
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<div type="abstract" xml:lang="en">To evaluate whether surgical management of vulval lymphoedema and/or lymphangiectasia conveys any longstanding patient benefit.</div>
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<Year>2006</Year>
<Month>11</Month>
<Day>20</Day>
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<Title>Journal of plastic, reconstructive & aesthetic surgery : JPRAS</Title>
<ISOAbbreviation>J Plast Reconstr Aesthet Surg</ISOAbbreviation>
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<ArticleTitle>A review of the surgical treatment of vulval lymphangioma and lymphangiectasia: four case reviews.</ArticleTitle>
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<MedlinePgn>1442-5</MedlinePgn>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To evaluate whether surgical management of vulval lymphoedema and/or lymphangiectasia conveys any longstanding patient benefit.</AbstractText>
<AbstractText Label="PATIENT AND METHODS" NlmCategory="METHODS">A qualitative analysis of signs and symptoms that occurred before and after surgical treatment for vulval lymphoedema and/or lymphangiectasia was performed. This was done by analysis of patient notes and telephone conducted interview.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">From a hospital database search, four patients were found to have had surgical treatment--three for lymphangioma and one for lymphangiectasia. Overall there was a clear improvement in the signs and symptoms associated with these conditions. In particular, all patients reported an improvement (i.e. a reduction or elimination) in the amount of oedema following surgery.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Carbon dioxide laser therapy and superficial radiotherapy have been previously described for the management of vulval lymphangioma and lymphangiectasia with limited success, whereas our data suggests surgery offers a more permanent solution. In particular, labial reduction seems to be more successful than methods such as lymphovenous anastomoses and lymphangioplasties. A single operation may provide benefit for up to ten years. This approach has the potential to allow patients to be rehabilitated to normal life and activity.</AbstractText>
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