The diagnostic and surgical challenges of massive localized lymphedema.
Identifieur interne : 001077 ( PubMed/Corpus ); précédent : 001076; suivant : 001078The diagnostic and surgical challenges of massive localized lymphedema.
Auteurs : Furrukh Jabbar ; Ziyad S. Hammoudeh ; Rebecca Bachusz ; Anna M. Ledgerwood ; Charles E. LucasSource :
- American journal of surgery [ 1879-1883 ] ; 2015.
English descriptors
- KwdEn :
- MESH :
- complications : Obesity, Morbid.
- diagnosis : Lymphedema.
- etiology : Lymphedema.
- methods : Surgical Procedures, Operative.
- surgery : Lymphedema.
- Abdomen, Adult, Female, Follow-Up Studies, Humans, Leg, Middle Aged, Severity of Illness Index.
Abstract
Massive localized lymphedema (MLL) is a rare entity first described in 1998 in patients with morbid obesity; the incidence is rising with the increased prevalence of morbid obesity. This report defines the clinical presentation and surgical challenges in 6 patients with MLL.
DOI: 10.1016/j.amjsurg.2014.12.010
PubMed: 25613785
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The diagnostic and surgical challenges of massive localized lymphedema.</title><author><name sortKey="Jabbar, Furrukh" sort="Jabbar, Furrukh" uniqKey="Jabbar F" first="Furrukh" last="Jabbar">Furrukh Jabbar</name><affiliation><nlm:affiliation>Department of Surgery, Wayne State University/Detroit Medical Center, 4201 St. Antoine Street, Detroit, MI 48201, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Hammoudeh, Ziyad S" sort="Hammoudeh, Ziyad S" uniqKey="Hammoudeh Z" first="Ziyad S" last="Hammoudeh">Ziyad S. Hammoudeh</name><affiliation><nlm:affiliation>Department of Surgery, Wayne State University/Detroit Medical Center, 4201 St. Antoine Street, Detroit, MI 48201, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Bachusz, Rebecca" sort="Bachusz, Rebecca" uniqKey="Bachusz R" first="Rebecca" last="Bachusz">Rebecca Bachusz</name><affiliation><nlm:affiliation>Department of Surgery, Wayne State University/Detroit Medical Center, 4201 St. Antoine Street, Detroit, MI 48201, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Ledgerwood, Anna M" sort="Ledgerwood, Anna M" uniqKey="Ledgerwood A" first="Anna M" last="Ledgerwood">Anna M. Ledgerwood</name><affiliation><nlm:affiliation>Department of Surgery, Wayne State University/Detroit Medical Center, 4201 St. Antoine Street, Detroit, MI 48201, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Lucas, Charles E" sort="Lucas, Charles E" uniqKey="Lucas C" first="Charles E" last="Lucas">Charles E. Lucas</name><affiliation><nlm:affiliation>Department of Surgery, Wayne State University/Detroit Medical Center, 4201 St. Antoine Street, Detroit, MI 48201, USA. Electronic address: clucas@med.wayne.edu.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:25613785</idno><idno type="pmid">25613785</idno><idno type="doi">10.1016/j.amjsurg.2014.12.010</idno><idno type="wicri:Area/PubMed/Corpus">001077</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001077</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The diagnostic and surgical challenges of massive localized lymphedema.</title><author><name sortKey="Jabbar, Furrukh" sort="Jabbar, Furrukh" uniqKey="Jabbar F" first="Furrukh" last="Jabbar">Furrukh Jabbar</name><affiliation><nlm:affiliation>Department of Surgery, Wayne State University/Detroit Medical Center, 4201 St. Antoine Street, Detroit, MI 48201, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Hammoudeh, Ziyad S" sort="Hammoudeh, Ziyad S" uniqKey="Hammoudeh Z" first="Ziyad S" last="Hammoudeh">Ziyad S. Hammoudeh</name><affiliation><nlm:affiliation>Department of Surgery, Wayne State University/Detroit Medical Center, 4201 St. Antoine Street, Detroit, MI 48201, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Bachusz, Rebecca" sort="Bachusz, Rebecca" uniqKey="Bachusz R" first="Rebecca" last="Bachusz">Rebecca Bachusz</name><affiliation><nlm:affiliation>Department of Surgery, Wayne State University/Detroit Medical Center, 4201 St. Antoine Street, Detroit, MI 48201, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Ledgerwood, Anna M" sort="Ledgerwood, Anna M" uniqKey="Ledgerwood A" first="Anna M" last="Ledgerwood">Anna M. Ledgerwood</name><affiliation><nlm:affiliation>Department of Surgery, Wayne State University/Detroit Medical Center, 4201 St. Antoine Street, Detroit, MI 48201, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Lucas, Charles E" sort="Lucas, Charles E" uniqKey="Lucas C" first="Charles E" last="Lucas">Charles E. Lucas</name><affiliation><nlm:affiliation>Department of Surgery, Wayne State University/Detroit Medical Center, 4201 St. Antoine Street, Detroit, MI 48201, USA. Electronic address: clucas@med.wayne.edu.</nlm:affiliation></affiliation></author></analytic><series><title level="j">American journal of surgery</title><idno type="eISSN">1879-1883</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abdomen</term><term>Adult</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Leg</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (etiology)</term><term>Lymphedema (surgery)</term><term>Middle Aged</term><term>Obesity, Morbid (complications)</term><term>Severity of Illness Index</term><term>Surgical Procedures, Operative (methods)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Obesity, Morbid</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Surgical Procedures, Operative</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Abdomen</term><term>Adult</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Leg</term><term>Middle Aged</term><term>Severity of Illness Index</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Massive localized lymphedema (MLL) is a rare entity first described in 1998 in patients with morbid obesity; the incidence is rising with the increased prevalence of morbid obesity. This report defines the clinical presentation and surgical challenges in 6 patients with MLL.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25613785</PMID><DateCreated><Year>2015</Year><Month>03</Month><Day>16</Day></DateCreated><DateCompleted><Year>2015</Year><Month>05</Month><Day>12</Day></DateCompleted><DateRevised><Year>2015</Year><Month>03</Month><Day>16</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1879-1883</ISSN><JournalIssue CitedMedium="Internet"><Volume>209</Volume><Issue>3</Issue><PubDate><Year>2015</Year><Month>Mar</Month></PubDate></JournalIssue><Title>American journal of surgery</Title><ISOAbbreviation>Am. J. Surg.</ISOAbbreviation></Journal><ArticleTitle>The diagnostic and surgical challenges of massive localized lymphedema.</ArticleTitle><Pagination><MedlinePgn>584-7</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.amjsurg.2014.12.010</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0002-9610(14)00654-0</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Massive localized lymphedema (MLL) is a rare entity first described in 1998 in patients with morbid obesity; the incidence is rising with the increased prevalence of morbid obesity. This report defines the clinical presentation and surgical challenges in 6 patients with MLL.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">The MLL in 6 patients with morbid obesity (weight range 270 to 585 lbs) involved the thigh in 3 patients, the calf in 1 patient, and the abdomen in 2 patients. The time from onset to presentation averaged 3 years (range 1 to 8 years). Two thigh lesions precluded ambulation because both legs could not be on the ground simultaneously; the 2 abdominal lesions were too heavy to permit ambulation.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The surgical excision required the use of pulleys to elevate the MLL tissues, which, on excision, weighed between 24 and 78 lbs. A long oval horizontal incision and a long transverse incision were used for the 2 abdominal lesions. Long horizontal oval limb incisions with multiple perpendicular cross incisions had to be used to excise MLL in the 4 limb lesions. In 2 cases, the vessel-sealing device was employed successfully for dissecting subcutaneous edematous tissue. Loose wound closure permitted postoperative lymph leakage, which continued for 3 to 8 weeks. The histology demonstrated fibrotic lymphatic tissue with vascular and lymphatic proliferation and edema; all patients did well.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">MLL is rare and is best treated by surgical excision facilitated by pulleys and imaginative incisions to obtain primary closure. Long-term follow-up is necessary to assess for subsequent liposarcoma or angiosarcoma.</AbstractText><CopyrightInformation>Copyright © 2015 Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Jabbar</LastName><ForeName>Furrukh</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Surgery, Wayne State University/Detroit Medical Center, 4201 St. Antoine Street, Detroit, MI 48201, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hammoudeh</LastName><ForeName>Ziyad S</ForeName><Initials>ZS</Initials><AffiliationInfo><Affiliation>Department of Surgery, Wayne State University/Detroit Medical Center, 4201 St. Antoine Street, Detroit, MI 48201, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bachusz</LastName><ForeName>Rebecca</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Surgery, Wayne State University/Detroit Medical Center, 4201 St. Antoine Street, Detroit, MI 48201, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ledgerwood</LastName><ForeName>Anna M</ForeName><Initials>AM</Initials><AffiliationInfo><Affiliation>Department of Surgery, Wayne State University/Detroit Medical Center, 4201 St. Antoine Street, Detroit, MI 48201, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lucas</LastName><ForeName>Charles E</ForeName><Initials>CE</Initials><AffiliationInfo><Affiliation>Department of Surgery, Wayne State University/Detroit Medical Center, 4201 St. Antoine Street, Detroit, MI 48201, USA. Electronic address: clucas@med.wayne.edu.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>01</Month><Day>03</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Am J Surg</MedlineTA><NlmUniqueID>0370473</NlmUniqueID><ISSNLinking>0002-9610</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000005" MajorTopicYN="N">Abdomen</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007866" MajorTopicYN="N">Leg</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009767" MajorTopicYN="N">Obesity, Morbid</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013514" MajorTopicYN="N">Surgical Procedures, Operative</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Massive localized lymphedema</Keyword><Keyword MajorTopicYN="N">Presentation</Keyword><Keyword MajorTopicYN="N">Surgical challenges</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>09</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2014</Year><Month>12</Month><Day>15</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>12</Month><Day>15</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>1</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>1</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>5</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25613785</ArticleId><ArticleId IdType="pii">S0002-9610(14)00654-0</ArticleId><ArticleId IdType="doi">10.1016/j.amjsurg.2014.12.010</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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