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Technical simplification of the supermicrosurgical side-to-end lymphaticovenular anastomosis using the parachute technique.

Identifieur interne : 001532 ( PubMed/Corpus ); précédent : 001531; suivant : 001533

Technical simplification of the supermicrosurgical side-to-end lymphaticovenular anastomosis using the parachute technique.

Auteurs : Takumi Yamamoto ; Wei F. Chen ; Nana Yamamoto ; Hidehiko Yoshimatsu ; Kensuke Tashiro ; Isao Koshima

Source :

Microsurgery [ 1098-2752 ] ; 2015.

RBID : pubmed:24798082

English descriptors

KwdEn :
- Adult, Anastomosis, Surgical (methods), Feasibility Studies, Female, Humans, Lower Extremity (surgery), Lymphatic Vessels (surgery), Lymphedema (surgery), Male, Microsurgery (methods), Middle Aged, Retrospective Studies, Treatment Outcome, Veins (surgery).
MESH :
- methods : Anastomosis, Surgical, Microsurgery.
- surgery : Lower Extremity, Lymphatic Vessels, Lymphedema, Veins.
- Adult, Feasibility Studies, Female, Humans, Male, Middle Aged, Retrospective Studies, Treatment Outcome.

Abstract

Supermicrosurgical side-to-end (S-E) lymphaticovenular anastomosis (LVA) is the most favorable anastomotic configuration for the treatment of lymphedema because it creates antegrade and retrograde lymph flow while preserves the native lymph flow. However, it is technically demanding and its successful performance has been limited only to the experienced LVA surgeons. This study aimed to evaluate the applicability of parachute technique in S-E LVA and its potential in decreasing the technical complexity of the procedure.

DOI: 10.1002/micr.22272
PubMed: 24798082

Links to Exploration step

pubmed:24798082

Le document en format XML

<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Technical simplification of the supermicrosurgical side-to-end lymphaticovenular anastomosis using the parachute technique.</title>
<author><name sortKey="Yamamoto, Takumi" sort="Yamamoto, Takumi" uniqKey="Yamamoto T" first="Takumi" last="Yamamoto">Takumi Yamamoto</name>
<affiliation><nlm:affiliation>Department of Plastic and Reconstructive Surgery, The University of Tokyo, Tokyo, Japan.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Chen, Wei F" sort="Chen, Wei F" uniqKey="Chen W" first="Wei F" last="Chen">Wei F. Chen</name>
</author>
<author><name sortKey="Yamamoto, Nana" sort="Yamamoto, Nana" uniqKey="Yamamoto N" first="Nana" last="Yamamoto">Nana Yamamoto</name>
</author>
<author><name sortKey="Yoshimatsu, Hidehiko" sort="Yoshimatsu, Hidehiko" uniqKey="Yoshimatsu H" first="Hidehiko" last="Yoshimatsu">Hidehiko Yoshimatsu</name>
</author>
<author><name sortKey="Tashiro, Kensuke" sort="Tashiro, Kensuke" uniqKey="Tashiro K" first="Kensuke" last="Tashiro">Kensuke Tashiro</name>
</author>
<author><name sortKey="Koshima, Isao" sort="Koshima, Isao" uniqKey="Koshima I" first="Isao" last="Koshima">Isao Koshima</name>
</author>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Technical simplification of the supermicrosurgical side-to-end lymphaticovenular anastomosis using the parachute technique.</title>
<author><name sortKey="Yamamoto, Takumi" sort="Yamamoto, Takumi" uniqKey="Yamamoto T" first="Takumi" last="Yamamoto">Takumi Yamamoto</name>
<affiliation><nlm:affiliation>Department of Plastic and Reconstructive Surgery, The University of Tokyo, Tokyo, Japan.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Chen, Wei F" sort="Chen, Wei F" uniqKey="Chen W" first="Wei F" last="Chen">Wei F. Chen</name>
</author>
<author><name sortKey="Yamamoto, Nana" sort="Yamamoto, Nana" uniqKey="Yamamoto N" first="Nana" last="Yamamoto">Nana Yamamoto</name>
</author>
<author><name sortKey="Yoshimatsu, Hidehiko" sort="Yoshimatsu, Hidehiko" uniqKey="Yoshimatsu H" first="Hidehiko" last="Yoshimatsu">Hidehiko Yoshimatsu</name>
</author>
<author><name sortKey="Tashiro, Kensuke" sort="Tashiro, Kensuke" uniqKey="Tashiro K" first="Kensuke" last="Tashiro">Kensuke Tashiro</name>
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<author><name sortKey="Koshima, Isao" sort="Koshima, Isao" uniqKey="Koshima I" first="Isao" last="Koshima">Isao Koshima</name>
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<series><title level="j">Microsurgery</title>
<idno type="eISSN">1098-2752</idno>
<imprint><date when="2015" type="published">2015</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Anastomosis, Surgical (methods)</term>
<term>Feasibility Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Lower Extremity (surgery)</term>
<term>Lymphatic Vessels (surgery)</term>
<term>Lymphedema (surgery)</term>
<term>Male</term>
<term>Microsurgery (methods)</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Treatment Outcome</term>
<term>Veins (surgery)</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Anastomosis, Surgical</term>
<term>Microsurgery</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lower Extremity</term>
<term>Lymphatic Vessels</term>
<term>Lymphedema</term>
<term>Veins</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Feasibility Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Treatment Outcome</term>
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<front><div type="abstract" xml:lang="en">Supermicrosurgical side-to-end (S-E) lymphaticovenular anastomosis (LVA) is the most favorable anastomotic configuration for the treatment of lymphedema because it creates antegrade and retrograde lymph flow while preserves the native lymph flow. However, it is technically demanding and its successful performance has been limited only to the experienced LVA surgeons. This study aimed to evaluate the applicability of parachute technique in S-E LVA and its potential in decreasing the technical complexity of the procedure.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24798082</PMID>
<DateCreated><Year>2015</Year>
<Month>02</Month>
<Day>24</Day>
</DateCreated>
<DateCompleted><Year>2015</Year>
<Month>11</Month>
<Day>30</Day>
</DateCompleted>
<DateRevised><Year>2015</Year>
<Month>02</Month>
<Day>24</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1098-2752</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>35</Volume>
<Issue>2</Issue>
<PubDate><Year>2015</Year>
<Month>Feb</Month>
</PubDate>
</JournalIssue>
<Title>Microsurgery</Title>
<ISOAbbreviation>Microsurgery</ISOAbbreviation>
</Journal>
<ArticleTitle>Technical simplification of the supermicrosurgical side-to-end lymphaticovenular anastomosis using the parachute technique.</ArticleTitle>
<Pagination><MedlinePgn>129-34</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1002/micr.22272</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Supermicrosurgical side-to-end (S-E) lymphaticovenular anastomosis (LVA) is the most favorable anastomotic configuration for the treatment of lymphedema because it creates antegrade and retrograde lymph flow while preserves the native lymph flow. However, it is technically demanding and its successful performance has been limited only to the experienced LVA surgeons. This study aimed to evaluate the applicability of parachute technique in S-E LVA and its potential in decreasing the technical complexity of the procedure.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Between April 2010 and July 2011, S-E LVAs were performed in 14 patients with bilateral lower limb lymphedema with either the conventional technique or the parachute technique. To exclude interoperator variability of LVAs, only limbs in which S-E LVAs performed by one surgeon were included. Feasibility, anastomotic patency, operative times, and treatment efficacy of both techniques were retrospectively compared.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Thirty-seven S-E LVAs were performed by the surgeon; 17 LVAs with parachute technique in seven limbs and 20 LVAs with the conventional technique in seven limbs. Both groups demonstrated 100% anastomotic patency. Time required to perform the S-E anastomosis using the parachute technique was significantly shorter than when the conventional technique was used (8.6 ± 3.7 vs. 11.3 ± 3.1 minutes, P = 0.025). Both groups showed similar postoperative reduction in lymphedema indices (19.9 ± 8.2 vs. 18.9 ± 10.0, P = 0.841).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The parachute technique simplifies the supermicrosurgical S-E LVA while maintaining efficacy comparable to the conventional technique.</AbstractText>
<CopyrightInformation>© 2014 Wiley Periodicals, Inc.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Yamamoto</LastName>
<ForeName>Takumi</ForeName>
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<AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, The University of Tokyo, Tokyo, Japan.</Affiliation>
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<ForeName>Wei F</ForeName>
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<Author ValidYN="Y"><LastName>Yamamoto</LastName>
<ForeName>Nana</ForeName>
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<Author ValidYN="Y"><LastName>Yoshimatsu</LastName>
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<Author ValidYN="Y"><LastName>Tashiro</LastName>
<ForeName>Kensuke</ForeName>
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<Author ValidYN="Y"><LastName>Koshima</LastName>
<ForeName>Isao</ForeName>
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<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType>
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<MedlineJournalInfo><Country>United States</Country>
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<NlmUniqueID>8309230</NlmUniqueID>
<ISSNLinking>0738-1085</ISSNLinking>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D042601" MajorTopicYN="N">Lymphatic Vessels</DescriptorName>
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<MeshHeading><DescriptorName UI="D014680" MajorTopicYN="N">Veins</DescriptorName>
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</MeshHeadingList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year>
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<PubMedPubDate PubStatus="revised"><Year>2014</Year>
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Technical simplification of the supermicrosurgical side-to-end lymphaticovenular anastomosis using the parachute technique.

Technical simplification of the supermicrosurgical side-to-end lymphaticovenular anastomosis using the parachute technique.

Source :

English descriptors

Abstract

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki