Debulking surgery for elephantiasis nostras with large ectatic podoplanin-negative lymphatic vessels in patients with lipo-lymphedema.
Identifieur interne : 001548 ( PubMed/Corpus ); précédent : 001547; suivant : 001549Debulking surgery for elephantiasis nostras with large ectatic podoplanin-negative lymphatic vessels in patients with lipo-lymphedema.
Auteurs : Uwe Wollina ; Birgit Heinig ; Jaqueline Schönlebe ; Andreas NowakSource :
- Eplasty [ 1937-5719 ] ; 2014.
Abstract
Elephantiasis nostras is a rare complication in advanced lipo-lymphedema. While lipedema can be treated by liposuction and lymphedema by decongestive lymphatic therapy, elephantiasis nostras may need debulking surgery.
PubMed: 24741382
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Debulking surgery for elephantiasis nostras with large ectatic podoplanin-negative lymphatic vessels in patients with lipo-lymphedema.</title><author><name sortKey="Wollina, Uwe" sort="Wollina, Uwe" uniqKey="Wollina U" first="Uwe" last="Wollina">Uwe Wollina</name><affiliation><nlm:affiliation>Department of Dermatology and Allergology, Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Heinig, Birgit" sort="Heinig, Birgit" uniqKey="Heinig B" first="Birgit" last="Heinig">Birgit Heinig</name><affiliation><nlm:affiliation>Department of Physical Therapy and Rehabilitative Medicine, Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Schonlebe, Jaqueline" sort="Schonlebe, Jaqueline" uniqKey="Schonlebe J" first="Jaqueline" last="Schönlebe">Jaqueline Schönlebe</name><affiliation><nlm:affiliation>Institute of Pathology "Georg Schmorl", Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Nowak, Andreas" sort="Nowak, Andreas" uniqKey="Nowak A" first="Andreas" last="Nowak">Andreas Nowak</name><affiliation><nlm:affiliation>Department of Anesthesiology and Intensive Medical Care, Emergency Medicine and Pain Management, Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:24741382</idno><idno type="pmid">24741382</idno><idno type="wicri:Area/PubMed/Corpus">001548</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001548</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Debulking surgery for elephantiasis nostras with large ectatic podoplanin-negative lymphatic vessels in patients with lipo-lymphedema.</title><author><name sortKey="Wollina, Uwe" sort="Wollina, Uwe" uniqKey="Wollina U" first="Uwe" last="Wollina">Uwe Wollina</name><affiliation><nlm:affiliation>Department of Dermatology and Allergology, Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Heinig, Birgit" sort="Heinig, Birgit" uniqKey="Heinig B" first="Birgit" last="Heinig">Birgit Heinig</name><affiliation><nlm:affiliation>Department of Physical Therapy and Rehabilitative Medicine, Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Schonlebe, Jaqueline" sort="Schonlebe, Jaqueline" uniqKey="Schonlebe J" first="Jaqueline" last="Schönlebe">Jaqueline Schönlebe</name><affiliation><nlm:affiliation>Institute of Pathology "Georg Schmorl", Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany.</nlm:affiliation></affiliation></author><author><name sortKey="Nowak, Andreas" sort="Nowak, Andreas" uniqKey="Nowak A" first="Andreas" last="Nowak">Andreas Nowak</name><affiliation><nlm:affiliation>Department of Anesthesiology and Intensive Medical Care, Emergency Medicine and Pain Management, Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Eplasty</title><idno type="ISSN">1937-5719</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Elephantiasis nostras is a rare complication in advanced lipo-lymphedema. While lipedema can be treated by liposuction and lymphedema by decongestive lymphatic therapy, elephantiasis nostras may need debulking surgery.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">24741382</PMID><DateCreated><Year>2014</Year><Month>04</Month><Day>17</Day></DateCreated><DateCompleted><Year>2014</Year><Month>04</Month><Day>17</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">1937-5719</ISSN><JournalIssue CitedMedium="Print"><Volume>14</Volume><PubDate><Year>2014</Year></PubDate></JournalIssue><Title>Eplasty</Title><ISOAbbreviation>Eplasty</ISOAbbreviation></Journal><ArticleTitle>Debulking surgery for elephantiasis nostras with large ectatic podoplanin-negative lymphatic vessels in patients with lipo-lymphedema.</ArticleTitle><Pagination><MedlinePgn>e11</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Elephantiasis nostras is a rare complication in advanced lipo-lymphedema. While lipedema can be treated by liposuction and lymphedema by decongestive lymphatic therapy, elephantiasis nostras may need debulking surgery.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We present 2 cases of advanced lipo-lymphedema complicated by elephantiasis nostras. After tumescent microcannular laser-assisted liposuction both patients underwent a debulking surgery with a modification of Auchincloss-Kim's technique. Histologic examination of the tissue specimen was performed.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The surgical treatment was well tolerated and primary healing was uneventful. After primary wound healing and ambulation of the patients, a delayed ulceration with lymphorrhea developed. It was treated by surgical necrectomy and vacuum-assisted closure leading to complete healing. Mobility of the leg was much improved. Histologic examination revealed massive ectatic lymphatic vessels nonreactive for podoplanin.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Debulking surgery can be an adjuvant technique for elephantiasis nostras in advanced lipo-lymphedema. Although delayed postoperative wound healing problems were observed, necrectomy and vacuum-assisted closure achieved a complete healing. Histologic data suggest that the ectatic lymphatic vessels in these patients resemble finding in podoplanin knockout mice. The findings would explain the limitations of decongestive lymphatic therapy and tumescent liposuction in such patients and their predisposition to relapsing erysipelas.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Wollina</LastName><ForeName>Uwe</ForeName><Initials>U</Initials><AffiliationInfo><Affiliation>Department of Dermatology and Allergology, Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Heinig</LastName><ForeName>Birgit</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Physical Therapy and Rehabilitative Medicine, Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schönlebe</LastName><ForeName>Jaqueline</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Institute of Pathology "Georg Schmorl", Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nowak</LastName><ForeName>Andreas</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Intensive Medical Care, Emergency Medicine and Pain Management, Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>02</Month><Day>28</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Eplasty</MedlineTA><NlmUniqueID>101316107</NlmUniqueID><ISSNLinking>1937-5719</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Lymphology. 1998 Dec;31(4):190-4</RefSource><PMID Version="1">9949391</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Int Angiol. 2012 Aug;31(4):316-29</RefSource><PMID Version="1">22801397</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lymphology. 2013 Mar;46(1):1-11</RefSource><PMID Version="1">23930436</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Cutan Pathol. 2009 Dec;36(12):1293-8</RefSource><PMID Version="1">19281484</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Indian J Anaesth. 2011 Mar;55(2):111-5</RefSource><PMID Version="1">21712864</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Ann Plast Surg. 2012 Mar;68(3):303-7</RefSource><PMID Version="1">21629090</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Cutan Med Surg. 2006 Jan-Feb;10(1):7-10</RefSource><PMID Version="1">17241565</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lymphology. 2011 Dec;44(4):178-82</RefSource><PMID Version="1">22458119</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Int Angiol. 2008 Oct;27(5):389-95</RefSource><PMID Version="1">18974701</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Hautarzt. 2012 Aug;63(8):627-33</RefSource><PMID Version="1">22821152</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Eplasty. 2013;13:ic24</RefSource><PMID Version="1">23409215</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Plast Reconstr Surg. 1998 Sep;102(4):1058-67; 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