Diagnosis and treatment of primary lymphedema. Consensus document of the International Union of Phlebology (IUP)-2013.
Identifieur interne : 001847 ( PubMed/Corpus ); précédent : 001846; suivant : 001848Diagnosis and treatment of primary lymphedema. Consensus document of the International Union of Phlebology (IUP)-2013.
Auteurs : B B Lee ; M. Andrade ; P L Antignani ; F. Boccardo ; N. Bunke ; C. Campisi ; R. Damstra ; M. Flour ; I. Forner-Cordero ; P. Gloviczki ; J. Laredo ; H. Partsch ; N. Piller ; S. Michelini ; P. Mortimer ; E. Rabe ; S. Rockson ; A. Scuderi ; G. Szolnoky ; J L VillavicencioSource :
- International angiology : a journal of the International Union of Angiology [ 1827-1839 ] ; 2013.
English descriptors
- KwdEn :
- Chronic Disease, Combined Modality Therapy, Consensus, Drainage (methods), Drainage (standards), Evidence-Based Medicine (standards), Humans, Lymphedema (diagnosis), Lymphedema (physiopathology), Lymphedema (therapy), Practice Patterns, Physicians' (standards), Predictive Value of Tests, Risk Factors, Treatment Outcome.
- MESH :
- diagnosis : Lymphedema.
- methods : Drainage.
- physiopathology : Lymphedema.
- standards : Drainage, Evidence-Based Medicine, Practice Patterns, Physicians'.
- therapy : Lymphedema.
- Chronic Disease, Combined Modality Therapy, Consensus, Humans, Predictive Value of Tests, Risk Factors, Treatment Outcome.
Abstract
Primary lymphedema can be managed effectively as a form of chronic lymphedema by a sequenced and targeted treatment and management program based around a combination of Decongestive Lymphatic Therapy (DLT) with compression therapy, when the latter is desired as an adjunct to DLT. Treatment in the maintenance phase should include compression garments, self-management, including self-massage, meticulous personal hygiene and skin care, in addition to lymphtransport-promoting excercises and activities, and, if desired, pneumatic compression therapy applied in the home. When conservative treatment fails, or gives sub-optimal outcomes, the management of primary lymphedema can be improved, where appropriate, with the proper addition of surgical interventions, either reconstructive or ablative. These two surgical therapies can be more effective when fully integrated with manual lymphatic drainage (MLD)-based DLT postoperatively. Compliance with a long-term commitment to MLD/DLT and particularly compression postoperatively is a critical factor in determining the success of any new treatment strategy involving either reconstructive or palliative surgery. The future of management of primary lymphedema has never been brighter with the new prospect of gene-and perhaps stem-cell oriented management.
PubMed: 24212289
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Consensus document of the International Union of Phlebology (IUP)-2013.</title><author><name sortKey="Lee, B B" sort="Lee, B B" uniqKey="Lee B" first="B B" last="Lee">B B Lee</name><affiliation><nlm:affiliation>Center for Vein, Lymphatics, and Vascular Malformation, Division of Vascular Surgery, Department of Surgery, Georgetown University School of medicine, Washingto DC, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Andrade, M" sort="Andrade, M" uniqKey="Andrade M" first="M" last="Andrade">M. Andrade</name></author><author><name sortKey="Antignani, P L" sort="Antignani, P L" uniqKey="Antignani P" first="P L" last="Antignani">P L Antignani</name></author><author><name sortKey="Boccardo, F" sort="Boccardo, F" uniqKey="Boccardo F" first="F" last="Boccardo">F. Boccardo</name></author><author><name sortKey="Bunke, N" sort="Bunke, N" uniqKey="Bunke N" first="N" last="Bunke">N. Bunke</name></author><author><name sortKey="Campisi, C" sort="Campisi, C" uniqKey="Campisi C" first="C" last="Campisi">C. Campisi</name></author><author><name sortKey="Damstra, R" sort="Damstra, R" uniqKey="Damstra R" first="R" last="Damstra">R. Damstra</name></author><author><name sortKey="Flour, M" sort="Flour, M" uniqKey="Flour M" first="M" last="Flour">M. Flour</name></author><author><name sortKey="Forner Cordero, I" sort="Forner Cordero, I" uniqKey="Forner Cordero I" first="I" last="Forner-Cordero">I. Forner-Cordero</name></author><author><name sortKey="Gloviczki, P" sort="Gloviczki, P" uniqKey="Gloviczki P" first="P" last="Gloviczki">P. Gloviczki</name></author><author><name sortKey="Laredo, J" sort="Laredo, J" uniqKey="Laredo J" first="J" last="Laredo">J. Laredo</name></author><author><name sortKey="Partsch, H" sort="Partsch, H" uniqKey="Partsch H" first="H" last="Partsch">H. Partsch</name></author><author><name sortKey="Piller, N" sort="Piller, N" uniqKey="Piller N" first="N" last="Piller">N. Piller</name></author><author><name sortKey="Michelini, S" sort="Michelini, S" uniqKey="Michelini S" first="S" last="Michelini">S. Michelini</name></author><author><name sortKey="Mortimer, P" sort="Mortimer, P" uniqKey="Mortimer P" first="P" last="Mortimer">P. Mortimer</name></author><author><name sortKey="Rabe, E" sort="Rabe, E" uniqKey="Rabe E" first="E" last="Rabe">E. Rabe</name></author><author><name sortKey="Rockson, S" sort="Rockson, S" uniqKey="Rockson S" first="S" last="Rockson">S. Rockson</name></author><author><name sortKey="Scuderi, A" sort="Scuderi, A" uniqKey="Scuderi A" first="A" last="Scuderi">A. Scuderi</name></author><author><name sortKey="Szolnoky, G" sort="Szolnoky, G" uniqKey="Szolnoky G" first="G" last="Szolnoky">G. Szolnoky</name></author><author><name sortKey="Villavicencio, J L" sort="Villavicencio, J L" uniqKey="Villavicencio J" first="J L" last="Villavicencio">J L Villavicencio</name></author></analytic><series><title level="j">International angiology : a journal of the International Union of Angiology</title><idno type="eISSN">1827-1839</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Chronic Disease</term><term>Combined Modality Therapy</term><term>Consensus</term><term>Drainage (methods)</term><term>Drainage (standards)</term><term>Evidence-Based Medicine (standards)</term><term>Humans</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (physiopathology)</term><term>Lymphedema (therapy)</term><term>Practice Patterns, Physicians' (standards)</term><term>Predictive Value of Tests</term><term>Risk Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Drainage</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Drainage</term><term>Evidence-Based Medicine</term><term>Practice Patterns, Physicians'</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Chronic Disease</term><term>Combined Modality Therapy</term><term>Consensus</term><term>Humans</term><term>Predictive Value of Tests</term><term>Risk Factors</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Primary lymphedema can be managed effectively as a form of chronic lymphedema by a sequenced and targeted treatment and management program based around a combination of Decongestive Lymphatic Therapy (DLT) with compression therapy, when the latter is desired as an adjunct to DLT. Treatment in the maintenance phase should include compression garments, self-management, including self-massage, meticulous personal hygiene and skin care, in addition to lymphtransport-promoting excercises and activities, and, if desired, pneumatic compression therapy applied in the home. When conservative treatment fails, or gives sub-optimal outcomes, the management of primary lymphedema can be improved, where appropriate, with the proper addition of surgical interventions, either reconstructive or ablative. These two surgical therapies can be more effective when fully integrated with manual lymphatic drainage (MLD)-based DLT postoperatively. Compliance with a long-term commitment to MLD/DLT and particularly compression postoperatively is a critical factor in determining the success of any new treatment strategy involving either reconstructive or palliative surgery. The future of management of primary lymphedema has never been brighter with the new prospect of gene-and perhaps stem-cell oriented management.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24212289</PMID><DateCreated><Year>2013</Year><Month>11</Month><Day>11</Day></DateCreated><DateCompleted><Year>2014</Year><Month>07</Month><Day>01</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1827-1839</ISSN><JournalIssue CitedMedium="Internet"><Volume>32</Volume><Issue>6</Issue><PubDate><Year>2013</Year><Month>Dec</Month></PubDate></JournalIssue><Title>International angiology : a journal of the International Union of Angiology</Title><ISOAbbreviation>Int Angiol</ISOAbbreviation></Journal><ArticleTitle>Diagnosis and treatment of primary lymphedema. Consensus document of the International Union of Phlebology (IUP)-2013.</ArticleTitle><Pagination><MedlinePgn>541-74</MedlinePgn></Pagination><Abstract><AbstractText>Primary lymphedema can be managed effectively as a form of chronic lymphedema by a sequenced and targeted treatment and management program based around a combination of Decongestive Lymphatic Therapy (DLT) with compression therapy, when the latter is desired as an adjunct to DLT. Treatment in the maintenance phase should include compression garments, self-management, including self-massage, meticulous personal hygiene and skin care, in addition to lymphtransport-promoting excercises and activities, and, if desired, pneumatic compression therapy applied in the home. When conservative treatment fails, or gives sub-optimal outcomes, the management of primary lymphedema can be improved, where appropriate, with the proper addition of surgical interventions, either reconstructive or ablative. These two surgical therapies can be more effective when fully integrated with manual lymphatic drainage (MLD)-based DLT postoperatively. Compliance with a long-term commitment to MLD/DLT and particularly compression postoperatively is a critical factor in determining the success of any new treatment strategy involving either reconstructive or palliative surgery. The future of management of primary lymphedema has never been brighter with the new prospect of gene-and perhaps stem-cell oriented management.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lee</LastName><ForeName>B B</ForeName><Initials>BB</Initials><AffiliationInfo><Affiliation>Center for Vein, Lymphatics, and Vascular Malformation, Division of Vascular Surgery, Department of Surgery, Georgetown University School of medicine, Washingto DC, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Andrade</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Antignani</LastName><ForeName>P L</ForeName><Initials>PL</Initials></Author><Author ValidYN="Y"><LastName>Boccardo</LastName><ForeName>F</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Bunke</LastName><ForeName>N</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Campisi</LastName><ForeName>C</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Damstra</LastName><ForeName>R</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Flour</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Forner-Cordero</LastName><ForeName>I</ForeName><Initials>I</Initials></Author><Author ValidYN="Y"><LastName>Gloviczki</LastName><ForeName>P</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Laredo</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Partsch</LastName><ForeName>H</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Piller</LastName><ForeName>N</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Michelini</LastName><ForeName>S</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Mortimer</LastName><ForeName>P</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Rabe</LastName><ForeName>E</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Rockson</LastName><ForeName>S</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Scuderi</LastName><ForeName>A</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Szolnoky</LastName><ForeName>G</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Villavicencio</LastName><ForeName>J L</ForeName><Initials>JL</Initials></Author><Author ValidYN="Y"><CollectiveName>International Union of Phlebology</CollectiveName></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D017065">Practice Guideline</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Italy</Country><MedlineTA>Int Angiol</MedlineTA><NlmUniqueID>8402693</NlmUniqueID><ISSNLinking>0392-9590</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D002908" MajorTopicYN="N">Chronic Disease</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003131" MajorTopicYN="N">Combined Modality Therapy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D032921" MajorTopicYN="N">Consensus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004322" MajorTopicYN="N">Drainage</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019317" MajorTopicYN="N">Evidence-Based Medicine</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010818" MajorTopicYN="N">Practice Patterns, Physicians'</DescriptorName><QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011237" MajorTopicYN="N">Predictive Value of Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>11</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>11</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>7</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24212289</ArticleId><ArticleId IdType="pii">R34Y2013N06A0541</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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