Microvascular breast reconstruction and lymph node transfer for postmastectomy lymphedema patients.
Identifieur interne : 002318 ( PubMed/Corpus ); précédent : 002317; suivant : 002319Microvascular breast reconstruction and lymph node transfer for postmastectomy lymphedema patients.
Auteurs : Anne M. Saaristo ; Tarja S. Niemi ; Tiina P. Viitanen ; Tomi V. Tervala ; Pauliina Hartiala ; Erkki A. SuominenSource :
- Annals of surgery [ 1528-1140 ] ; 2012.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Mastectomy.
- blood supply : Surgical Flaps.
- etiology : Lymphedema.
- methods : Mastectomy, Vascular Surgical Procedures.
- surgery : Lymphedema.
- transplantation : Lymph Nodes.
- Adult, Aged, Female, Humans, Microvessels, Middle Aged.
Abstract
Postoperative lymphedema after breast cancer surgery is a challenging problem. Recently, a novel microvascular lymph node transfer technique provided a fresh hope for patients with lymphedema. We aimed to combine this new method with the standard breast reconstruction.
DOI: 10.1097/SLA.0b013e3182426757
PubMed: 22233832
Links to Exploration step
pubmed:22233832Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Microvascular breast reconstruction and lymph node transfer for postmastectomy lymphedema patients.</title><author><name sortKey="Saaristo, Anne M" sort="Saaristo, Anne M" uniqKey="Saaristo A" first="Anne M" last="Saaristo">Anne M. Saaristo</name><affiliation><nlm:affiliation>Department of Plastic Surgery, Turku University Central Hospital, Turku, Finland. Anne.Saaristo@helsinki.fi</nlm:affiliation></affiliation></author><author><name sortKey="Niemi, Tarja S" sort="Niemi, Tarja S" uniqKey="Niemi T" first="Tarja S" last="Niemi">Tarja S. Niemi</name></author><author><name sortKey="Viitanen, Tiina P" sort="Viitanen, Tiina P" uniqKey="Viitanen T" first="Tiina P" last="Viitanen">Tiina P. Viitanen</name></author><author><name sortKey="Tervala, Tomi V" sort="Tervala, Tomi V" uniqKey="Tervala T" first="Tomi V" last="Tervala">Tomi V. Tervala</name></author><author><name sortKey="Hartiala, Pauliina" sort="Hartiala, Pauliina" uniqKey="Hartiala P" first="Pauliina" last="Hartiala">Pauliina Hartiala</name></author><author><name sortKey="Suominen, Erkki A" sort="Suominen, Erkki A" uniqKey="Suominen E" first="Erkki A" last="Suominen">Erkki A. Suominen</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="RBID">pubmed:22233832</idno><idno type="pmid">22233832</idno><idno type="doi">10.1097/SLA.0b013e3182426757</idno><idno type="wicri:Area/PubMed/Corpus">002318</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002318</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Microvascular breast reconstruction and lymph node transfer for postmastectomy lymphedema patients.</title><author><name sortKey="Saaristo, Anne M" sort="Saaristo, Anne M" uniqKey="Saaristo A" first="Anne M" last="Saaristo">Anne M. Saaristo</name><affiliation><nlm:affiliation>Department of Plastic Surgery, Turku University Central Hospital, Turku, Finland. Anne.Saaristo@helsinki.fi</nlm:affiliation></affiliation></author><author><name sortKey="Niemi, Tarja S" sort="Niemi, Tarja S" uniqKey="Niemi T" first="Tarja S" last="Niemi">Tarja S. Niemi</name></author><author><name sortKey="Viitanen, Tiina P" sort="Viitanen, Tiina P" uniqKey="Viitanen T" first="Tiina P" last="Viitanen">Tiina P. Viitanen</name></author><author><name sortKey="Tervala, Tomi V" sort="Tervala, Tomi V" uniqKey="Tervala T" first="Tomi V" last="Tervala">Tomi V. Tervala</name></author><author><name sortKey="Hartiala, Pauliina" sort="Hartiala, Pauliina" uniqKey="Hartiala P" first="Pauliina" last="Hartiala">Pauliina Hartiala</name></author><author><name sortKey="Suominen, Erkki A" sort="Suominen, Erkki A" uniqKey="Suominen E" first="Erkki A" last="Suominen">Erkki A. Suominen</name></author></analytic><series><title level="j">Annals of surgery</title><idno type="eISSN">1528-1140</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Lymph Nodes (transplantation)</term><term>Lymphedema (etiology)</term><term>Lymphedema (surgery)</term><term>Mastectomy (adverse effects)</term><term>Mastectomy (methods)</term><term>Microvessels</term><term>Middle Aged</term><term>Surgical Flaps (blood supply)</term><term>Vascular Surgical Procedures (methods)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Mastectomy</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Surgical Flaps</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Mastectomy</term><term>Vascular Surgical Procedures</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Lymph Nodes</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Microvessels</term><term>Middle Aged</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Postoperative lymphedema after breast cancer surgery is a challenging problem. Recently, a novel microvascular lymph node transfer technique provided a fresh hope for patients with lymphedema. We aimed to combine this new method with the standard breast reconstruction.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22233832</PMID><DateCreated><Year>2012</Year><Month>02</Month><Day>16</Day></DateCreated><DateCompleted><Year>2012</Year><Month>03</Month><Day>27</Day></DateCompleted><DateRevised><Year>2012</Year><Month>02</Month><Day>16</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1528-1140</ISSN><JournalIssue CitedMedium="Internet"><Volume>255</Volume><Issue>3</Issue><PubDate><Year>2012</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Annals of surgery</Title><ISOAbbreviation>Ann. Surg.</ISOAbbreviation></Journal><ArticleTitle>Microvascular breast reconstruction and lymph node transfer for postmastectomy lymphedema patients.</ArticleTitle><Pagination><MedlinePgn>468-73</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/SLA.0b013e3182426757</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Postoperative lymphedema after breast cancer surgery is a challenging problem. Recently, a novel microvascular lymph node transfer technique provided a fresh hope for patients with lymphedema. We aimed to combine this new method with the standard breast reconstruction.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">During 2008-2010, we performed free lower abdominal flap breast reconstruction in 87 patients. For all patients with lymphedema symptoms (n = 9), we used a modified lower abdominal reconstruction flap containing lymph nodes and lymphatic vessels surrounding the superficial circumflex vessel pedicle. Operation time, donor site morbidity, and postoperative recovery between the 2 groups (lymphedema breast reconstruction and breast reconstruction) were compared. The effect on the postoperative lymphatic vessel function was examined.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The average operation time was 426 minutes in the lymphedema breast reconstruction group and 391 minutes in the breast reconstruction group. The postoperative abdominal seroma formation was increased in patients with lymphedema. Postoperative lymphoscintigraphy demonstrated at least some improvement in lymphatic vessel function in 5 of 6 patients with lymphedema. The upper limb perimeter decreased in 7 of 9 patients. Physiotherapy and compression was no longer needed in 3 of 9 patients. Importantly, we found that human lymph nodes express high levels of endogenous lymphatic vessel growth factors. Transfer of the lymph nodes and the resulting endogenous growth factor expression may thereby induce the regrowth of lymphatic network in the axilla. No edema problems were detected in the lymph node donor area.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Simultaneous breast and lymphatic reconstruction is an ideal option for patients who suffer from lymphedema after mastectomy and axillary dissection.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Saaristo</LastName><ForeName>Anne M</ForeName><Initials>AM</Initials><AffiliationInfo><Affiliation>Department of Plastic Surgery, Turku University Central Hospital, Turku, Finland. Anne.Saaristo@helsinki.fi</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Niemi</LastName><ForeName>Tarja S</ForeName><Initials>TS</Initials></Author><Author ValidYN="Y"><LastName>Viitanen</LastName><ForeName>Tiina P</ForeName><Initials>TP</Initials></Author><Author ValidYN="Y"><LastName>Tervala</LastName><ForeName>Tomi V</ForeName><Initials>TV</Initials></Author><Author ValidYN="Y"><LastName>Hartiala</LastName><ForeName>Pauliina</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Suominen</LastName><ForeName>Erkki A</ForeName><Initials>EA</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Ann Surg</MedlineTA><NlmUniqueID>0372354</NlmUniqueID><ISSNLinking>0003-4932</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008198" MajorTopicYN="N">Lymph Nodes</DescriptorName><QualifierName UI="Q000637" MajorTopicYN="Y">transplantation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008408" MajorTopicYN="N">Mastectomy</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055806" MajorTopicYN="N">Microvessels</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013524" MajorTopicYN="N">Surgical Flaps</DescriptorName><QualifierName UI="Q000098" MajorTopicYN="Y">blood supply</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014656" MajorTopicYN="N">Vascular Surgical Procedures</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>1</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>1</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>3</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">22233832</ArticleId><ArticleId IdType="doi">10.1097/SLA.0b013e3182426757</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/PubMed/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002318 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/PubMed/Corpus/biblio.hfd -nk 002318 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= LymphedemaV1
|flux= PubMed
|étape= Corpus
|type= RBID
|clé= pubmed:22233832
|texte= Microvascular breast reconstruction and lymph node transfer for postmastectomy lymphedema patients.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/PubMed/Corpus/RBID.i -Sk "pubmed:22233832" \
| HfdSelect -Kh $EXPLOR_AREA/Data/PubMed/Corpus/biblio.hfd \
| NlmPubMed2Wicri -a LymphedemaV1
| This area was generated with Dilib version V0.6.31. |  |