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The surgical treatment of lymphedema: a systematic review of the contemporary literature (2004-2010).

Identifieur interne : 002479 ( PubMed/Corpus ); précédent : 002478; suivant : 002480

The surgical treatment of lymphedema: a systematic review of the contemporary literature (2004-2010).

Auteurs : Janice N. Cormier ; Loren Rourke ; Melissa Crosby ; David Chang ; Jane Armer

Source :

RBID : pubmed:21863361

English descriptors

Abstract

A systematic review of the literature was performed to examine contemporary peer-reviewed literature (2004-2010) evaluating the surgical treatment of lymphedema.

DOI: 10.1245/s10434-011-2017-4
PubMed: 21863361

Links to Exploration step

pubmed:21863361

Le document en format XML

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<name sortKey="Cormier, Janice N" sort="Cormier, Janice N" uniqKey="Cormier J" first="Janice N" last="Cormier">Janice N. Cormier</name>
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<nlm:affiliation>Department of Surgical Oncology, University of Texas MD Anderson Cancer Center, Houston, TX, USA. jcormier@mdanderson.org</nlm:affiliation>
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<name sortKey="Rourke, Loren" sort="Rourke, Loren" uniqKey="Rourke L" first="Loren" last="Rourke">Loren Rourke</name>
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<name sortKey="Crosby, Melissa" sort="Crosby, Melissa" uniqKey="Crosby M" first="Melissa" last="Crosby">Melissa Crosby</name>
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<name sortKey="Chang, David" sort="Chang, David" uniqKey="Chang D" first="David" last="Chang">David Chang</name>
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<name sortKey="Armer, Jane" sort="Armer, Jane" uniqKey="Armer J" first="Jane" last="Armer">Jane Armer</name>
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<term>Humans</term>
<term>Lymphatic Vessels (surgery)</term>
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<term>Treatment Outcome</term>
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<term>Lymphatic Vessels</term>
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<div type="abstract" xml:lang="en">A systematic review of the literature was performed to examine contemporary peer-reviewed literature (2004-2010) evaluating the surgical treatment of lymphedema.</div>
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<Title>Annals of surgical oncology</Title>
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<ArticleTitle>The surgical treatment of lymphedema: a systematic review of the contemporary literature (2004-2010).</ArticleTitle>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">A systematic review of the literature was performed to examine contemporary peer-reviewed literature (2004-2010) evaluating the surgical treatment of lymphedema.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A comprehensive search of 11 major medical indices was performed. Selected articles were sorted to identify those related to the surgical treatment of lymphedema. Extracted data included the number of patients, specific surgical procedure performed, length of follow-up, criteria for defining lymphedema, measurement methods, volume or circumference reduction, and reported complications.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 20 studies met inclusion criteria; procedures were categorized as excisional procedures (n = 8), lymphatic reconstruction (n = 8), and tissue transfer (n = 4). The reported incidence of volume reduction of lymphedema in these studies varied from 118% reduction to a 13% increase over the follow-up intervals ranging from 6 months to 15 years. The largest reported reductions were noted after excisional procedures (91.1%), lymphatic reconstruction (54.9%), and tissue transfer procedures (47.6%). Procedure complications were rarely reported.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">A number of surgical approaches have demonstrated beneficial effects for select patients with lymphedema. Most of these reports, however, are based on small numbers of patients, use nonstandardized or inconsistent measurement techniques, and lack long-term follow-up. The proposed benefits of any surgical approach should be evaluated in the context of the potential morbidity to the individual patient and the availability of surgical expertise. In addition, although these surgical techniques have shown promising results, nearly all note that the procedures do not obviate the need for continued use of conventional therapies, including compression, for long-term maintenance.</AbstractText>
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