Massive localized lymphedema (MLL) in bariatric candidates.
Identifieur interne : 003878 ( PubMed/Corpus ); précédent : 003877; suivant : 003879Massive localized lymphedema (MLL) in bariatric candidates.
Auteurs : Miguel L A. Modolin ; Wilson Cintra ; André O. Paggiaro ; Joel Faintuch ; Rolf Gemperli ; Marcus C. FerreiraSource :
- Obesity surgery [ 0960-8923 ] ; 2006.
English descriptors
- KwdEn :
- MESH :
- complications : Obesity, Morbid.
- etiology : Lymphedema.
- pathology : Lymphedema.
- surgery : Lymphedema.
- Abdomen, Adult, Body Mass Index, Female, Humans, Male, Middle Aged, Severity of Illness Index, Thigh, Treatment Outcome.
Abstract
Mild lymphedema of lower limbs and eventually abdomen is not exceedingly rare in morbid obesity. However, few large symptomatic masses have been reported. In a consecutive series of patients, all requiring resection of the lesion before bariatric treatment, clinical features and surgical findings are described, aiming to clarify the nature of this intricate problem.
DOI: 10.1381/096089206778392185
PubMed: 16989693
Links to Exploration step
pubmed:16989693Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Massive localized lymphedema (MLL) in bariatric candidates.</title><author><name sortKey="Modolin, Miguel L A" sort="Modolin, Miguel L A" uniqKey="Modolin M" first="Miguel L A" last="Modolin">Miguel L A. Modolin</name><affiliation><nlm:affiliation>Plastic Surgery, Hospital das Clinicas, São Paulo, SP, Brazil. miguelmodolin@uol.com.br</nlm:affiliation></affiliation></author><author><name sortKey="Cintra, Wilson" sort="Cintra, Wilson" uniqKey="Cintra W" first="Wilson" last="Cintra">Wilson Cintra</name></author><author><name sortKey="Paggiaro, Andre O" sort="Paggiaro, Andre O" uniqKey="Paggiaro A" first="André O" last="Paggiaro">André O. Paggiaro</name></author><author><name sortKey="Faintuch, Joel" sort="Faintuch, Joel" uniqKey="Faintuch J" first="Joel" last="Faintuch">Joel Faintuch</name></author><author><name sortKey="Gemperli, Rolf" sort="Gemperli, Rolf" uniqKey="Gemperli R" first="Rolf" last="Gemperli">Rolf Gemperli</name></author><author><name sortKey="Ferreira, Marcus C" sort="Ferreira, Marcus C" uniqKey="Ferreira M" first="Marcus C" last="Ferreira">Marcus C. Ferreira</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2006">2006</date><idno type="RBID">pubmed:16989693</idno><idno type="pmid">16989693</idno><idno type="doi">10.1381/096089206778392185</idno><idno type="wicri:Area/PubMed/Corpus">003878</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003878</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Massive localized lymphedema (MLL) in bariatric candidates.</title><author><name sortKey="Modolin, Miguel L A" sort="Modolin, Miguel L A" uniqKey="Modolin M" first="Miguel L A" last="Modolin">Miguel L A. Modolin</name><affiliation><nlm:affiliation>Plastic Surgery, Hospital das Clinicas, São Paulo, SP, Brazil. miguelmodolin@uol.com.br</nlm:affiliation></affiliation></author><author><name sortKey="Cintra, Wilson" sort="Cintra, Wilson" uniqKey="Cintra W" first="Wilson" last="Cintra">Wilson Cintra</name></author><author><name sortKey="Paggiaro, Andre O" sort="Paggiaro, Andre O" uniqKey="Paggiaro A" first="André O" last="Paggiaro">André O. Paggiaro</name></author><author><name sortKey="Faintuch, Joel" sort="Faintuch, Joel" uniqKey="Faintuch J" first="Joel" last="Faintuch">Joel Faintuch</name></author><author><name sortKey="Gemperli, Rolf" sort="Gemperli, Rolf" uniqKey="Gemperli R" first="Rolf" last="Gemperli">Rolf Gemperli</name></author><author><name sortKey="Ferreira, Marcus C" sort="Ferreira, Marcus C" uniqKey="Ferreira M" first="Marcus C" last="Ferreira">Marcus C. Ferreira</name></author></analytic><series><title level="j">Obesity surgery</title><idno type="ISSN">0960-8923</idno><imprint><date when="2006" type="published">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abdomen</term><term>Adult</term><term>Body Mass Index</term><term>Female</term><term>Humans</term><term>Lymphedema (etiology)</term><term>Lymphedema (pathology)</term><term>Lymphedema (surgery)</term><term>Male</term><term>Middle Aged</term><term>Obesity, Morbid (complications)</term><term>Severity of Illness Index</term><term>Thigh</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Obesity, Morbid</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Abdomen</term><term>Adult</term><term>Body Mass Index</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Severity of Illness Index</term><term>Thigh</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Mild lymphedema of lower limbs and eventually abdomen is not exceedingly rare in morbid obesity. However, few large symptomatic masses have been reported. In a consecutive series of patients, all requiring resection of the lesion before bariatric treatment, clinical features and surgical findings are described, aiming to clarify the nature of this intricate problem.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">16989693</PMID><DateCreated><Year>2006</Year><Month>09</Month><Day>22</Day></DateCreated><DateCompleted><Year>2007</Year><Month>04</Month><Day>03</Day></DateCompleted><DateRevised><Year>2007</Year><Month>12</Month><Day>05</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0960-8923</ISSN><JournalIssue CitedMedium="Print"><Volume>16</Volume><Issue>9</Issue><PubDate><Year>2006</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Obesity surgery</Title><ISOAbbreviation>Obes Surg</ISOAbbreviation></Journal><ArticleTitle>Massive localized lymphedema (MLL) in bariatric candidates.</ArticleTitle><Pagination><MedlinePgn>1126-30</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Mild lymphedema of lower limbs and eventually abdomen is not exceedingly rare in morbid obesity. However, few large symptomatic masses have been reported. In a consecutive series of patients, all requiring resection of the lesion before bariatric treatment, clinical features and surgical findings are described, aiming to clarify the nature of this intricate problem.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Subjects (n=4, 50% females, age 34.0+/-13.7 years (19-53), BMI 56.4+/-10.5 kg/m(2) (44.1-73.1) displayed lesions on the anteromedial aspect of the thigh (n=3) and hypogastrium (n=1). All reported episodes of intertrigo of local skin-folds in the preceding years, managed by local care and antibiotics. The mass was described as a serious nuisance, impairing walking, dressing and personal hygiene.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The mass was surgically removed without requirement for blood transfusion except in the case of one huge mass. Complications were relatively minor and consisted of partial skin dehiscence and lymph leakage for 2-3 weeks. Histologically, a complex pattern was observed including skin hypertrophy, edema, fibrosis, foci of microabscesses and dilated blood vessels, along with the pathognomonic lymphangiectasia. On follow-up to 6 months, improvement or restoration of the ability to walk occurred, with no additional skin infection and no recurrence.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">1) Surgical treatment was effective. 2) Functional rehabilitation was achieved. 3) No recurrence was observed within the follow-up period.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Modolin</LastName><ForeName>Miguel L A</ForeName><Initials>ML</Initials><AffiliationInfo><Affiliation>Plastic Surgery, Hospital das Clinicas, São Paulo, SP, Brazil. miguelmodolin@uol.com.br</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cintra</LastName><ForeName>Wilson</ForeName><Initials>W</Initials><Suffix>Jr</Suffix></Author><Author ValidYN="Y"><LastName>Paggiaro</LastName><ForeName>André O</ForeName><Initials>AO</Initials></Author><Author ValidYN="Y"><LastName>Faintuch</LastName><ForeName>Joel</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Gemperli</LastName><ForeName>Rolf</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Ferreira</LastName><ForeName>Marcus C</ForeName><Initials>MC</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Obes Surg</MedlineTA><NlmUniqueID>9106714</NlmUniqueID><ISSNLinking>0960-8923</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000005" MajorTopicYN="N">Abdomen</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015992" MajorTopicYN="N">Body Mass Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009767" MajorTopicYN="N">Obesity, Morbid</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013848" MajorTopicYN="N">Thigh</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2006</Year><Month>9</Month><Day>23</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2007</Year><Month>4</Month><Day>4</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2006</Year><Month>9</Month><Day>23</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">16989693</ArticleId><ArticleId IdType="doi">10.1381/096089206778392185</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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