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Experience with microlymphaticovenous anastomoses for congenital and acquired lymphoedema.

Identifieur interne : 006268 ( PubMed/Corpus ); précédent : 006267; suivant : 006269

Experience with microlymphaticovenous anastomoses for congenital and acquired lymphoedema.

Auteurs : T. Ipsen ; J. Pless ; P B Frederiksen

Source :

RBID : pubmed:3252452

English descriptors

Abstract

Ten unselected, consecutive patients were operated upon for lymphoedema of a limb. In order to evaluate the effect of microlymphaticovenous anastomoses no conservative treatments were used concomitantly. Seven patients had some relief of symptoms postoperatively, while six patients had a decrease in limb circumference. Three patients with primary lymphoedema had no effect of this treatment. Lymphoscintigraphy is advocated as an aid to the selection of suitable cases for microsurgery. Our future indications for microlymphaticovenous surgery for lymphoedema will be limited to patients with secondary lymphoedema with a duration of less than five years. The disease will be diagnosed by clinical examination as well as by lymphoscintigraphy.

PubMed: 3252452

Links to Exploration step

pubmed:3252452

Le document en format XML

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<nlm:affiliation>Department of Plastic and Reconstructive Surgery, Odense University Hospital, Denmark.</nlm:affiliation>
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<name sortKey="Pless, J" sort="Pless, J" uniqKey="Pless J" first="J" last="Pless">J. Pless</name>
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<name sortKey="Frederiksen, P B" sort="Frederiksen, P B" uniqKey="Frederiksen P" first="P B" last="Frederiksen">P B Frederiksen</name>
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<div type="abstract" xml:lang="en">Ten unselected, consecutive patients were operated upon for lymphoedema of a limb. In order to evaluate the effect of microlymphaticovenous anastomoses no conservative treatments were used concomitantly. Seven patients had some relief of symptoms postoperatively, while six patients had a decrease in limb circumference. Three patients with primary lymphoedema had no effect of this treatment. Lymphoscintigraphy is advocated as an aid to the selection of suitable cases for microsurgery. Our future indications for microlymphaticovenous surgery for lymphoedema will be limited to patients with secondary lymphoedema with a duration of less than five years. The disease will be diagnosed by clinical examination as well as by lymphoscintigraphy.</div>
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