[A new use for the freely transplanted omentum. Management of a late radiation injury of the brachial plexus using freely transplanted omentum and neurolysis].
Identifieur interne : 007003 ( PubMed/Corpus ); précédent : 007002; suivant : 007004[A new use for the freely transplanted omentum. Management of a late radiation injury of the brachial plexus using freely transplanted omentum and neurolysis].
Auteurs : G. Uhlschmid ; L. ClodiusSource :
- Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen [ 0009-4722 ] ; 1978.
English descriptors
- KwdEn :
- MESH :
- etiology : Lymphedema.
- radiation effects : Brachial Plexus.
- surgery : Brachial Plexus, Radiation Injuries.
- transplantation : Omentum.
- Adult, Aged, Denervation, Female, Humans, Male, Methods, Middle Aged, Transplantation, Autologous.
Abstract
A short review of the structural characteristics and the function of the greater omentum is presented. The results of treatment of secondary lymphedema by free transplantation of the omentum with microvascular anastomoses in the canine model and their relevance for clinical application are discussed. Clinical indications, operative technique, and results of omental transplantation and exoneurolysis of the brachial plexus in seven patients with constrictive, radiation induced brachial plexus paralysis, with and without secondary lymphedema, are reviewed. No effect of the grafted omentum on arm-lymphedema was observed over the entire observation period of 1 1/2--4 years. Minor degree reversion of neurodegenerative changes was found in two patients, in all other patients, these changes stopped. The most impressing result was the immediate and permanent disappearance of pain in all patients.
PubMed: 720164
Links to Exploration step
pubmed:720164Le document en format XML
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<author><name sortKey="Uhlschmid, G" sort="Uhlschmid, G" uniqKey="Uhlschmid G" first="G" last="Uhlschmid">G. Uhlschmid</name>
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<author><name sortKey="Clodius, L" sort="Clodius, L" uniqKey="Clodius L" first="L" last="Clodius">L. Clodius</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">[A new use for the freely transplanted omentum. Management of a late radiation injury of the brachial plexus using freely transplanted omentum and neurolysis].</title>
<author><name sortKey="Uhlschmid, G" sort="Uhlschmid, G" uniqKey="Uhlschmid G" first="G" last="Uhlschmid">G. Uhlschmid</name>
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<author><name sortKey="Clodius, L" sort="Clodius, L" uniqKey="Clodius L" first="L" last="Clodius">L. Clodius</name>
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<series><title level="j">Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen</title>
<idno type="ISSN">0009-4722</idno>
<imprint><date when="1978" type="published">1978</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Brachial Plexus (radiation effects)</term>
<term>Brachial Plexus (surgery)</term>
<term>Denervation</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphedema (etiology)</term>
<term>Male</term>
<term>Methods</term>
<term>Middle Aged</term>
<term>Omentum (transplantation)</term>
<term>Radiation Injuries (surgery)</term>
<term>Transplantation, Autologous</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="radiation effects" xml:lang="en"><term>Brachial Plexus</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Brachial Plexus</term>
<term>Radiation Injuries</term>
</keywords>
<keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Omentum</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Denervation</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Methods</term>
<term>Middle Aged</term>
<term>Transplantation, Autologous</term>
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<front><div type="abstract" xml:lang="en">A short review of the structural characteristics and the function of the greater omentum is presented. The results of treatment of secondary lymphedema by free transplantation of the omentum with microvascular anastomoses in the canine model and their relevance for clinical application are discussed. Clinical indications, operative technique, and results of omental transplantation and exoneurolysis of the brachial plexus in seven patients with constrictive, radiation induced brachial plexus paralysis, with and without secondary lymphedema, are reviewed. No effect of the grafted omentum on arm-lymphedema was observed over the entire observation period of 1 1/2--4 years. Minor degree reversion of neurodegenerative changes was found in two patients, in all other patients, these changes stopped. The most impressing result was the immediate and permanent disappearance of pain in all patients.</div>
</front>
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<DateCreated><Year>1979</Year>
<Month>02</Month>
<Day>21</Day>
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<DateCompleted><Year>1979</Year>
<Month>02</Month>
<Day>21</Day>
</DateCompleted>
<DateRevised><Year>2006</Year>
<Month>11</Month>
<Day>15</Day>
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<Article PubModel="Print"><Journal><ISSN IssnType="Print">0009-4722</ISSN>
<JournalIssue CitedMedium="Print"><Volume>49</Volume>
<Issue>11</Issue>
<PubDate><Year>1978</Year>
<Month>Nov</Month>
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<Title>Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen</Title>
<ISOAbbreviation>Chirurg</ISOAbbreviation>
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<ArticleTitle>[A new use for the freely transplanted omentum. Management of a late radiation injury of the brachial plexus using freely transplanted omentum and neurolysis].</ArticleTitle>
<Pagination><MedlinePgn>714-8</MedlinePgn>
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<Abstract><AbstractText>A short review of the structural characteristics and the function of the greater omentum is presented. The results of treatment of secondary lymphedema by free transplantation of the omentum with microvascular anastomoses in the canine model and their relevance for clinical application are discussed. Clinical indications, operative technique, and results of omental transplantation and exoneurolysis of the brachial plexus in seven patients with constrictive, radiation induced brachial plexus paralysis, with and without secondary lymphedema, are reviewed. No effect of the grafted omentum on arm-lymphedema was observed over the entire observation period of 1 1/2--4 years. Minor degree reversion of neurodegenerative changes was found in two patients, in all other patients, these changes stopped. The most impressing result was the immediate and permanent disappearance of pain in all patients.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Uhlschmid</LastName>
<ForeName>G</ForeName>
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<Author ValidYN="Y"><LastName>Clodius</LastName>
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<VernacularTitle>Eine neue Anwendung des frei transplantierten Omentums. Behandlung des Strahlenspätschadens des Armplexus mit frei transplantiertem Netz und Neurolyse.</VernacularTitle>
</Article>
<MedlineJournalInfo><Country>Germany</Country>
<MedlineTA>Chirurg</MedlineTA>
<NlmUniqueID>16140410R</NlmUniqueID>
<ISSNLinking>0009-4722</ISSNLinking>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001917" MajorTopicYN="N">Brachial Plexus</DescriptorName>
<QualifierName UI="Q000528" MajorTopicYN="Y">radiation effects</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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<MeshHeading><DescriptorName UI="D003714" MajorTopicYN="N">Denervation</DescriptorName>
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<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008722" MajorTopicYN="N">Methods</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<MeshHeading><DescriptorName UI="D009852" MajorTopicYN="N">Omentum</DescriptorName>
<QualifierName UI="Q000637" MajorTopicYN="Y">transplantation</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011832" MajorTopicYN="N">Radiation Injuries</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014182" MajorTopicYN="N">Transplantation, Autologous</DescriptorName>
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</MeshHeadingList>
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