Circumferential suction-assisted lipectomy in the treatment of primary and secondary end-stage lymphoedema of the leg.
Identifieur interne : 000533 ( PubMed/Curation ); précédent : 000532; suivant : 000534Circumferential suction-assisted lipectomy in the treatment of primary and secondary end-stage lymphoedema of the leg.
Auteurs : D-A A. Lamprou [Pays-Bas] ; H G J. Voesten [Pays-Bas] ; R J Damstra [Pays-Bas] ; O R M. Wikkeling [Pays-Bas]Source :
- The British journal of surgery [ 1365-2168 ] ; 2017.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- methods : Lipectomy.
- surgery : Lower Extremity, Lymphedema.
- Compression Bandages, Female, Follow-Up Studies, Humans, Male, Middle Aged, Postoperative Care, Sex Factors, Suction.
Abstract
The treatment of end-stage lymphoedema of the leg is challenging, especially when conservative treatment fails and there is a large volume difference between the affected and unaffected legs. Circumferential suction-assisted lipectomy (CSAL) has been described as a treatment option for end-stage lymphoedema of the leg. Here, the long-term results of CSAL in end-stage primary and secondary lymphoedema of the leg were analysed.
DOI: 10.1002/bjs.10325
PubMed: 27809337
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Voesten</name><affiliation wicri:level="1"><nlm:affiliation>Expert Centre of Lympho-Vascular Medicine, Departments of Vascular Surgery, Nij Smellinghe Hospital, Drachten, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Expert Centre of Lympho-Vascular Medicine, Departments of Vascular Surgery, Nij Smellinghe Hospital, Drachten</wicri:regionArea></affiliation></author><author><name sortKey="Damstra, R J" sort="Damstra, R J" uniqKey="Damstra R" first="R J" last="Damstra">R J Damstra</name><affiliation wicri:level="1"><nlm:affiliation>Departments of Dermatology, Nij Smellinghe Hospital, Drachten, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Departments of Dermatology, Nij Smellinghe Hospital, Drachten</wicri:regionArea></affiliation></author><author><name sortKey="Wikkeling, O R M" sort="Wikkeling, O R M" uniqKey="Wikkeling O" first="O R M" last="Wikkeling">O R M. Wikkeling</name><affiliation wicri:level="1"><nlm:affiliation>Expert Centre of Lympho-Vascular Medicine, Departments of Vascular Surgery, Nij Smellinghe Hospital, Drachten, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Expert Centre of Lympho-Vascular Medicine, Departments of Vascular Surgery, Nij Smellinghe Hospital, Drachten</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:27809337</idno><idno type="pmid">27809337</idno><idno type="doi">10.1002/bjs.10325</idno><idno type="wicri:Area/PubMed/Corpus">000533</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000533</idno><idno type="wicri:Area/PubMed/Curation">000533</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000533</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Circumferential suction-assisted lipectomy in the treatment of primary and secondary end-stage lymphoedema of the leg.</title><author><name sortKey="Lamprou, D A A" sort="Lamprou, D A A" uniqKey="Lamprou D" first="D-A A" last="Lamprou">D-A A. Lamprou</name><affiliation wicri:level="1"><nlm:affiliation>Expert Centre of Lympho-Vascular Medicine, Departments of Vascular Surgery, Nij Smellinghe Hospital, Drachten, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Expert Centre of Lympho-Vascular Medicine, Departments of Vascular Surgery, Nij Smellinghe Hospital, Drachten</wicri:regionArea></affiliation></author><author><name sortKey="Voesten, H G J" sort="Voesten, H G J" uniqKey="Voesten H" first="H G J" last="Voesten">H G J. Voesten</name><affiliation wicri:level="1"><nlm:affiliation>Expert Centre of Lympho-Vascular Medicine, Departments of Vascular Surgery, Nij Smellinghe Hospital, Drachten, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Expert Centre of Lympho-Vascular Medicine, Departments of Vascular Surgery, Nij Smellinghe Hospital, Drachten</wicri:regionArea></affiliation></author><author><name sortKey="Damstra, R J" sort="Damstra, R J" uniqKey="Damstra R" first="R J" last="Damstra">R J Damstra</name><affiliation wicri:level="1"><nlm:affiliation>Departments of Dermatology, Nij Smellinghe Hospital, Drachten, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Departments of Dermatology, Nij Smellinghe Hospital, Drachten</wicri:regionArea></affiliation></author><author><name sortKey="Wikkeling, O R M" sort="Wikkeling, O R M" uniqKey="Wikkeling O" first="O R M" last="Wikkeling">O R M. Wikkeling</name><affiliation wicri:level="1"><nlm:affiliation>Expert Centre of Lympho-Vascular Medicine, Departments of Vascular Surgery, Nij Smellinghe Hospital, Drachten, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Expert Centre of Lympho-Vascular Medicine, Departments of Vascular Surgery, Nij Smellinghe Hospital, Drachten</wicri:regionArea></affiliation></author></analytic><series><title level="j">The British journal of surgery</title><idno type="eISSN">1365-2168</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Compression Bandages</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Lipectomy (methods)</term><term>Lower Extremity (surgery)</term><term>Lymphedema (surgery)</term><term>Male</term><term>Middle Aged</term><term>Postoperative Care</term><term>Sex Factors</term><term>Suction</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Aspiration (technique)</term><term>Bandages de compression</term><term>Facteurs sexuels</term><term>Femelle</term><term>Humains</term><term>Lipectomie ()</term><term>Lymphoedème ()</term><term>Membre inférieur ()</term><term>Mâle</term><term>Soins postopératoires</term><term>Études de suivi</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lipectomy</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lower Extremity</term><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Compression Bandages</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Postoperative Care</term><term>Sex Factors</term><term>Suction</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Aspiration (technique)</term><term>Bandages de compression</term><term>Facteurs sexuels</term><term>Femelle</term><term>Humains</term><term>Lipectomie</term><term>Lymphoedème</term><term>Membre inférieur</term><term>Mâle</term><term>Soins postopératoires</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The treatment of end-stage lymphoedema of the leg is challenging, especially when conservative treatment fails and there is a large volume difference between the affected and unaffected legs. Circumferential suction-assisted lipectomy (CSAL) has been described as a treatment option for end-stage lymphoedema of the leg. Here, the long-term results of CSAL in end-stage primary and secondary lymphoedema of the leg were analysed.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27809337</PMID><DateCreated><Year>2016</Year><Month>11</Month><Day>03</Day></DateCreated><DateCompleted><Year>2017</Year><Month>04</Month><Day>03</Day></DateCompleted><DateRevised><Year>2017</Year><Month>08</Month><Day>17</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1365-2168</ISSN><JournalIssue CitedMedium="Internet"><Volume>104</Volume><Issue>1</Issue><PubDate><Year>2017</Year><Month>Jan</Month></PubDate></JournalIssue><Title>The British journal of surgery</Title><ISOAbbreviation>Br J Surg</ISOAbbreviation></Journal><ArticleTitle>Circumferential suction-assisted lipectomy in the treatment of primary and secondary end-stage lymphoedema of the leg.</ArticleTitle><Pagination><MedlinePgn>84-89</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/bjs.10325</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The treatment of end-stage lymphoedema of the leg is challenging, especially when conservative treatment fails and there is a large volume difference between the affected and unaffected legs. Circumferential suction-assisted lipectomy (CSAL) has been described as a treatment option for end-stage lymphoedema of the leg. Here, the long-term results of CSAL in end-stage primary and secondary lymphoedema of the leg were analysed.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">This was a descriptive study of patients treated with CSAL for unilateral chronic irreversible lymphoedema of the leg. Compression therapy was resumed after surgery. Leg volumes were measured before surgery, and at 1, 6, 12 and 24 months after the procedure.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 47 patients with primary lymphoedema had a median preoperative volume difference between affected and unaffected legs of 3686 (i.q.r. 2851-5121) ml. Two years after surgery, this volume difference was reduced to 761 ml, a 79 per cent reduction. In the 41 patients treated for secondary lymphoedema, the median preoperative volume difference was 3320 (i.q.r. 2533-4783) ml, decreasing after 2 years to -38 ml (101 per cent reduction). The preoperative volume difference and the sex of the patient significantly influenced the final outcome after 2 years. The outcome was not related to BMI or other patient characteristics.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">CSAL is an effective method for treating both primary and secondary lymphoedema of the leg.</AbstractText><CopyrightInformation>© 2016 BJS Society Ltd Published by John Wiley & Sons Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lamprou</LastName><ForeName>D-A A</ForeName><Initials>DA</Initials><AffiliationInfo><Affiliation>Expert Centre of Lympho-Vascular Medicine, Departments of Vascular Surgery, Nij Smellinghe Hospital, Drachten, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Voesten</LastName><ForeName>H G J</ForeName><Initials>HG</Initials><AffiliationInfo><Affiliation>Expert Centre of Lympho-Vascular Medicine, Departments of Vascular Surgery, Nij Smellinghe Hospital, Drachten, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Damstra</LastName><ForeName>R J</ForeName><Initials>RJ</Initials><AffiliationInfo><Affiliation>Departments of Dermatology, Nij Smellinghe Hospital, Drachten, The Netherlands.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wikkeling</LastName><ForeName>O R M</ForeName><Initials>OR</Initials><AffiliationInfo><Affiliation>Expert Centre of Lympho-Vascular Medicine, Departments of Vascular Surgery, Nij Smellinghe Hospital, Drachten, The Netherlands.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>11</Month><Day>03</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Br J Surg</MedlineTA><NlmUniqueID>0372553</NlmUniqueID><ISSNLinking>0007-1323</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D058128" MajorTopicYN="N">Compression Bandages</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015187" MajorTopicYN="N">Lipectomy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D035002" MajorTopicYN="N">Lower Extremity</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">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="D011182" MajorTopicYN="N">Postoperative Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012737" MajorTopicYN="N">Sex Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013396" MajorTopicYN="Y">Suction</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>12</Month><Day>30</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2016</Year><Month>03</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>08</Month><Day>23</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>11</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>4</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>11</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27809337</ArticleId><ArticleId IdType="doi">10.1002/bjs.10325</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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