Surgical reduction of scrotal massive localized lymphedema (MLL) in obesity.
Identifieur interne : 001360 ( PubMed/Curation ); précédent : 001359; suivant : 001361Surgical reduction of scrotal massive localized lymphedema (MLL) in obesity.
Auteurs : J A Machol [États-Unis] ; P. Langenstroer [États-Unis] ; J R Sanger [États-Unis]Source :
- Journal of plastic, reconstructive & aesthetic surgery : JPRAS [ 1878-0539 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Humains, Jeune adulte, Lambeaux chirurgicaux, Lymphoedème (), Lymphoedème (étiologie), Lâchage de suture (), Maladies de l'appareil génital mâle (), Maladies de l'appareil génital mâle (étiologie), Mâle, Obésité (), Procédures de chirurgie reconstructive (effets indésirables), Récidive, Scrotum (), Études rétrospectives.
- MESH :
- effets indésirables : Procédures de chirurgie reconstructive.
- étiologie : Lymphoedème, Maladies de l'appareil génital mâle.
- Adulte, Adulte d'âge moyen, Humains, Jeune adulte, Lambeaux chirurgicaux, Lymphoedème, Lâchage de suture, Maladies de l'appareil génital mâle, Mâle, Obésité, Récidive, Scrotum, Études rétrospectives.
English descriptors
- KwdEn :
- Adult, Genital Diseases, Male (etiology), Genital Diseases, Male (surgery), Humans, Lymphedema (etiology), Lymphedema (surgery), Male, Middle Aged, Obesity (complications), Reconstructive Surgical Procedures (adverse effects), Recurrence, Retrospective Studies, Scrotum (surgery), Surgical Flaps, Surgical Wound Dehiscence (surgery), Young Adult.
- MESH :
- adverse effects : Reconstructive Surgical Procedures.
- complications : Obesity.
- etiology : Genital Diseases, Male, Lymphedema.
- surgery : Genital Diseases, Male, Lymphedema, Scrotum, Surgical Wound Dehiscence.
- Adult, Humans, Male, Middle Aged, Recurrence, Retrospective Studies, Surgical Flaps, Young Adult.
Abstract
Lymphedema of the penis and scrotum is physically and psychologically disabling. Obesity is a source of secondary lymphedema. When restricted to specific anatomical regions in obesity, this is termed massive localized lymphedema (MLL). Few surgical cases of specific scrotal MLL in obesity are reported in the literature. We present our case series to improve the management of this complicated pathology.
DOI: 10.1016/j.bjps.2014.07.031
PubMed: 25153425
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Langenstroer</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic Surgery, The Medical College of Wisconsin, Milwaukee, WI, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Plastic Surgery, The Medical College of Wisconsin, Milwaukee, WI</wicri:regionArea></affiliation></author><author><name sortKey="Sanger, J R" sort="Sanger, J R" uniqKey="Sanger J" first="J R" last="Sanger">J R Sanger</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic Surgery, The Medical College of Wisconsin, Milwaukee, WI, USA. Electronic address: jsanger@mcw.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Plastic Surgery, The Medical College of Wisconsin, Milwaukee, WI</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:25153425</idno><idno type="pmid">25153425</idno><idno type="doi">10.1016/j.bjps.2014.07.031</idno><idno type="wicri:Area/PubMed/Corpus">001360</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001360</idno><idno type="wicri:Area/PubMed/Curation">001360</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001360</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Surgical reduction of scrotal massive localized lymphedema (MLL) in obesity.</title><author><name sortKey="Machol, J A" sort="Machol, J A" uniqKey="Machol J" first="J A" last="Machol">J A Machol</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic Surgery, The Medical College of Wisconsin, Milwaukee, WI, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Plastic Surgery, The Medical College of Wisconsin, Milwaukee, WI</wicri:regionArea></affiliation></author><author><name sortKey="Langenstroer, P" sort="Langenstroer, P" uniqKey="Langenstroer P" first="P" last="Langenstroer">P. Langenstroer</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic Surgery, The Medical College of Wisconsin, Milwaukee, WI, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Plastic Surgery, The Medical College of Wisconsin, Milwaukee, WI</wicri:regionArea></affiliation></author><author><name sortKey="Sanger, J R" sort="Sanger, J R" uniqKey="Sanger J" first="J R" last="Sanger">J R Sanger</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic Surgery, The Medical College of Wisconsin, Milwaukee, WI, USA. Electronic address: jsanger@mcw.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Plastic Surgery, The Medical College of Wisconsin, Milwaukee, WI</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of plastic, reconstructive & aesthetic surgery : JPRAS</title><idno type="eISSN">1878-0539</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Genital Diseases, Male (etiology)</term><term>Genital Diseases, Male (surgery)</term><term>Humans</term><term>Lymphedema (etiology)</term><term>Lymphedema (surgery)</term><term>Male</term><term>Middle Aged</term><term>Obesity (complications)</term><term>Reconstructive Surgical Procedures (adverse effects)</term><term>Recurrence</term><term>Retrospective Studies</term><term>Scrotum (surgery)</term><term>Surgical Flaps</term><term>Surgical Wound Dehiscence (surgery)</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Humains</term><term>Jeune adulte</term><term>Lambeaux chirurgicaux</term><term>Lymphoedème ()</term><term>Lymphoedème (étiologie)</term><term>Lâchage de suture ()</term><term>Maladies de l'appareil génital mâle ()</term><term>Maladies de l'appareil génital mâle (étiologie)</term><term>Mâle</term><term>Obésité ()</term><term>Procédures de chirurgie reconstructive (effets indésirables)</term><term>Récidive</term><term>Scrotum ()</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Reconstructive Surgical Procedures</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Obesity</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Procédures de chirurgie reconstructive</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Genital Diseases, Male</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Genital Diseases, Male</term><term>Lymphedema</term><term>Scrotum</term><term>Surgical Wound Dehiscence</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term><term>Maladies de l'appareil génital mâle</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Recurrence</term><term>Retrospective Studies</term><term>Surgical Flaps</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Humains</term><term>Jeune adulte</term><term>Lambeaux chirurgicaux</term><term>Lymphoedème</term><term>Lâchage de suture</term><term>Maladies de l'appareil génital mâle</term><term>Mâle</term><term>Obésité</term><term>Récidive</term><term>Scrotum</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lymphedema of the penis and scrotum is physically and psychologically disabling. Obesity is a source of secondary lymphedema. When restricted to specific anatomical regions in obesity, this is termed massive localized lymphedema (MLL). Few surgical cases of specific scrotal MLL in obesity are reported in the literature. We present our case series to improve the management of this complicated pathology.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25153425</PMID><DateCreated><Year>2014</Year><Month>12</Month><Day>03</Day></DateCreated><DateCompleted><Year>2015</Year><Month>01</Month><Day>30</Day></DateCompleted><DateRevised><Year>2014</Year><Month>12</Month><Day>03</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1878-0539</ISSN><JournalIssue CitedMedium="Internet"><Volume>67</Volume><Issue>12</Issue><PubDate><Year>2014</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Journal of plastic, reconstructive & aesthetic surgery : JPRAS</Title><ISOAbbreviation>J Plast Reconstr Aesthet Surg</ISOAbbreviation></Journal><ArticleTitle>Surgical reduction of scrotal massive localized lymphedema (MLL) in obesity.</ArticleTitle><Pagination><MedlinePgn>1719-25</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.bjps.2014.07.031</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S1748-6815(14)00407-0</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Lymphedema of the penis and scrotum is physically and psychologically disabling. Obesity is a source of secondary lymphedema. When restricted to specific anatomical regions in obesity, this is termed massive localized lymphedema (MLL). Few surgical cases of specific scrotal MLL in obesity are reported in the literature. We present our case series to improve the management of this complicated pathology.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">This is a retrospective review of obese adult patients with clinically diagnosed scrotal MLL undergoing reduction scrotoplasty by the senior author (J.R.S.) from 1992 to 2012. Medical, social, familial, surgical, and follow-up data were extracted. Prior infection of the scrotal lymphedema, surgical details, pathologic evaluation, and postoperative complications were noted. A series of the cases is presented.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Four cases met the criteria for study. The average age was 35 years with an average body mass index of 53.9. Average resection at the first procedure was 3492 g. All patients were reconstructed with laterally based scrotal flaps. The pathology for each case was consistent with chronic lymphedema; no sarcomatous changes were noted. Fifty percent of the patients had recurrence of the scrotal MLL. The average total number of operations during the follow-up period for either complication or recurrence was two.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This is the largest case series specifically investigating surgical treatment for scrotal MLL in obesity. Lateral-based scrotal flaps (with or without mid-raphe Z-plasty) permit anatomic reconstruction. Complications are common and recurrence is frequent after surgical management. Excision with reconstruction improves urinary function and overall symptoms.</AbstractText><CopyrightInformation>Published by Elsevier Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Machol</LastName><ForeName>J A</ForeName><Initials>JA</Initials><Suffix>4th</Suffix><AffiliationInfo><Affiliation>Department of Plastic Surgery, The Medical College of Wisconsin, Milwaukee, WI, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Langenstroer</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Plastic Surgery, The Medical College of Wisconsin, Milwaukee, WI, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sanger</LastName><ForeName>J R</ForeName><Initials>JR</Initials><AffiliationInfo><Affiliation>Department of Plastic Surgery, The Medical College of Wisconsin, Milwaukee, WI, USA. Electronic address: jsanger@mcw.edu.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>08</Month><Day>05</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>J Plast Reconstr Aesthet Surg</MedlineTA><NlmUniqueID>101264239</NlmUniqueID><ISSNLinking>1748-6815</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005832" MajorTopicYN="N">Genital Diseases, Male</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><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="D009765" MajorTopicYN="N">Obesity</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019651" MajorTopicYN="Y">Reconstructive Surgical Procedures</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012008" MajorTopicYN="N">Recurrence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012611" MajorTopicYN="N">Scrotum</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013524" MajorTopicYN="N">Surgical Flaps</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013529" MajorTopicYN="N">Surgical Wound Dehiscence</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">MLL</Keyword><Keyword MajorTopicYN="N">Massive localized lymphedema</Keyword><Keyword MajorTopicYN="N">Obesity</Keyword><Keyword MajorTopicYN="N">Scrotal</Keyword><Keyword MajorTopicYN="N">Scrotoplasty</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>03</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2014</Year><Month>04</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>07</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>8</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>8</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>1</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25153425</ArticleId><ArticleId IdType="pii">S1748-6815(14)00407-0</ArticleId><ArticleId IdType="doi">10.1016/j.bjps.2014.07.031</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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