Surgical procedures and lymphedema of the upper and lower extremity.
Identifieur interne : 003B04 ( PubMed/Curation ); précédent : 003B03; suivant : 003B05Surgical procedures and lymphedema of the upper and lower extremity.
Auteurs : Constantine P. Karakousis [États-Unis]Source :
- Journal of surgical oncology [ 0022-4790 ] ; 2006.
Descripteurs français
- KwdFr :
- Aisselle (), Canal inguinal (), Cellulite sous-cutanée (étiologie), Complications postopératoires, Humains, Lambeaux chirurgicaux (effets indésirables), Lymphadénectomie (), Lymphadénectomie (effets indésirables), Lymphoedème (), Lymphoedème (étiologie), Membre inférieur, Membre supérieur, Études rétrospectives.
- MESH :
- effets indésirables : Lambeaux chirurgicaux, Lymphadénectomie.
- étiologie : Cellulite sous-cutanée, Lymphoedème.
- Aisselle, Canal inguinal, Complications postopératoires, Humains, Lymphadénectomie, Lymphoedème, Membre inférieur, Membre supérieur, Études rétrospectives.
English descriptors
- KwdEn :
- Axilla (surgery), Cellulitis (etiology), Humans, Inguinal Canal (surgery), Lower Extremity, Lymph Node Excision (adverse effects), Lymph Node Excision (methods), Lymphedema (etiology), Lymphedema (prevention & control), Postoperative Complications, Retrospective Studies, Surgical Flaps (adverse effects), Upper Extremity.
- MESH :
- adverse effects : Lymph Node Excision, Surgical Flaps.
- etiology : Cellulitis, Lymphedema.
- methods : Lymph Node Excision.
- prevention & control : Lymphedema.
- surgery : Axilla, Inguinal Canal.
- Humans, Lower Extremity, Postoperative Complications, Retrospective Studies, Upper Extremity.
Abstract
Lymphedema occurs in the upper and lower extremity, in a minority of patients, following axillary and groin dissections, respectively. Several technical operative factors have been implicated through the years whose relative significance remains unknown.
DOI: 10.1002/jso.20349
PubMed: 16425311
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Karakousis</name><affiliation wicri:level="1"><nlm:affiliation>Millard Fillmore Hospital, University at Buffalo, Buffalo, New York 14209, USA. ckarakousis@kaleidahealth.org</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Millard Fillmore Hospital, University at Buffalo, Buffalo, New York 14209</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2006">2006</date><idno type="RBID">pubmed:16425311</idno><idno type="pmid">16425311</idno><idno type="doi">10.1002/jso.20349</idno><idno type="wicri:Area/PubMed/Corpus">003B04</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003B04</idno><idno type="wicri:Area/PubMed/Curation">003B04</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">003B04</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Surgical procedures and lymphedema of the upper and lower extremity.</title><author><name sortKey="Karakousis, Constantine P" sort="Karakousis, Constantine P" uniqKey="Karakousis C" first="Constantine P" last="Karakousis">Constantine P. Karakousis</name><affiliation wicri:level="1"><nlm:affiliation>Millard Fillmore Hospital, University at Buffalo, Buffalo, New York 14209, USA. ckarakousis@kaleidahealth.org</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Millard Fillmore Hospital, University at Buffalo, Buffalo, New York 14209</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of surgical oncology</title><idno type="ISSN">0022-4790</idno><imprint><date when="2006" type="published">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Axilla (surgery)</term><term>Cellulitis (etiology)</term><term>Humans</term><term>Inguinal Canal (surgery)</term><term>Lower Extremity</term><term>Lymph Node Excision (adverse effects)</term><term>Lymph Node Excision (methods)</term><term>Lymphedema (etiology)</term><term>Lymphedema (prevention & control)</term><term>Postoperative Complications</term><term>Retrospective Studies</term><term>Surgical Flaps (adverse effects)</term><term>Upper Extremity</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Aisselle ()</term><term>Canal inguinal ()</term><term>Cellulite sous-cutanée (étiologie)</term><term>Complications postopératoires</term><term>Humains</term><term>Lambeaux chirurgicaux (effets indésirables)</term><term>Lymphadénectomie ()</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphoedème ()</term><term>Lymphoedème (étiologie)</term><term>Membre inférieur</term><term>Membre supérieur</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term><term>Surgical Flaps</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lambeaux chirurgicaux</term><term>Lymphadénectomie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Cellulitis</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Axilla</term><term>Inguinal Canal</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Cellulite sous-cutanée</term><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Lower Extremity</term><term>Postoperative Complications</term><term>Retrospective Studies</term><term>Upper Extremity</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Aisselle</term><term>Canal inguinal</term><term>Complications postopératoires</term><term>Humains</term><term>Lymphadénectomie</term><term>Lymphoedème</term><term>Membre inférieur</term><term>Membre supérieur</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lymphedema occurs in the upper and lower extremity, in a minority of patients, following axillary and groin dissections, respectively. Several technical operative factors have been implicated through the years whose relative significance remains unknown.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">16425311</PMID><DateCreated><Year>2006</Year><Month>01</Month><Day>25</Day></DateCreated><DateCompleted><Year>2006</Year><Month>03</Month><Day>03</Day></DateCompleted><DateRevised><Year>2006</Year><Month>01</Month><Day>25</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0022-4790</ISSN><JournalIssue CitedMedium="Print"><Volume>93</Volume><Issue>2</Issue><PubDate><Year>2006</Year><Month>Feb</Month><Day>01</Day></PubDate></JournalIssue><Title>Journal of surgical oncology</Title><ISOAbbreviation>J Surg Oncol</ISOAbbreviation></Journal><ArticleTitle>Surgical procedures and lymphedema of the upper and lower extremity.</ArticleTitle><Pagination><MedlinePgn>87-91</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Lymphedema occurs in the upper and lower extremity, in a minority of patients, following axillary and groin dissections, respectively. Several technical operative factors have been implicated through the years whose relative significance remains unknown.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Retrospective review of the author's personal experience with axillary and groin dissections and review of the articles and results written on the author's series of patients. The results, specifically lymphedema, are reported in relation to components of each surgical procedure and the presence or absence of additional surgical procedures, e.g., wide excision of the primary site when performed in the distal leg.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">In the axilla, skeletonization of the axillary vein, dissection up to and including Level III nodes, removal of the fat and nodes above the level of the axillary vein (exposing the brachial plexus), removal of pectoralis minor and all the axillary fat, exposing thus serratus anterior, latissimus dorsi and subscapularis are all technical components which do not cause lymphedema. It seems excessively thin flaps in axillary dissections may be the most likely cause for upper extremity lymphedema. The incidence of upper extremity lymphedema, in our experience, after axillary dissection is low (2%). For the lower extremity, skeletonization of the femoral and iliac vessels, in continuity dissection of the femoral and deep nodes (iliac and obturator), do not cause in themselves lymphedema (which occurs in 30% of the patients). The incidence of lymphedema increases with making thin flaps, with wide resection of a primary melanoma below the knee, postoperative incidence of cellulites, failure to follow a prophylactic regimen of leg elevation and compression stockings, and obesity.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Lymphedema in the upper and lower extremity may be caused by making thin flaps during node dissection, the additional wide excision of primary sites in the distal half of the extremity, postoperative cellulitis, and failure to follow an antilymphedema regimen.</AbstractText><CopyrightInformation>(c) 2006 Wiley-Liss, Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Karakousis</LastName><ForeName>Constantine P</ForeName><Initials>CP</Initials><AffiliationInfo><Affiliation>Millard Fillmore Hospital, University at Buffalo, Buffalo, New York 14209, USA. ckarakousis@kaleidahealth.org</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Surg Oncol</MedlineTA><NlmUniqueID>0222643</NlmUniqueID><ISSNLinking>0022-4790</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001365" MajorTopicYN="N">Axilla</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002481" MajorTopicYN="N">Cellulitis</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007264" MajorTopicYN="N">Inguinal Canal</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D035002" MajorTopicYN="Y">Lower Extremity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013524" MajorTopicYN="N">Surgical Flaps</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D034941" MajorTopicYN="Y">Upper Extremity</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2006</Year><Month>1</Month><Day>21</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2006</Year><Month>3</Month><Day>4</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2006</Year><Month>1</Month><Day>21</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">16425311</ArticleId><ArticleId IdType="doi">10.1002/jso.20349</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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