The use of lympho-venous anastomoses to prevent complications from ilio-inguinal dissection.
Identifieur interne : 006163 ( PubMed/Curation ); précédent : 006162; suivant : 006164The use of lympho-venous anastomoses to prevent complications from ilio-inguinal dissection.
Auteurs : S. Orefice [Italie] ; A R Conti ; M. Grassi ; B. SalvadoriSource :
- Tumori [ 0300-8916 ] ; 1988.
Descripteurs français
- KwdFr :
- MESH :
- effets indésirables : Lymphadénectomie.
- Adulte d'âge moyen, Canal inguinal, Femelle, Humains, Ilium, Jambe, Lymphoedème, Mâle, Mélanome, Système lymphatique, Veines.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Lymph Node Excision.
- prevention & control : Lymphedema.
- surgery : Lymphatic System, Melanoma, Veins.
- Female, Humans, Ilium, Inguinal Canal, Leg, Male, Middle Aged.
Abstract
Lympho-venous anastomoses (LVA) were performed in 30 patients, immediately after the completion of ilio-inguinal dissection for metastatic nodal involvement. This surgical procedure, originally devised to treat post-mastectomy lymphedema from radical mastectomy, was intended in this series of cases to prevent complications from ilio-inguinal nodal dissection. Actually, when compared to another group of 84 patients previously operated on by ilio-inguinal nodal dissection without lympho-venous anastomoses, the series showed a lower rate of local-regional complications (38% vs 65.9%). The mean duration of hospital stay was also reduced (18.5 vs 34.7 days). Distant lymphedema of the lower limb was observed in 7 of 23 patients who had received LVA, whereas in the control group, lymphedema was recorded in 39 of 52 patients who were regularly followed-up (30% vs 75%). LVA should be routinely used, as a useful surgical procedure, to prevent or reduce the occurrence of local-regional complications following ilio-inguinal nodal dissections.
PubMed: 3400125
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pubmed:3400125Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Female</term>
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<term>Lymph Node Excision (adverse effects)</term>
<term>Lymphatic System (surgery)</term>
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<term>Male</term>
<term>Melanoma (surgery)</term>
<term>Middle Aged</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Canal inguinal</term>
<term>Femelle</term>
<term>Humains</term>
<term>Ilium</term>
<term>Jambe</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème ()</term>
<term>Mâle</term>
<term>Mélanome ()</term>
<term>Système lymphatique ()</term>
<term>Veines ()</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term>
</keywords>
<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lymphadénectomie</term>
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<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymphatic System</term>
<term>Melanoma</term>
<term>Veins</term>
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<keywords scheme="MESH" xml:lang="en"><term>Female</term>
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<term>Ilium</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Canal inguinal</term>
<term>Femelle</term>
<term>Humains</term>
<term>Ilium</term>
<term>Jambe</term>
<term>Lymphoedème</term>
<term>Mâle</term>
<term>Mélanome</term>
<term>Système lymphatique</term>
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<front><div type="abstract" xml:lang="en">Lympho-venous anastomoses (LVA) were performed in 30 patients, immediately after the completion of ilio-inguinal dissection for metastatic nodal involvement. This surgical procedure, originally devised to treat post-mastectomy lymphedema from radical mastectomy, was intended in this series of cases to prevent complications from ilio-inguinal nodal dissection. Actually, when compared to another group of 84 patients previously operated on by ilio-inguinal nodal dissection without lympho-venous anastomoses, the series showed a lower rate of local-regional complications (38% vs 65.9%). The mean duration of hospital stay was also reduced (18.5 vs 34.7 days). Distant lymphedema of the lower limb was observed in 7 of 23 patients who had received LVA, whereas in the control group, lymphedema was recorded in 39 of 52 patients who were regularly followed-up (30% vs 75%). LVA should be routinely used, as a useful surgical procedure, to prevent or reduce the occurrence of local-regional complications following ilio-inguinal nodal dissections.</div>
</front>
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<Abstract><AbstractText>Lympho-venous anastomoses (LVA) were performed in 30 patients, immediately after the completion of ilio-inguinal dissection for metastatic nodal involvement. This surgical procedure, originally devised to treat post-mastectomy lymphedema from radical mastectomy, was intended in this series of cases to prevent complications from ilio-inguinal nodal dissection. Actually, when compared to another group of 84 patients previously operated on by ilio-inguinal nodal dissection without lympho-venous anastomoses, the series showed a lower rate of local-regional complications (38% vs 65.9%). The mean duration of hospital stay was also reduced (18.5 vs 34.7 days). Distant lymphedema of the lower limb was observed in 7 of 23 patients who had received LVA, whereas in the control group, lymphedema was recorded in 39 of 52 patients who were regularly followed-up (30% vs 75%). LVA should be routinely used, as a useful surgical procedure, to prevent or reduce the occurrence of local-regional complications following ilio-inguinal nodal dissections.</AbstractText>
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