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The use of lympho-venous anastomoses to prevent complications from ilio-inguinal dissection.

Identifieur interne : 006163 ( PubMed/Curation ); précédent : 006162; suivant : 006164

The use of lympho-venous anastomoses to prevent complications from ilio-inguinal dissection.

Auteurs : S. Orefice [Italie] ; A R Conti ; M. Grassi ; B. Salvadori

Source :

RBID : pubmed:3400125

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English descriptors

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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Le document en format XML

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<nlm:affiliation>Divisione di Oncologia Chirurgica C, Istituto Nazionale per lo Studio e la Cura dei Tumori, Milano, Italia.</nlm:affiliation>
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<term>Lymph Node Excision (adverse effects)</term>
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<term>Ilium</term>
<term>Jambe</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème ()</term>
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<term>Mélanome ()</term>
<term>Système lymphatique ()</term>
<term>Veines ()</term>
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<term>Lymph Node Excision</term>
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<term>Lymphadénectomie</term>
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<term>Lymphedema</term>
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<term>Lymphatic System</term>
<term>Melanoma</term>
<term>Veins</term>
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<term>Female</term>
<term>Humans</term>
<term>Ilium</term>
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<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>
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<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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