Surgical management of selected patients with lymphedema of the extremities.
Identifieur interne : 006903 ( PubMed/Curation ); précédent : 006902; suivant : 006904Surgical management of selected patients with lymphedema of the extremities.
Auteurs : M. DegniSource :
- The Journal of cardiovascular surgery [ 0021-9509 ]
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- chemical : Polypropylenes.
- methods : Drainage.
- surgery : Extremities, Lymphatic System, Lymphedema, Veins.
- Adolescent, Adult, Aged, Female, Humans, Male, Middle Aged, Surgical Instruments, Surgical Mesh, Suture Techniques.
Abstract
In the management of moderately severe lymphedema of the extremities, two types of "physiological" surgery have been employed with acceptable results. The methods involve (1) subcutaneous drainage of lymph by a synthetic suture network or loops of #2 prolene and (2) lymphatic-venous anastomosis of lymphatic channels into adjacent superficial veins. In 126 patients treated by the first method, there was an average reduction of edema of approximately 60%. In 77 patients the second method (306 anastomoses) resulted in an average reduction of edema of 75% in follow-up rangeing up to 11 years. These procedures are contraindicated in patients with limb paralysis or frequent recurrent skin infection.
PubMed: 6392306
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pubmed:6392306Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Drainage (methods)</term>
<term>Extremities (surgery)</term>
<term>Female</term>
<term>Humans</term>
<term>Lymphatic System (surgery)</term>
<term>Lymphedema (surgery)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Polypropylenes</term>
<term>Surgical Instruments</term>
<term>Surgical Mesh</term>
<term>Suture Techniques</term>
<term>Veins (surgery)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Drainage ()</term>
<term>Femelle</term>
<term>Filet chirurgical</term>
<term>Humains</term>
<term>Instruments chirurgicaux</term>
<term>Lymphoedème ()</term>
<term>Membres ()</term>
<term>Mâle</term>
<term>Polypropylènes</term>
<term>Sujet âgé</term>
<term>Système lymphatique ()</term>
<term>Techniques de suture</term>
<term>Veines ()</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Polypropylenes</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Drainage</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Extremities</term>
<term>Lymphatic System</term>
<term>Lymphedema</term>
<term>Veins</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Surgical Instruments</term>
<term>Surgical Mesh</term>
<term>Suture Techniques</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Drainage</term>
<term>Femelle</term>
<term>Filet chirurgical</term>
<term>Humains</term>
<term>Instruments chirurgicaux</term>
<term>Lymphoedème</term>
<term>Membres</term>
<term>Mâle</term>
<term>Polypropylènes</term>
<term>Sujet âgé</term>
<term>Système lymphatique</term>
<term>Techniques de suture</term>
<term>Veines</term>
</keywords>
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<front><div type="abstract" xml:lang="en">In the management of moderately severe lymphedema of the extremities, two types of "physiological" surgery have been employed with acceptable results. The methods involve (1) subcutaneous drainage of lymph by a synthetic suture network or loops of #2 prolene and (2) lymphatic-venous anastomosis of lymphatic channels into adjacent superficial veins. In 126 patients treated by the first method, there was an average reduction of edema of approximately 60%. In 77 patients the second method (306 anastomoses) resulted in an average reduction of edema of 75% in follow-up rangeing up to 11 years. These procedures are contraindicated in patients with limb paralysis or frequent recurrent skin infection.</div>
</front>
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<DateCreated><Year>1985</Year>
<Month>02</Month>
<Day>05</Day>
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<DateCompleted><Year>1985</Year>
<Month>02</Month>
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<DateRevised><Year>2016</Year>
<Month>10</Month>
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<JournalIssue CitedMedium="Print"><Volume>25</Volume>
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<PubDate><MedlineDate>1984 Nov-Dec</MedlineDate>
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<Title>The Journal of cardiovascular surgery</Title>
<ISOAbbreviation>J Cardiovasc Surg (Torino)</ISOAbbreviation>
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<ArticleTitle>Surgical management of selected patients with lymphedema of the extremities.</ArticleTitle>
<Pagination><MedlinePgn>481-8</MedlinePgn>
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<Abstract><AbstractText>In the management of moderately severe lymphedema of the extremities, two types of "physiological" surgery have been employed with acceptable results. The methods involve (1) subcutaneous drainage of lymph by a synthetic suture network or loops of #2 prolene and (2) lymphatic-venous anastomosis of lymphatic channels into adjacent superficial veins. In 126 patients treated by the first method, there was an average reduction of edema of approximately 60%. In 77 patients the second method (306 anastomoses) resulted in an average reduction of edema of 75% in follow-up rangeing up to 11 years. These procedures are contraindicated in patients with limb paralysis or frequent recurrent skin infection.</AbstractText>
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<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Degni</LastName>
<ForeName>M</ForeName>
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<Language>eng</Language>
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<MedlineJournalInfo><Country>Italy</Country>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
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<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
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<MeshHeading><DescriptorName UI="D005121" MajorTopicYN="N">Extremities</DescriptorName>
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<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D008208" MajorTopicYN="N">Lymphatic System</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="N">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="D011126" MajorTopicYN="N">Polypropylenes</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013525" MajorTopicYN="N">Surgical Instruments</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013526" MajorTopicYN="N">Surgical Mesh</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013536" MajorTopicYN="N">Suture Techniques</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014680" MajorTopicYN="N">Veins</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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