The surgical management of lymphedema.
Identifieur interne : 006906 ( PubMed/Curation ); précédent : 006905; suivant : 006907The surgical management of lymphedema.
Auteurs : R C SavageSource :
- Surgery, gynecology & obstetrics [ 0039-6087 ] ; 1984.
Descripteurs français
- KwdFr :
- Adulte, Antibactériens (usage thérapeutique), Antifongiques (usage thérapeutique), Femelle, Humains, Intestins (transplantation), Lambeaux chirurgicaux, Lymphoedème (), Méthodes, Omentum (transplantation), Système lymphatique (), Système lymphatique (anatomie et histologie), Système lymphatique (physiopathologie), Vêtements.
- MESH :
- anatomie et histologie : Système lymphatique.
- physiopathologie : Système lymphatique.
- usage thérapeutique : Antibactériens, Antifongiques, Intestins, Omentum.
- Adulte, Femelle, Humains, Lambeaux chirurgicaux, Lymphoedème, Méthodes, Système lymphatique, Vêtements.
English descriptors
- KwdEn :
- Adult, Anti-Bacterial Agents (therapeutic use), Antifungal Agents (therapeutic use), Clothing, Female, Humans, Intestines (transplantation), Lymphatic System (anatomy & histology), Lymphatic System (physiopathology), Lymphatic System (surgery), Lymphedema (classification), Lymphedema (surgery), Lymphedema (therapy), Methods, Omentum (transplantation), Surgical Flaps.
- MESH :
- chemical , therapeutic use : Anti-Bacterial Agents, Antifungal Agents.
- anatomy & histology : Lymphatic System.
- classification : Lymphedema.
- physiopathology : Lymphatic System.
- surgery : Lymphatic System, Lymphedema.
- therapy : Lymphedema.
- transplantation : Intestines, Omentum.
- Adult, Clothing, Female, Humans, Methods, Surgical Flaps.
Abstract
The treatment of lymphedema remains a formidable task for the patient and physician. However, most patients with both primary and secondary lymphedema can be managed satisfactorily by conservative means. Surgical intervention for lymphedema should be considered only after a serious trial of medical management. Although no present surgical technique offers cure, significant improvement is possible by a variety of methods. The staged excision of skin and subcutaneous tissue, the Charles procedure and the dermal flap by Thompson are still the most popular techniques in the United States. Axial and myocutaneous flaps and microsurgical bypass procedures are currently under investigation and may hold promise after additional study. Future experimental and clinical studies should concentrate on long term follow-up study with objective clinical and roentgenographic documentation of improvement.
PubMed: 6387981
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However, most patients with both primary and secondary lymphedema can be managed satisfactorily by conservative means. Surgical intervention for lymphedema should be considered only after a serious trial of medical management. Although no present surgical technique offers cure, significant improvement is possible by a variety of methods. The staged excision of skin and subcutaneous tissue, the Charles procedure and the dermal flap by Thompson are still the most popular techniques in the United States. Axial and myocutaneous flaps and microsurgical bypass procedures are currently under investigation and may hold promise after additional study. Future experimental and clinical studies should concentrate on long term follow-up study with objective clinical and roentgenographic documentation of improvement.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">6387981</PMID><DateCreated><Year>1984</Year><Month>11</Month><Day>28</Day></DateCreated><DateCompleted><Year>1984</Year><Month>11</Month><Day>28</Day></DateCompleted><DateRevised><Year>2009</Year><Month>11</Month><Day>11</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0039-6087</ISSN><JournalIssue CitedMedium="Print"><Volume>159</Volume><Issue>5</Issue><PubDate><Year>1984</Year><Month>Nov</Month></PubDate></JournalIssue><Title>Surgery, gynecology & obstetrics</Title><ISOAbbreviation>Surg Gynecol Obstet</ISOAbbreviation></Journal><ArticleTitle>The surgical management of lymphedema.</ArticleTitle><Pagination><MedlinePgn>501-8</MedlinePgn></Pagination><Abstract><AbstractText>The treatment of lymphedema remains a formidable task for the patient and physician. However, most patients with both primary and secondary lymphedema can be managed satisfactorily by conservative means. Surgical intervention for lymphedema should be considered only after a serious trial of medical management. Although no present surgical technique offers cure, significant improvement is possible by a variety of methods. The staged excision of skin and subcutaneous tissue, the Charles procedure and the dermal flap by Thompson are still the most popular techniques in the United States. Axial and myocutaneous flaps and microsurgical bypass procedures are currently under investigation and may hold promise after additional study. Future experimental and clinical studies should concentrate on long term follow-up study with objective clinical and roentgenographic documentation of improvement.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Savage</LastName><ForeName>R C</ForeName><Initials>RC</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Surg Gynecol Obstet</MedlineTA><NlmUniqueID>0101370</NlmUniqueID><ISSNLinking>0039-6087</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000900">Anti-Bacterial Agents</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000935">Antifungal Agents</NameOfSubstance></Chemical></ChemicalList><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000900" MajorTopicYN="N">Anti-Bacterial Agents</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000935" MajorTopicYN="N">Antifungal Agents</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003020" MajorTopicYN="N">Clothing</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007422" MajorTopicYN="N">Intestines</DescriptorName><QualifierName UI="Q000637" MajorTopicYN="N">transplantation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008208" MajorTopicYN="N">Lymphatic System</DescriptorName><QualifierName UI="Q000033" MajorTopicYN="N">anatomy & histology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000145" MajorTopicYN="N">classification</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008722" MajorTopicYN="N">Methods</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009852" MajorTopicYN="N">Omentum</DescriptorName><QualifierName UI="Q000637" MajorTopicYN="N">transplantation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013524" MajorTopicYN="N">Surgical Flaps</DescriptorName></MeshHeading></MeshHeadingList><NumberOfReferences>117</NumberOfReferences></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1984</Year><Month>11</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1984</Year><Month>11</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1984</Year><Month>11</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">6387981</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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