Document Detail


Liposuction in arm lymphedema treatment.
MedLine Citation:
PMID:  14758919     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Breast cancer is the most common disease in women, and up to 38% develop lymphedema of the arm following mastectomy, standard axillary node dissection and postoperative irradiation. Limb reductions have been reported utilizing various conservative therapies such as manual lymph and pressure therapy. Some patients with long-standing pronounced lymphedema do not respond to these conservative treatments because slow or absent lymph flow causes the formation of excess subcutaneous adipose tissue. Previous surgical regimes utilizing bridging procedures, total excision with skin grafting or reduction plasty seldom achieved acceptable cosmetic and functional results. Microsurgical reconstruction involving lympho-venous shunts or transplantation of lymph vessels has also been investigated. Although attractive in concept, the common failure of microsurgery to provide complete reduction is due to the persistence of newly formed subcutaneous adipose tissue, which is not removed in patients with chronic non-pitting lymphedema. Liposuction removes the hypertrophied adipose tissue and is a prerequisite to achieve complete reduction. The new equilibrium is maintained through constant (24-hour) use of compression garments postoperatively. Long-term follow up (7 years) does not show any recurrence of the edema.
Authors:
H Brorson
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society     Volume:  92     ISSN:  1457-4969     ISO Abbreviation:  Scand J Surg     Publication Date:  2003  
Date Detail:
Created Date:  2004-02-04     Completed Date:  2004-05-17     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  101144297     Medline TA:  Scand J Surg     Country:  Finland    
Other Details:
Languages:  eng     Pagination:  287-95     Citation Subset:  IM    
Affiliation:
The Lymphedema Unit, Department of Plastic and Reconstructive Surgery, Lund University, Malmö University Hospital, Malmö, Sweden. hakan.brorson@plastsurg.mas.lu.se
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MeSH Terms
Descriptor/Qualifier:
Arm / surgery*
Breast Neoplasms / surgery
Female
Humans
Lipectomy / methods*
Lymph Node Excision / adverse effects
Lymphedema / etiology,  surgery*
Mastectomy / adverse effects
Postoperative Complications / surgery
Radiotherapy / adverse effects

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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