Display options
Cite
Mousavi SR. Long Term Results of Innovative Procedure in Surgical Management of Chronic Lymphedema. Open Orthop J. 2016;10:543-549doi: 10.2174/1874325001610010543.
Mousavi, S. R. (2016). Long Term Results of Innovative Procedure in Surgical Management of Chronic Lymphedema. The open orthopaedics journal, 10543-549. https://doi.org/10.2174/1874325001610010543
Mousavi, Seyed R. "Long Term Results of Innovative Procedure in Surgical Management of Chronic Lymphedema." The open orthopaedics journal vol. 10 (2016): 543-549. doi: https://doi.org/10.2174/1874325001610010543
Mousavi SR. Long Term Results of Innovative Procedure in Surgical Management of Chronic Lymphedema. Open Orthop J. 2016 Nov 17;10:543-549. doi: 10.2174/1874325001610010543. eCollection 2016. PMID: 27990192; PMCID: PMC5120377.
Copy Download .nbib Format: NLM
Share it on

Open Orthop J. 2016 Nov 17;10:543-549. doi: 10.2174/1874325001610010543. eCollection 2016.

Long Term Results of Innovative Procedure in Surgical Management of Chronic Lymphedema.

The open orthopaedics journal

Seyed R Mousavi

Affiliations

  1. Shohada Medical Center and Cancer Research Center, Vascular Department, Shahid Beheshti University Medical Sciences, Tehran, Iran.

PMID: 27990192 PMCID: PMC5120377 DOI: 10.2174/1874325001610010543

Abstract

BACKGROUND: Lymphedema is the result of impaired lymphatic drainage by the affected organ. This abnormality can be primary or secondary. Different operative approaches have been introduced to treat chronic lymphedema.

MATERIALS AND METHODS: This retrospective study included 816 patients who were diagnosed with chronic lower extremity lymphedema and did not respond to non-operative management for at least six months. Data was collected over 25 years, between March 1987 and March 2013. Doppler ultrasonography of the deep venous system was routinely undertaken in all patients to confirm patency. The patients underwent surgery and their progress was followed for at least one year postoperatively.

RESULTS: All patients were operated by the suggested technique and long term fallow-up which is a modified form of the Homan's technique. The outcome was excellent, and 89.2% of patients were free of complication and 2% had poor results. The most common complication was wound seroma and wound infection.

CONCLUSION: The long term results and considering the difficulties associated with the treatment of chronic lymphedema and the variety of surgical options, our method achieved excellent results, and may be proposed for the standard operative procedure for treating intractable forms of this disease.

Keywords: Edema; Lower limb; Lymphedema; Modified homan; Primary

References

  1. Lymphology. 1999 Mar;32(1):11-4 - PubMed
  2. Microsc Res Tech. 2001 Oct 15;55(2):122-45 - PubMed
  3. Angiol Sosud Khir. 2003;9(2):66-70 - PubMed
  4. Lymphology. 1992 Dec;25(4):182-3 - PubMed
  5. Australas J Dermatol. 1992;33(2):61-8 - PubMed
  6. Australas J Dermatol. 1992;33(2):69-74 - PubMed
  7. Lymphology. 1992 Sep;25(3):129-33 - PubMed
  8. Presse Med. 2010 Dec;39(12):1269-78 - PubMed
  9. Handchir Mikrochir Plast Chir. 2012 Dec;44(6):322-8 - PubMed
  10. Wien Med Wochenschr. 2013 Apr;163(7-8):155-61 - PubMed
  11. Semin Pediatr Surg. 2014 Aug;23(4):178-85 - PubMed
  12. West J Nurs Res. 2016 Oct;38(10):1313-34 - PubMed
  13. Br J Nurs. 2016 Jul 14;25(13):718-24 - PubMed
  14. Br J Plast Surg. 1989 Sep;42(5):530-3 - PubMed
  15. Radiology. 1989 Feb;170(2):371-4 - PubMed
  16. Lymphology. 1988 Sep;21(3):190-4 - PubMed
  17. Br J Plast Surg. 1988 Jan;41(1):20-7 - PubMed
  18. Lymphology. 1986 Sep;19(3):106-8 - PubMed
  19. J Cardiovasc Surg (Torino). 1985 Mar-Apr;26(2):91-106 - PubMed
  20. Arch Surg. 1985 Oct;120(10):1116-9 - PubMed
  21. Br Med J. 1980 Jan 5;280(6206):7-11 - PubMed
  22. Clin Plast Surg. 1982 Jan;9(1):113-7 - PubMed
  23. Lymphology. 1980 Jun;13(2):68-73 - PubMed
  24. Plast Reconstr Surg. 1994 Nov;94(6):841-7; discussion 848-9 - PubMed
  25. Lymphology. 1994 Jun;27(2):56-70 - PubMed
  26. N Engl J Med. 1993 Oct 14;329(16):1158-63 - PubMed
  27. Lymphology. 1996 Mar;29(1):20-4 - PubMed
  28. Lymphology. 1996 Jun;29(2):76-82 - PubMed
  29. Lymphology. 1996 Sep;29(3):106-11 - PubMed
  30. Int Angiol. 1996 Sep;15(3):272-7 - PubMed
  31. J Vasc Res. 1997 Jul-Aug;34(4):306-11 - PubMed
  32. Lymphology. 1998 Mar;31(1):34-6 - PubMed
  33. Vasc Med. 1997 Nov;2(4):321-6 - PubMed
  34. Plast Reconstr Surg. 1998 Oct;102(5):1486-98; discussion 1499-501 - PubMed
  35. Lymphology. 1998 Dec;31(4):180-5 - PubMed

Publication Types