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Chirurgische Therapie des Lymphödems – Möglichkeiten und Grenzen


Uyulmaz, Semra; Scaglioni, Mario F; Lindenblatt, Nicole (2017). Chirurgische Therapie des Lymphödems – Möglichkeiten und Grenzen. Praxis, 106(24):1331-1338.

Abstract

Lymphedema is a chronic progressive and potentially debiliating disease that is frequently observed after cancer treatment. Radical lymphadenectomy and radiotherapy which are strongly associated with development of a lymphedema remain essential components of the therapeutic concept of cancer. Resection of fibrotic tissue should only be evaluated at the end stage of the disease, while liposuction is less invasive and seems to be highly effective in reducing extremity circumferences. Lymphovenous anastomoses and microvascular lymphnode transfers provide valuable therapeutic options for a properly selected patient population and can improve skin quality and limit progression of the disease. In order to further confirm the promising results, scientifically prospective studies with higher numbers of patients as well as long-term follow-up studies are necessary.

Abstract

Lymphedema is a chronic progressive and potentially debiliating disease that is frequently observed after cancer treatment. Radical lymphadenectomy and radiotherapy which are strongly associated with development of a lymphedema remain essential components of the therapeutic concept of cancer. Resection of fibrotic tissue should only be evaluated at the end stage of the disease, while liposuction is less invasive and seems to be highly effective in reducing extremity circumferences. Lymphovenous anastomoses and microvascular lymphnode transfers provide valuable therapeutic options for a properly selected patient population and can improve skin quality and limit progression of the disease. In order to further confirm the promising results, scientifically prospective studies with higher numbers of patients as well as long-term follow-up studies are necessary.

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Additional indexing

Other titles:Surgical therapy of chronic lymphedema – pushing the limits
Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Reconstructive Surgery
Dewey Decimal Classification:610 Medicine & health
Uncontrolled Keywords:Anastomose lymphovéineuse, Brustkrebs, Lymphedema, Lymphknotentransfer, Lymphödemtherapie, Mikrochirurgie, cancer, chirurgie du lymphœdème, lymphaticovenous anastomosis, lymphnode transfer, lymphovenöse Anastomosen, microchirurgie, microsurgery, transfert microvasculaire
Language:German
Date:November 2017
Deposited On:20 Dec 2017 14:29
Last Modified:19 Feb 2018 09:42
Publisher:Hogrefe Verlag
ISSN:1661-8157
OA Status:Closed
Publisher DOI:https://doi.org/10.1024/1661-8157/a002834
PubMed ID:29183212

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