14,321 results match your criteria Lymphedema
Rep Pract Oncol Radiother 2018 Nov-Dec;23(6):495-502. Epub 2018 May 9.
Gynecological Oncology Unit, Barcelona Clinic Hospital, 170 Villaroel St, Barcelona 08036, Spain.
Cervical cancer is the fourth most common cancer in women, and seventh overall. This disease represents a medical, economic and social burden. In early FIGO stage patients (IA, IB1 and IIA1), nodal involvement is the most important prognostic factor. Read More
Lymphat Res Biol 2018 Dec 8. Epub 2018 Dec 8.
College of Medical Sciences, Nova Southeastern University , Ft. Lauderdale, Florida.
Background: Tissue dielectric constant (TDC) measurements are increasingly being used as a tool to help characterize lymphedema features, detect its presence, and assess treatment related changes. Although the underlying physics of this technology has been well described in the literature, there has been little systematic study of in vivo reliability aspects. A central unanswered question is the minimal detectable change (MDC) that, with a given level of confidence, may be ascribed to this technology. Read More
Br J Community Nurs 2018 Dec;23(12):578-580
Queens Nurse, Senior Lecturer at the University of Wolverhampton, Clinical Nurse Specialist at the Walsall Healthcare NHS Trust.
Cancer 2018 Dec 6. Epub 2018 Dec 6.
Australian Lymphoedema Education, Research and Treatment (ALERT) Program, Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia.
Background: Bioimpedance spectroscopy (BIS) has enabled the early identification of breast cancer-related lymphedema. In this study, differences in health service metrics and in the incidence of breast cancer-related lymphedema are evaluated in an early surveillance model of care compared with a traditional referral model of care.
Methods: In a retrospective analysis of data from 753 women who underwent BIS measures between January 1, 2007 and December 31, 2016, 188 women were assigned to the "early surveillance" group if they began lymphedema monitoring presurgery (n = 121) or within 90 days postsurgery (n = 67), and 285 women were assigned to the "traditional referral" group if they began monitoring after 90 days postsurgery. Read More
Acta Derm Venereol 2018 Dec 6. Epub 2018 Dec 6.
Department of Dermatology, University of Colorado Denver School of Medicine, 80206 Denver, USA.
Photodermatol Photoimmunol Photomed 2018 Dec 6. Epub 2018 Dec 6.
Dermatology Unit, Department of Medical, Surgical and Neuro-Sciences, University of Siena, Siena, Italy.
Graves' orbitopathy (GO) and pre-tibial mixedema (PTM) are autoimmune manifestation sharing the same etiology and histopathology, a chronic course and a frustrating treatment. Current management include topical and systemic corticosteroid as first line therapy, whereas cyclosporine, surgery and orbital radiotherapy are indicated for severe GO with variable results and mostly temporary remissions. In particular, keratopath and photophobia, due to exophthalmos and eyelid retraction, impaired eye mobility and diplopia due to the compression of optic nerve and extra-ocular muscles are usually minimally modified, as well as leg plaques/nodules and lymphoedema. Read More
Microsurgery 2018 Dec 3. Epub 2018 Dec 3.
Department of Plastic and Reconstructive Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.
Purpose: Vascularized lymph node transfer is becoming more common in the treatment of lymphedema, but suitable small animal models for research are lacking. Here, we evaluated the feasibility of pedicled vascularized inguinal lymph node transfer in mice.
Methods: Twenty-five mice were used in the study. Read More
Plast Surg Nurs 2018 Oct/Dec;38(4):149-152
Marcelle Caruana, CANS, RN, is Medical Aesthetician and the Owner and President of Skin Medic and a Clinical Educator with Palomar, Cynosure, and Hologic.
Lipedema is a fat disorder that is often misdiagnosed. It was first identified at the Mayo Clinic in 1940, but medical schools do not include it in their curriculum and is therefore poorly understood. It presents as disproportionate and symmetrical accumulations of fat (bilateral), which is often accompanied by orthostatic edema. Read More
Wounds 2018 Dec;30(12):382
International Lymphedema and Wound Training Institute, www.ilwti.com.
Mhealth 2018 26;4:49. Epub 2018 Oct 26.
Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool, UK.
Background: Lymphatic filariasis (LF) and podoconiosis are disabling diseases, endemic in Ethiopia. The main clinical manifestations include lymphoedema from LF and podoconiosis, and hydrocoele from LF. To ensure access to morbidity management and disability prevention (MMDP) services, data on patient numbers in each implementation unit (IU) is required. Read More
J Plast Reconstr Aesthet Surg 2018 Nov 19. Epub 2018 Nov 19.
Department of Plastic and Reconstructive Surgery, Centre for Surgical Treatment of Lymphedema, Università Cattolica del "Sacro Cuore" - Fondazione Policlinico "A. Gemelli" IRCSS - Largo A. Gemelli 8, 00169 Rome, Italy.
Background: We report our clinical experience of a supraclavicular lymph node flap (LNF) using a novel method of harvesting based on the compartimental lymphatic and vascular anatomy of the right posterior neck triangle, which allows to harvest two independent LNFs from the same donor site.
Patients And Methods: We report a case series of 10 consecutive patients affected by cancer-related lower extremity lymphedema, who underwent compartimental dual LNF transfer from the right supraclavicular area to the affected lower limb, from August 2015 to March 2017. The superficial compartment flap (venous flap along the external jugular vein) was anastomosed in a flow-through fashion along the course of the great saphenous vein in the knee region, whereas the deep compartment flap (transverse cervical artery/vein flap) was anastomosed in an end-to-end fashion to the medial sural artery and comitantes vein. Read More
J Surg Res 2019 Jan 17;233:88-95. Epub 2018 Aug 17.
Dipartimento di Scienze Cardiotoraciche e Respiratorie, Università degli Studi della Campania "Luigi Vanvitelli", Napoli, Italia.
Background: We aimed to assess whether the use of the harmonic scalpel (HS) in axillary dissection would reduce long-term shoulder-arm morbidity compared to traditional instruments (TIs).
Materials And Methods: A retrospective analysis on 180 patients who underwent standard axillary dissection for breast cancer between 2007 and 2015 was carried out. All patients were evaluated for postoperative pain, impairment of shoulder-arm mobility, seroma formation in axilla, frozen shoulder, and lymphedema. Read More
J Surg Res 2019 Jan 23;233:149-153. Epub 2018 Aug 23.
Department of Surgery, Sidney Kimmel Medical College, Thomas Jefferson University, Surgery, Philadelphia, Pennsylvania. Electronic address:
Background: Sentinel lymph node biopsy (SLNB) is an important adjunct in the staging of patients with melanoma. Preoperative lymphoscintigraphy with radiolabeled isotopes is essential to localize sentinel nodes for removal. Our study compared the effectiveness of Lymphoseek to standard sulfur colloids in patients with melanoma undergoing SLNB. Read More
Clin Nucl Med 2018 Dec 3. Epub 2018 Dec 3.
Department of Plastic and Reconstructive Surgery, University Hospital of Lausanne, Lausanne, Switzerland.
Purpose: The current study aimed to determine the utility of including the study of deep subfascial lymphatic vessels in a 2-compartment lymphoscintigraphy for the diagnosis of lymphedema in patients with limb swelling. Lymphoscintigraphy is a valuable imaging tool for the timely diagnosis of peripheral lymphedema. However, there is a lack of standardization in its application, especially regarding which type of lymphatic vessels to examine (superficial, deep, or both). Read More
Turk Kardiyol Dern Ars 2018 12;46(8):706-709
Department of Cardiology, Koç University Hospital, İstanbul, Turkey.
Unilateral lower extremity edema below the knee commonly results from deep venous thrombosis, venous insufficiency, or lymphedema. The patient history, a physical examination, and lower extremity venous duplex ultrasound often reveal the underlying etiology, which is frequently of vascular origin. Presently described is the case of a 23-year-old patient who underwent a diagnostic workup for unilateral leg swelling and was found to have a relatively uncommon cause of edema: lipedema. Read More
Orbit 2018 Dec 5:1-4. Epub 2018 Dec 5.
a Department of Ophthalmology , University Hospital Nottingham NHS Trust , Nottingham , UK.
Lymphedema-distichiasis syndrome (LDS) is an autosomal dominant condition associated with FOXC2 mutations. Patients with distichiasis are mostly symptomatic, and efforts to deal with their ocular complaints comprise of electrolysis, cryotherapy and a variety of surgical techniques. We describe an enhanced surgical technique for a case of symptomatic distichiasis of the right eye with scarred, irregular eyelid margins secondary to initial cryotherapy, whereby the distorted tarsus was excised to remove the aberrant hair follicles, the levator palpebrae superioris was released to extend the upper lid and prevent lagophthalmos and a mucous membrane graft was used to cover the exposed portion of the tarsal plate. Read More
Plast Reconstr Surg 2018 Nov;142(5):806e
Division of Plastic and Reconstructive Surgery, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital and, Chang Gung University College of Medicine, 123 Dapi Road, Niaosong District, Kaohsiung 833, Taiwan,
Plast Reconstr Surg 2018 Nov;142(5):804e-806e
Department of Plastic and Reconstructive Surgery, Center Hospital of National Center for Global Health and Medicine, Tokyo, Japan, Department of Plastic Surgery, Tokyo Metropolitan Bokutoh Hospital, Tokyo, Japan, Department of Plastic and Reconstructive Surgery, St. Marianna University School of Medicine, Kanagawa, Japan Department of Plastic Surgery, Tokyo Metropolitan Bokutoh Hospital, Tokyo, Japan Department of Plastic and Reconstructive Surgery, Center Hospital of National Center for Global Health and Medicine, Tokyo, Japan Department of Plastic and Reconstructive Surgery, University of Tokyo Hospital, Tokyo, Japan Department of Plastic and Reconstructive Surgery, St. Marianna University School of Medicine, Kanagawa, Japan.
Plast Reconstr Surg 2018 Nov;142(5):801e
Division of Plastic and Reconstructive Surgery, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, 123 Dapi Road, Niaosong District, Kaohsiung 833, Taiwan,
Plast Reconstr Surg 2018 Nov;142(5):800e-801e
Division of Plastic and Reconstructive Surgery, Department of Surgery, Faculty of Medicine, Mae Fah Luang University, Chiang Rai, Thailand Division of Plastic and Reconstructive Surgery, Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand Division of Plastic and Reconstructive Surgery, Department of Surgery, Q Clinic, Bangkok, Thailand Division of Plastic and Reconstructive Surgery, Department of Surgery, Khon Kaen Hospital, Khon Kaen, Thailand Division of Plastic and Reconstructive Surgery, Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Ann Vasc Surg 2018 Nov 27. Epub 2018 Nov 27.
Department of Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan.
Objective: Patients presenting with edema, skin redness, pain, and itching in their lower legs are common and encountered often in daily practice. However, although commonly recognized diseases, such as deep venous thrombosis (DVT), stasis dermatitis due to varicose veins, lymphedema, and cellulitis, are diagnosed correctly in most cases, micro-arteriovenous fistulas (AVFs) may often be overlooked due to low awareness and rarity. This study was carried out to evaluate the prevalence of micro-AVF in patients presenting with foot skin symptoms. Read More
Breast Care (Basel) 2018 Oct 3;13(5):380-385. Epub 2018 May 3.
Department I of Internal Medicine, Center of Integrated Oncology Cologne Bonn, University Hospital of Cologne, Cologne, Germany.
Background: Secondary lymphedema (SL) is a possible side effect of breast cancer treatment. Current data describe a positive influence of exercise on upper lymphedema. This systematic review evaluates studies examining a potential preventive effect of exercise on SL incidence. Read More
Plast Reconstr Surg 2018 Dec;142(6):985e
Division of Plastic and Reconstructive Surgery, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital and, Chang Gung University College of Medicine, 123 Dapi Road, Niaosong District, Kaohsiung 833, Taiwan,
Cutis 2018 Oct;102(4):E8-E11
Wright State University Boonshoft School of Medicine, Dayton, and Jobst Vascular Institute/ProMedica Health System Toledo Hospital, Ohio, USA.
Angiosarcoma is a vascular malignancy that can affect various anatomic sites. Although rare, cutaneous angiosarcoma is the most common clinical manifestation, accounting for approximately 50% to 60% of cases. Cutaneous angiosarcoma typically is known to occur in 3 settings: (1) idiopathic, (2) following radiation treatment, and (3) in the setting of chronic lymphedema following mastectomy (known as Stewart-Treves syndrome). Read More
Plast Reconstr Surg 2018 Dec;142(6):983e-985e
Department of Plastic and Reconstructive Surgery, Centre for Surgical Treatment of Lymphedema, Università Cattolica del "Sacro Cuore", University Hospital "A. Gemelli", Rome, Italy Department of Plastic and Reconstructive Surgery, Asahi General Hospital, Chiba, Japan Department of Plastic and Reconstructive Surgery, Centre for Surgical Treatment of Lymphedema, Università Cattolica del "Sacro Cuore", University Hospital "A. Gemelli", Rome, Italy.
Plast Reconstr Surg 2018 Dec;142(6):931e-932e
Chicago, Ill. From the Section of Plastic and Reconstructive Surgery, University of Chicago Medicine.
Arch Gynecol Obstet 2018 Nov 28. Epub 2018 Nov 28.
Department of Obstetrics and Gynecology, Sahlgrenska University Hospital, Sahlgrenska Academy at University of Gothenburg, 41345, Gothenburg, Sweden.
Purpose: Our aim was to evaluate fertility-sparing surgery of early stage cervical cancer after the introduction of vaginal trachelectomy (VT) and pelvic lymph node dissection (PLND). The objectives were to assess surgical, long-term oncological, fertility, and obstetric outcomes together with self-assessed quality of life (QoL).
Methods: All women ≤ 40 years diagnosed with early stage cervical cancers IA1-IB1 and ≤ 2 cm treated by VT and PLND between 2000 and 2014 were included. Read More
Lymphat Res Biol 2018 Nov 28. Epub 2018 Nov 28.
4 Vanderbilt-Ingram Cancer Center , Nashville, Tennessee.
Background: This study examined interrelationships of selected interleukins (ILs), tumor growth factors, matrix metalloproteinases (MMPs), and C-reactive protein, interferon-gamma (IFN-γ), and tumor necrosis factor α (TNF-α) with lymphedema/fibrosis in patients with head and neck cancer (HNC).
Methods And Results: Patients newly diagnosed with ≥Stage II HNC (N = 100) were assessed for external/internal lymphedema and/or fibrosis before treatment, end-of-treatment, and at regularly established intervals through 72 weeks posttreatment and blood was drawn. Data from 83 patients were analyzed. Read More
J Assist Reprod Genet 2018 Nov 27. Epub 2018 Nov 27.
Center for Reproductive Medicine, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Laarbeeklaan 101, 1090, Brussels, Belgium.
Purpose: We aim to investigate whether there is a genetic predisposition in women who developed ovarian hyperstimulation syndrome (OHSS) after GnRH antagonist protocol with GnRH agonist trigger and freeze-all approach.
Methods: Four patients with OHSS after GnRH agonist trigger and freeze-all approach were gathered from the worldwide patient population. These patients were analyzed through Whole Exome Sequencing. Read More
Proc Natl Acad Sci U S A 2018 Nov 27. Epub 2018 Nov 27.
Howard Hughes Medical Institute, The Scripps Research Institute, La Jolla, CA 92037;
PIEZO1 is a cation channel that is activated by mechanical forces such as fluid shear stress or membrane stretch. loss-of-function mutations in patients are associated with congenital lymphedema with pleural effusion. However, the mechanistic link between PIEZO1 function and the development or function of the lymphatic system is currently unknown. Read More
SICOT J 2018 27;4:53. Epub 2016 Nov 27.
Department of Thoracic Surgery and Lung Transplantation, Paris Descartes University, Hôpital Européen Georges Pompidou, Assistance Publique - Hôpitaux de Paris, Paris, France - INSERM UMR-S 1162, Paris, France.
Post-traumatic localized hand lymphedema is a rare situation and its diagnosis may be difficult, causing lack of care leading to failure of care. Our case study is of two young women with massive post-traumatic hand lymphedema who were treated for algodystrophy for 2 years, and whose bandages and physiotherapy were unsuccessful. Major social and psychological consequences due to difficulty with diagnosis and management resulting in inappropriate tests and therapeutic treatment were prescribed due to these issues. Read More
Lymphat Res Biol 2018 Nov 22. Epub 2018 Nov 22.
2 Magi's Lab , Rovereto, Italy .
Background: The objective of this study is to examine the hypothesis that cystic hygroma (CH) with normal karyotype can manifest as a Mendelian inherited trait, and that a genetic similitude with hereditary lymphedema exists. To reach this goal, we investigated the prevalence of genetic variants in angiogenesis and lymphangiogenesis genes in a cohort of euploid fetuses with CH that almost resolved before delivery. A short review of cases from literature is also reported. Read More
Clin Breast Cancer 2018 Oct 27. Epub 2018 Oct 27.
Postgraduate Program of Oncology, Barretos Cancer Hospital, Barretos, Brazil; Department of Mastology and Breast Reconstruction, Barretos Cancer Hospital, Barretos, Brazil. Electronic address:
Introduction: When evaluating a quality-of-life questionnaire (QLQ), many validation studies do not correlate quality-of-life scores with objective measurements of complications associated with treatment.
Patients And Methods: We performed a cross-sectional observational study with 300 patients submitted to breast-conserving therapy. The patients answered the European Organization for Research and Treatment of Cancer (EORTC) QLQs C-30 and BR23, as well as the Brazilian Portuguese version of the Breast Cancer Treatment Outcome Scale (BCTOS) questionnaire. Read More
J Plast Reconstr Aesthet Surg 2018 Nov 3. Epub 2018 Nov 3.
Division of Plastic and Reconstructive Surgery, Department of Surgery, The University of Hong Kong, Queen Mary Hospital, 102 Pokfulam Road, Hong Kong SAR, China.
Introduction: Vascularized lymph node transfer is an established treatment for secondary lymphedema. Different donor sites of lymph node flap have been described. In our institute, vascularized groin lymph node (VGLN) flap is the workhorse flap for treating breast cancer-related lymphedema (BCRL). Read More
Braz J Phys Ther 2018 Nov 17. Epub 2018 Nov 17.
Bendigo Health, Bendigo, Australia.
Objective: To identify whether slow aquatic exercise in the form of modified Ai Chi is more effective than conventional (faster pace) aquatic therapy at reducing arm volume in women with or at risk of breast cancer related lymphoedema.
Methods: Randomized, cross-over controlled trial with concealed allocation and blinded assessment. Eighteen women with a history of breast cancer related lymphoedema were recruited. Read More
Phys Med 2018 Nov 3;55:73-81. Epub 2018 Nov 3.
Dept. Biomedical Engineering, Gachon University of Medicine and Science, Incheon 21565, Republic of Korea. Electronic address:
The secondary lymphedema is mostly caused due to injury of lymphatic system during cancer treatment and its psychological and cosmetic issues are very critical for patients since it can cause severe thickening and swelling of lesions, mostly upper and lower limbs. Therefore, early diagnosis of the secondary lymphedema is more important to treat the symptoms in advance. The amplitude-mode (A-mode) ultrasound is suggested as an early diagnostic modality because it is relatively more cost-effective, portable, and easy to use than other previous diagnostic modalities. Read More
J Phys Ther Sci 2018 Nov 6;30(11):1370-1371. Epub 2018 Nov 6.
Department of Physical Therapy, Hallym Polytechnic University: 48 Janghak-gil, Dong-myeon, Chuncheon city, Gangwon-do 24210, Republic of Korea.
[Purpose] This study aimed to determine the effect of scrambler therapy on upper extremity pain in patient who had undergone breast cancer related lymphedema. [Participant and Methods] The patient was a 39-year-old woman who developed pain and lymphedema in the right upper extremity after mastectomy. Scrambler therapy was administered once a day every 45 minutes for 10 days to patient. Read More
J Clin Nurs 2018 Nov 21. Epub 2018 Nov 21.
Department of Gynecology and Obstetrics, Aarhus University Hospital, Palle Juul-Jensens, Boulevard 99, 8200, Aarhus N, Denmark.
Aim And Objectives: To review the literature on Nordic women's lived experiences and quality of life (QoL) after gynaecological cancer treatment.
Background: While incidence and survival are increasing in all groups of gynaecological cancers in the Nordic countries, inpatient hospitalization has become shorter in relation to treatment. This has increased the need for follow-up and rehabilitation. Read More
Int J Dermatol 2018 Nov 21. Epub 2018 Nov 21.
Faculty of Medicine, Department of Surgery, University of Peradeniya, Kandy, Sri Lanka.
Background: Myiasis, or the invasion of living tissues of humans and other mammals by dipterous larvae, is considered the world's fourth most common travel-associated skin disease after cutaneous larval migrants, pyodermas, and pruritic arthropod-reactive dermatitis.
Method: The present study recorded the cause, anatomical position, and severity of the wounds of myiasis patients admitted to 11 hospitals located in the central region of Sri Lanka from February 2016 to July 2017.
Results: Altogether, 28 myiasis incidences were noted within the study period. Read More
Diagn Pathol 2018 Nov 20;13(1):89. Epub 2018 Nov 20.
Department of Pathology, Koc University School of Medicine, Topkapi / Zeytinburnu, 34010, Istanbul, Turkey.
Background: Massive localized lymphedema (MLL) is a non-neoplastic benign soft tissue lesion that may be confused with sarcomas or other neoplastic proliferations both clinically and morphologically. Most occur in morbidly obese adults on the lower extremities. The objective of this article is to document a case of MLL in the retroperitoneal cavity which is a previously unreported site for this lesion, and to highlight its unusual clinical features. Read More
Support Care Cancer 2018 Nov 19. Epub 2018 Nov 19.
Clinical Research Centre (CRC), Faculty of Health Sciences, University of Cape Town, Anzio Rd, Observatory, Cape Town, 7925, South Africa.
Purpose: Breast cancer is the most frequently diagnosed cancer and leading cause of cancer death among women, representing a considerable public health burden in South Africa and other low-middle income countries. Short- and long-term complications of these treatments include shoulder morbidities such as pain, decreased range of motion, tightness, weakness, pain, numbness and lymphoedema and may be present for up to 6 years post-treatment. An understanding of baseline demographic and clinical risk factors can guide rehabilitation and management strategies for high-risk patients. Read More
IEEE J Transl Eng Health Med 2018 12;6:4100313. Epub 2018 Oct 12.
NYU Rory Meyers College of NursingNew YorkNY10010USA.
Using Kinect sensors to monitor and provide feedback to patients performing intervention or rehabilitation exercises is an upcoming trend in healthcare. However, the joint positions measured by the Kinect sensor are often unreliable, especially for joints that are occluded by other parts of the body. Also, users' motion sequences differ significantly even when doing the same exercise and are not temporally aligned, making the evaluation of the correctness of their movement challenging. Read More
J Pain Symptom Manage 2018 Nov 16. Epub 2018 Nov 16.
St Lazarus Hospice, Krakow, Poland. Electronic address:
Am J Med Genet A 2018 Nov 18. Epub 2018 Nov 18.
Ambry Genetics, Aliso Viejo, California, USA.
Hennekam lymphangiectasia-lymphedema syndrome (HKLLS) is a genetically heterogeneous lymphatic dysplasia with characteristic of facial dysmorphism, neurocognitive impairments, and abnormalities of the pericardium, intestinal tract, and extremities. It is an autosomal recessive condition caused by biallelic mutations in CCBE1 (collagen- and calcium-binding epidermal growth factor domain-containing protein 1) (HKLLS1; OMIM 235510) or FAT4 (HKLLS2; OMIM 616006). CCBE1 acts via ADAMTS3 (a disintegrin and metalloprotease with thrombospondin motifs-3 protease) to enhance vascular endothelial growth factor C signaling. Read More
Surg Oncol 2018 Dec 12;27(4):743-750. Epub 2018 Oct 12.
Australian Lymphoedema Education, Research and Treatment Centre, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia.
Upper extremity lymphoedema after axillary node dissection is an iatrogenic disease particularly associated with treatment for breast or skin cancer. Anatomical studies and lymphangiography in healthy subjects identified that axillary node dissection removes a segment of the lymphatic drainage pathway running from the upper limb to the sub-clavicular vein, creating a surgical break. It is reasonable to infer that different patterns of lymphatic drainage may occur in the upper limb following surgery and contribute to the various presentations of lymphoedema from none to severe. Read More
Braz J Phys Ther 2018 Nov 12. Epub 2018 Nov 12.
Department of Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil. Electronic address:
Background: The traditional overflow method for measuring limb volume remains the gold standard, but many disadvantages still inhibit its routine use in clinical practice.
Objective: To assess the intra-rater and inter-rater reliability and criterion validity of the 'communicating vessels volumeter' (CVV) for volume measurement of lymphedematous upper extremities (LUE) by using the overflow volumeter (OV) as the reference standard.
Methods: Twelve LUE of 12 women undergoing mastectomy for breast cancer were measured three times each by three raters using both methods, totaling 216 volume measurements. Read More
Clin Plast Surg 2019 Jan 22;46(1):115-122. Epub 2018 Oct 22.
Department of Plastic Surgery, University of Pittsburgh, 3380 Boulevard of the Allies, Suite 180, Pittsburgh, PA 15213, USA. Electronic address:
This article discusses strategies to prevent and manage the most common complications seen in body contouring surgery. General approaches to avoidance and treatment of these complications are addressed, including wound dehiscence, delayed wound healing, seroma, hematoma, infections of the surgical or remote sites, lymphedema, suture extrusion, and fat necrosis. Procedure-specific complications and pearls to avoiding complications in these cases are presented. Read More
Radiother Oncol 2018 Nov 13. Epub 2018 Nov 13.
Department of Nuclear Medicine, Westmead Hospital, Australia; Sydney Medical School, The University of Sydney, Australia.
Background: Lymphoedema of the arm following axillary surgery or radiotherapy remains a significant side effect affecting some women after breast cancer treatment. Axillary reverse mapping (ARM) is a technique used to identify the lymph node draining the arm (ARM node). Our study aim was to examine the location of the ARM nodes in relation to target volumes and treatment fields for breast cancer radiotherapy. Read More
J Vasc Surg Venous Lymphat Disord 2018 Nov 12. Epub 2018 Nov 12.
Department of Plastic and Reconstructive Surgery, Ryukyu University, Okinawa, Japan.
Objective: Lymphaticovenous anastomosis (LVA) is one of the surgical treatments for lymphedema. Lymphaticovenous side-to-end anastomosis (LVSEA) and lymphaticovenous end-to-end anastomosis (LVEEA) are the most commonly used procedures; however, only a few reports have evaluated direct anastomosis. We used indocyanine green fluorescence lymphography to evaluate and to compare both techniques. Read More