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Lymphoedema

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https://www.readbyqxmd.com/read/28052186/axillary-treatment-for-operable-primary-breast-cancer
#1
REVIEW
Nathan Bromham, Mia Schmidt-Hansen, Margaret Astin, Elise Hasler, Malcolm W Reed
BACKGROUND: Axillary surgery is an established part of the management of primary breast cancer. It provides staging information to guide adjuvant therapy and potentially local control of axillary disease. Several alternative approaches to axillary surgery are available, most of which aim to spare a proportion of women the morbidity of complete axillary dissection. OBJECTIVES: To assess the benefits and harms of alternative approaches to axillary surgery (including omitting such surgery altogether) in terms of overall survival; local, regional and distant recurrences; and adverse events...
January 4, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28034335/genetics-and-lymphoedema-a-future-yet-to-be-fully-discovered
#2
Garry Cooper
No abstract text is available yet for this article.
January 2, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/27994336/what-is-a-false-negative-sentinel-node-biopsy-definition-reasons-and-ways-to-minimize-it
#3
Kamal Kataria, Anurag Srivastava, Darakhshan Qaiser
Sentinel node biopsy helps in assessing the involvement of axillary lymph node without the morbidity of full axillary lymph node dissection, namely arm and shoulder pain, paraesthesia and lymphoedema. The various methods described in the literature identify the sentinel lymph nodes in approximately 96 % of cases and associated with a false negativity rate of 5 to 10 %. A false negative sentinel node is defined as the proportion of cases in whom sentinel node biopsy is reported as negative, but the rest of axillary lymph node(s) harbours cancer cells...
October 2016: Indian Journal of Surgery
https://www.readbyqxmd.com/read/27986736/efficacy-and-safety-of-wuling-san-for-treatment-of-breast-cancer-related-upper-extremity-lymphoedema-study-protocol-for-a-pilot-trial
#4
Huiru Zhu, Zheng Peng, Meiyu Dai, Yan Zou, Fengxian Qin, Jifei Chen, Liuying Song, Baoyu He, Xiaolan Lv, Shengming Dai
INTRODUCTION: Breast-cancer-related upper extremity lymphoedema (BCUL), a common complication of mastectomy, can cause physical discomfort, psychological distress, cosmetic defects, functional disability and chronic recurrent erysipelas in the affected arm(s). It is a challenge to physicians involved in the management of these patients. Wuling San, a classic prescription in Traditional Chinese Medicine used in treating oedema for thousands of years, is reported by many Chinese journals to perform well in BCUL...
December 16, 2016: BMJ Open
https://www.readbyqxmd.com/read/27956210/surgical-reconstruction-of-giant-penoscrotal-lymphoedema-in-sub-saharan-africa
#5
Ayo A Salako, Jimoh K Olabanji, Ayodeji O Oladele, Gideon H Alabi, Ifedayo E Adejare, Rotimi A David
OBJECTIVE: To present management challenges, surgical technique and outcome associated with penoscrotal reconstruction in patients with giant scrotal lymphoedema in sub-Saharan Africa. METHOD: A prospective study of all patients who had penoscrotal reconstruction for giant scrotal lymphoedema at our university teaching hospital between January 2003 and December 2012 was carried out. Patients' pre-operative clinical evaluation findings, operative technique and post-operative course were reviewed after obtaining ethical approval and informed consent from the patients...
December 9, 2016: Urology
https://www.readbyqxmd.com/read/27922775/best-practice-doppler-assessment-in-lymphoedema
#6
Marie Todd
No abstract text is available yet for this article.
December 2, 2016: British Journal of Community Nursing
https://www.readbyqxmd.com/read/27906440/supramicrosurgical-lymphatico-venular-anastomosis-lva-in-treating-lymphoedema-36-months-preliminary-report
#7
P Gennaro, G Gabriele, M Mihara, K Kikuchi, C Salini, I Aboh, F Cascino, G Chisci, C Ungari
OBJECTIVE: Lymphoedema of the extremities is a widespread pathological condition that mostly occurs as a complication of cancer resections, especially in women. Conventional therapy refers to conservative and physiotherapeutic approaches. Surgical strategies have been widely reported in the literature and are still challenging. Part of this literature focuses on the supra microsurgical lymphaticovenular anastomosis (LVA) technique. LVA is characterized by a high success rate, minimal invasivity and broad indications...
November 2016: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/27891392/a-study-of-evaluation-and-management-of-rare-congenital-breast-diseases
#8
Rikki Singal, Sudhir Kumar Mehta, Jyoti Bala, Muzzafar Zaman, Amit Mittal, Guarav Gupta, Samer Rudra, Samita Singal
INTRODUCTION: Polymastia and polythelia may be asymptomatic or cause pain, restriction of arm movement, milk discharge, cosmetic problems or anxiety. Cosmesis is the main indication for surgical excision of accessory breasts in axilla. In addition it also confirms the diagnosis and allays the patient's fear of harbouring a malignancy. AIM: To evaluate the presentation of symptoms, investigations required for diagnosis and the management to improve the treatment protocols in patients with breast diseases...
October 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27864837/risk-factors-for-non-purulent-leg-cellulitis-a-systematic-review-and-meta-analysis
#9
REVIEW
M Quirke, F Ayoub, A McCabe, F Boland, B Smith, R O'Sullivan, A Wakai
Non-purulent cellulitis is an acute bacterial infection of the dermal and subdermal tissues that is not associated with purulent drainage, discharge or abscess. The objective of this systematic review and meta-analysis (SRMA) was to identify and appraise all controlled observational studies that have examined risk factors for the development of non-purulent cellulitis of the leg (NPLC). A systematic literature search of electronic databases and grey literature sources was performed in July 2015. The Newcastle-Ottawa Scale (NOS) was used to assess methodological quality of included studies...
November 18, 2016: British Journal of Dermatology
https://www.readbyqxmd.com/read/27861758/method-of-breast-reconstruction-and-the-development-of-lymphoedema
#10
K-T Lee, S I Bang, J-K Pyon, J H Hwang, G-H Mun
BACKGROUND: Several studies have demonstrated an association between immediate autologous or implant-based breast reconstruction and a reduced incidence of lymphoedema. However, few of these have focused specifically on whether the reconstruction method affects the development of lymphoedema. The study evaluated the potential impact of breast reconstruction modality on the incidence of lymphoedema. METHODS: Outcomes of women with breast cancer who underwent mastectomy and immediate reconstruction using an autologous flap or a tissue expander/implant between 2008 and 2013 were reviewed...
November 14, 2016: British Journal of Surgery
https://www.readbyqxmd.com/read/27855764/-lymphoedema-after-an-adder-bite
#11
Shems Al-Hayder, Jonas Raymond Duffy
Bites from the adder, Vipera berus, are well known for causing local and general toxicity. We report a case of a 63-year-old female who was bitten in one of her lower extremities. She was seen twice in the emergency department with symptoms and signs consistent with severe envenomation. Despite treatment with antihistamines and corticosteroids the oedema persisted. A lymphoscintigraphy was performed showing dermal backflow in the right leg, confirming the diagnosis of lymphoedema. Based on the present case report and review of the literature antivenom therapy should be considered more actively...
November 14, 2016: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/27809337/circumferential-suction-assisted-lipectomy-in-the-treatment-of-primary-and-secondary-end-stage-lymphoedema-of-the-leg
#12
D-A A Lamprou, H G J Voesten, R J Damstra, O R M Wikkeling
BACKGROUND: The treatment of end-stage lymphoedema of the leg is challenging, especially when conservative treatment fails and there is a large volume difference between the affected and unaffected legs. Circumferential suction-assisted lipectomy (CSAL) has been described as a treatment option for end-stage lymphoedema of the leg. Here, the long-term results of CSAL in end-stage primary and secondary lymphoedema of the leg were analysed. METHODS: This was a descriptive study of patients treated with CSAL for unilateral chronic irreversible lymphoedema of the leg...
January 2017: British Journal of Surgery
https://www.readbyqxmd.com/read/27790446/lymph-node-fibrosis-in-a-case-of-primary-lymphoedema-a-report-of-two-cases
#13
Smitha Surendra Masamatti, Aparna Narasimha, Jayalakshmi Valligari Janardhan, Vijaya Chowdappa
Lymphoedema can be classified into primary and secondary. Primary lymphoedema arise in patients where the cause is not known. Secondary lymphoedema are those in which the lymph system has been damaged by some well recognised pathological process, such as extensive malignancy, filariasis, radiation etc. The changes may occur either in the lymph node, or in lymph vessels or both. The clinical evolution and the prognosis of the oedema in the limb involved will depend on the extension and evolution of these lesions...
September 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27763280/haemodynamic-performance-of-low-strength-below-knee-graduated-elastic-compression-stockings-in-health-venous-disease-and-lymphoedema
#14
C R Lattimer, E Kalodiki, M Azzam, G Geroulakos
No abstract text is available yet for this article.
August 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/27715145/selecting-a-compression-wrap-when-treating-lymphoedema
#15
Sylvie Hampton, Sarah Gray
No abstract text is available yet for this article.
October 2016: British Journal of Community Nursing
https://www.readbyqxmd.com/read/27715144/lymphoedema-management-with-the-lymphflow-advance-pneumatic-compression-pump
#16
Natalie Lee, Jane Wigg, Stacy Pugh, Janet Barclay, Hayley Moore
There are many intermittent pneumatic compression devices available for use in the management and adjunct treatment of lymphatic, venous and arterial disease. This article discusses the development of a new advanced pneumatic compression device, the LymphFlow Advance, which can perform focussed treatment on the lymphoedematous area using a variety of different cycles. Case studies with therapist and patient feedback are used to demonstrate the use of the LymphFlow Advance in the lymphoedema clinic, with a discussion of the evidence to underpin recommended treatment regimes...
October 2016: British Journal of Community Nursing
https://www.readbyqxmd.com/read/27715142/lymphoedema-management-at-night-views-from-patients-across-five-countries
#17
MULTICENTER STUDY
Justine C Whitaker
The aim of this study was to gain a comprehensive insight into the use of night-time compression in the management of lymphoedema in patients who had been suffering from chronic lymphoedema for over 12 months. Data were collected and analysed from 94 patients, across five countries. Understanding user characteristics provided insight and understanding into how night-time compression regimens were initiated, products were used and benefits to the patient were reported. In addition to gaining an insight into user habits and night-time compression benefits, unmet needs were also identified...
October 2016: British Journal of Community Nursing
https://www.readbyqxmd.com/read/27715138/diagnosis-and-management-of-lipoedema-in-the-community
#18
Marie Todd
Lipoedema is a chronic progressive adipose disorder that affects mainly women and presents as symmetrical enlargement of the buttocks and legs. It is commonly misdiagnosed as obesity or lymphoedema, but careful assessment will reveal a disproportionate enlargement below the waist which is resistant to dieting, sparing of the feet, legs are tender or painful to touch and bruise easily, there is occasional orthostatic oedema, and there is often significant psychological morbidity. Lipoedema is a oestrogen-regulated condition with onset around puberty in 78% of women, and there is often a strong family history...
October 2016: British Journal of Community Nursing
https://www.readbyqxmd.com/read/27704260/axillary-web-syndrome-is-not-a-risk-factor-for-lymphoedema-after-10%C3%A2-years-of-follow-up
#19
Bárbara Reis Wariss, Rejane Medeiros Costa, Ana Carolina Padula Ribeiro Pereira, Rosalina Jorge Koifman, Anke Bergmann
OBJECTIVE: The objective of this study was to evaluate the association between axillary web syndrome and the development of lymphoedema after 10 years of follow-up. METHODOLOGY: A prospective observational study in a hospital cohort of women diagnosed with breast cancer and treated at a referral centre for cancer. Patients were followed according to the routine of the hospital's physical therapy service. In addition, a review of medical records was conducted for the period between 5 and 10 years of follow-up...
February 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/27701785/paediatric-lymphoedema-a-retrospective-chart-review-of-86-cases
#20
Hilary Watt, Davinder Singh-Grewal, Orli Wargon, Susan Adams
AIM: To define the clinical characteristics, investigations, management and outcomes of lymphoedema in a paediatric cohort. METHODS: A retrospective chart review of children with lymphoedema seen at two tertiary paediatric hospitals since 1998. Telephone interviews with parents were performed when information was missing. Information recorded included demographic data, features of diagnosis and clinical presentation, symptoms, complications and treatment. RESULTS: A total of 86 patients with lymphoedema were identified...
October 4, 2016: Journal of Paediatrics and Child Health
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