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Lymphoedema

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https://www.readbyqxmd.com/read/28431899/validation-of-the-fact-b-4-ul-questionnaire-and-exploration-of-its-predictive-value-in-women-submitted-to-surgery-for-breast-cancer
#1
Juan Alfonso Andrade Ortega, Ana Pilar Millán Gómez, Marisa Ribeiro González, Pilar Martínez Piró, Juan Jiménez Anula, María Belén Sánchez Andújar
INTRODUCTION AND OBJETIVE: The early detection of upper limb complications is important in women operated on for breast cancer. The "FACT-B+4-UL" questionnaire, a specific variant of the Functional Assessment of Cancer Therapy-Breast (FACT-B) is available among others to measure the upper limb function. PATIENTS AND METHODS: The Spanish version of the upper limb subscale of the FACT-B+4 was validated in a prospective cohort of 201 women operated on for breast cancer (factor analysis, internal consistency, test-retest reliability, construct validity and sensitivity to change were determined)...
April 18, 2017: Medicina Clínica
https://www.readbyqxmd.com/read/28392114/factors-associated-with-lower-extremity-dysmorphia-caused-by-lower-extremity-lymphoedema
#2
T Yamamoto, N Yamamoto, H Yoshimatsu, M Narushima, I Koshima
OBJECTIVES: Indocyanine green (ICG) lymphography has been reported to be useful for the early diagnosis of lymphoedema. However, no study has reported the usefulness of ICG lymphography for evaluation of lymphoedema with lower extremity dysmorphia (LED). This study aimed to elucidate independent factors associated with LED in secondary lower extremity lymphoedema (LEL) patients. METHODS: This was a retrospective observational study of 268 legs of 134 secondary LEL patients...
April 6, 2017: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28381390/the-possible-role-of-davinci%C3%A2-robot-for-patients-with-vulval-carcinoma-undergoing-inguinal-lymph-node-dissection
#3
Christos Iavazzo, Paraskevi Evangelia Iavazzo, Ioannis D Gkegkes
Inguinal lymph node dissection represents the gold standard of treatment for patients with vulval carcinoma. The application of minimally invasive techniques, such as the robotics, in the surgical treatment of gynaecological cancer, reduced the rate of postoperative complications, having an important impact on the quality of patients' life. Robotic inguinal lymph node dissection is a safe and oncologically effective but expensive and time consuming approach in patients with penile cancer or melanoma. However, it is related with less postoperative complications especially less lymphocele or lymphoedema rates and can improve the patients' quality of life minimising the cost for health systems...
April 6, 2017: Journal of the Turkish German Gynecological Association
https://www.readbyqxmd.com/read/28374907/a-randomised-controlled-trial-to-evaluate-the-effect-of-a-new-skin-care-regimen-on-skin-barrier-function-in-those-with-podoconiosis-in-ethiopia
#4
J Brooks, S J Ersser, F Cowdell, E Gardiner, A Mengistu, P J Matts
BACKGROUND: Podoconiosis affects an estimated 3 million people in Ethiopia with a further 19 million at risk. Volcanic soil and pathogens enter skin breaches in the feet causing inflammation, lymphoedema and hyperkeratosis. There is no robust evidence on optimal podoconiosis skin care regimens to improve SBF. OBJECTIVES: To evaluate the effectiveness of a new, low-cost, evidence-based intervention to improve SBF in the lower limbs of those with podoconiosis. METHODS: A randomized control trial (RCT) was conducted over 3 months in two podoconiosis clinics (n=193)...
April 4, 2017: British Journal of Dermatology
https://www.readbyqxmd.com/read/28366168/measuring-the-physical-and-economic-impact-of-filarial-lymphoedema-in-chikwawa-district-malawi-a-case-control-study
#5
Michelle C Stanton, Masato Yamauchi, Square Z Mkwanda, Paul Ndhlovu, Dorothy Emmie Matipula, Charles Mackenzie, Louise A Kelly-Hope
BACKGROUND: Lymphatic filariasis (LF) is one of the primary causes of lymphoedema in sub-Saharan Africa, and has a significant impact on the quality of life (QoL) of those affected. In this paper we assess the relative impact of lymphoedema on mobility and income in Chikwawa district, Malawi. METHODS: A random sample of 31 people with lymphoedema and 31 matched controls completed a QoL questionnaire from which both an overall and a mobility-specific score were calculated...
April 3, 2017: Infectious Diseases of Poverty
https://www.readbyqxmd.com/read/28346017/strong-in-the-face-of-adversity
#6
Simoni Binoy
Palliative care provides holistic care to individuals in life-threatening or life-limiting conditions. This narrative describes the journey of Kanchan. A strong lady and a doting mother, she came to the hospital by choice, in immense pain and with swelling. Her narrative illustrates how the palliative approach draws out the inner strengths of individuals by focusing on their issues and needs. Kanchan was able to benefit from physiotherapy to reduce the risk of lymphoedema after surgery for breast cancer. Her narrative illustrates how she found comfort and relief, ably supported by the dedicated hospital team...
March 27, 2017: Journal of Pain & Palliative Care Pharmacotherapy
https://www.readbyqxmd.com/read/28345474/assessment-treatment-goals-and-interventions-for-oedema-lymphoedema-in-palliative-care
#7
Sinead Cobbe, Shirley Real, Sinead Slattery
BACKGROUND: Little is known about the treatment of oedema in palliative care patients. AIM: To outline the assessment, goals, and interventions for patients with oedema. METHOD: A 6-month chart review of a specialist physiotherapy-led oedema service was carried out. RESULTS: Of the sample group (n=63), 28.6% of patients had lymphoedema, 15.9% had non-lymphatic oedema, 46% had mixed oedema and 9.8% had lymphorrhoea; 58 patients (92%) had cancer...
March 16, 2017: International Journal of Palliative Nursing
https://www.readbyqxmd.com/read/28334470/yoga-breast-cancer-related-lymphoedema-and-wellbeing-a-descriptive-report-of-women-s-participation-in-a-clinical-trial
#8
Annette Loudon, Tony Barnett, Andrew Williams
AIM: To describe the experiences of women taking part in a yoga intervention trial for breast cancer-related lymphoedema. BACKGROUND: Around 20% of women will experience lymphoedema as a consequence of treatment for breast cancer. Specialist lymphoedema clearing, along with self-management, remains the mainstay of therapy. Yoga, an increasingly popular complementary therapeutic practice, may provide another tool to augment self-management. DESIGN: A qualitative, descriptive design...
March 23, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28327108/impact-of-the-ultrasonic-scalpel-on-the-amount-of-drained-lymph-after-axillary-or-inguinal-lymphadenectomy
#9
Olivier Gié, Marie-Laure Matthey-Gié, Pedro-Manuel Marques-Vidal, Nicolas Demartines, Maurice Matter
BACKGROUND: Seroma formation and lymphoedema are frequently encountered complications after radical lymph node dissection (RLND). Attempts to reduce the lymphatic morbidity include the use of Ultrasonic Scalpel. The aim of the present analysis was to assess the impact of the ultrasonic scalpel on the amount of drained lymph after lymph node dissection. METHODS: Patients listed for a RLND or completion lymph node dissection (CLND) were enrolled in a prospective randomized trial to compare the impact of two surgical dissection techniques (USS versus control) on the amount of drained lymph...
March 21, 2017: BMC Surgery
https://www.readbyqxmd.com/read/28301852/high-fat-diet-in-the-absence-of-obesity-does-not-aggravate-surgically-induced-lymphoedema-in-mice
#10
Epameinondas Gousopoulos, Sinem Karaman, Steven T Proulx, Kristin Leu, Dorina Buschle, Michael Detmar
BACKGROUND: Lymphoedema represents the cardinal manifestation of lymphatic dysfunction and is associated with expansion of the adipose tissue in the affected limb. In mice, high-fat diet (HFD)-induced obesity was associated with impaired collecting lymphatic vessel function, and adiposity aggravated surgery-induced lymphoedema in a mouse model. The aim of the current study was to investigate whether adiposity is necessary to impair lymphatic function or whether increased lipid exposure alone might be sufficient in a surgical lymphoedema model...
March 17, 2017: European Surgical Research. Europäische Chirurgische Forschung. Recherches Chirurgicales Européennes
https://www.readbyqxmd.com/read/28296351/a-high-resolution-tape-sensor-improves-the-accuracy-of-applied-pressure-profiles-during-lower-leg-bandaging%C3%A2-%C3%A2-results-from-a-study-using-a-fibre-optic-sensing-tape
#11
Luke A Parkinson, Malou van Zanten, Neil Piller, John W Arkwright
Compression bandaging is a mainstay practice in the treatment of conditions such as chronic wounds and lymphoedema. However, the ability of practitioners to measure bandage application to a desired pressure profile is difficult because of sensor limitations. We have used a novel fibre-optic-based, high-resolution sub-bandage pressure monitor to measure adherence to a target pressure gradient during compression bandaging. Participants of various experience (n = 46) were asked to bandage a lower-leg manikin to a gradient of 40 (ankle) to 20 mmHg (proximal calf) in both a blinded trial and subsequently with sensor feedback...
March 10, 2017: International Wound Journal
https://www.readbyqxmd.com/read/28282588/axillary-reverse-mapping-in-n0-patients-requiring-sentinel-lymph-node-biopsy-a-systematic-review-of-the-literature-and-necessity-of-a-randomised-study
#12
REVIEW
R M Parks, K L Cheung
OBJECTIVES: Axillary reverse mapping (ARM) is a technique to map and preserve arm lymphatics which may be damaged during surgery, resulting in lymphoedema. This work systematically reviews the incidence of lymphoedema following sentinel lymph node biopsy (SLNB) + ARM, compared to SLNB alone, for clinically node negative disease, as well as recurrence rate, other morbidity and the feasibility and difficulties of ARM. MATERIALS AND METHODS: The following databases were searched: PubMed, Embase, Cochrane Library...
March 7, 2017: Breast: Official Journal of the European Society of Mastology
https://www.readbyqxmd.com/read/28280645/stewart-treves-syndrome-involving-chronic-lymphedema-after-mastectomy-of-breast-cancer
#13
Smain Nabil Mesli, Amin Khayreddine Ghouali, Fouad Benamara, Fouzi Ahmed Taleb, Hicham Tahraoui, Chakib Abi-Ayad
Steward-Treves syndrome is a cutaneous angiosarcoma that usually appears after long evolution of a lymphoedema after mastectomy for mammary neoplasia associated with an axillary dissection. This is a rare disease develop most of the time in upper arm and often confounded with cutaneous metastasis. Only the biopsy and immunohistochemical study confirm the diagnosis. The treatment is surgical and consists of large cutaneous excision, an amputation of the limb or even its disarticulation and will be followed by chemotherapy...
2017: Case Reports in Surgery
https://www.readbyqxmd.com/read/28278000/successful-outpatient-management-of-lymphoedema-and-lymphorrhoea-with-wrap-around-compression-a-case-study
#14
L Patullo, S Rajagopalan
Referral to specialist centres for treatment of lymphoedema can often have long waiting times. Management of a patient with massive lymphoedema and lymphorrhoea was provided in a vascular outpatient setting. A new form of compression using a wraparound system was used for the management (Juxta-Fit, Medi UK). Despite having previously been non-concordant with treatment options, the patient was independent with product use. Lymphorrhoea ceased and there was a marked decrease in girth size. The patient's quality of life improved and maintenance treatment was provided...
March 2, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28273977/amelanotic-melanoma-arising-in-filarial-leg-a-report-of-a-rare-case
#15
Mamita Nayak, Susama Patra, Susanta Meher, Prakash Kumar Sasmal
Amelanotic melanoma arising on chronic lymphoedema has not been reported earlier. We reported a case of amelanotic melanoma of right leg developing in a background of chronic lymphoedema of filarial origin in an elderly male of 60 years, who underwent wide local excision of the lesion followed by skin grafting for the same. A histopathological diagnosis of amelanotic melanoma was made. The patient was on follow up when he developed brain metastasis within a period of nine months for which he was operated and is on regular follow up now...
January 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28272717/our-supramicrosurgical-experience-of-lymphaticovenular-anastomosis-in-lymphoedema-patients-to-prevent-cellulitis
#16
P Gennaro, G Gabriele, C Salini, G Chisci, F Cascino, J-F Xu, C Ungari
OBJECTIVE: Aim of this paper is to present our reduction of the frequency of cellulitis before and after supramicrosurgical lymphaticovenular anastomosis (s-LVA) in lymphoedema patients, and discuss the possibility to perform this technique outside Japan. PATIENTS AND METHODS: 37 patients affected by lymphoedema were enrolled. All patients received preoperative indocyanine green lymphography. Under local anaesthesia s-LVA was performed on all patients. All patients were followed for 1 year...
February 2017: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/28253247/extended-follow-up-of-simple-lymph-node-graft-treatment-of-upper-limb-lymphoedema
#17
Tess Brian, Winston M McEwan
No abstract text is available yet for this article.
March 3, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28250439/a-retrospective-study-of-lymphatic-transverse-rectus-abdominis-myocutaneous-deep-inferior-epigastric-perforator-flaps-for-breast-cancer-treatment-induced-upper-limb-lymphoedema
#18
Zhuangqing Yang, Sheng Huang, Jiankui Wang, Yan Xi, Xiaojuan Yang, Qi Tang, Juan Du, Jianyun Nie, Tianning Zou, Shaoqing Zhou, Xueliang Tang, Dedian Chen
Breast cancer-related lymphoedema (BCRL) is a common and intractable complication. To evaluate the possible complications of using lymphatic transverse rectus abdominis myocutaneous/deep inferior epigastric perforator (TRAM/DIEP) flaps for breast reconstruction and BCRL treatment, 20 patients with moderate or severe BCRL were retrospectively enrolled between November 2012 and October 2014. 10 patients had undergone lymphatic TRAM/DIEP flap surgery were assigned to the surgery group. 10 patients unwilling to undergo reconstruction were assigned to the physiotherapy group treated with traditional physical therapy...
December 2017: Scientific Reports
https://www.readbyqxmd.com/read/28230444/national-lymphoedema-education-and-research-specialist-in-wales
#19
Karen Morgan
Karen Morgan, National Lymphoedema Education and Research Specialist, Lymphoedema Network Wales discusses her 25-year nursing career and the broad-ranging responsibilities that form part of her role.
February 23, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28230442/enhancing-lymphoedema-patients-learning-through-education
#20
Jane Wigg
No abstract text is available yet for this article.
February 23, 2017: British Journal of Nursing: BJN
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