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Liubarskiĭ M.S.

Nauchno-issledovatel'skiĭ institut klinicheskoĭ i ksperimental'noĭ limfologii Sibirskogo otdeleniia RAMN, Novosibirsk

Nimaev V.V.

Nauchno-issledovatel'skiĭ institut klinicheskoĭ i éksperimental'noĭ limfologii Sibirskogo otdeleniia RAMN, Novosibirsk

Shumkov O.A.

Nauchno-issledovatel'skiĭ institut klinicheskoĭ i ksperimental'noĭ limfologii Sibirskogo otdeleniia RAMN, Novosibirsk

Konenkov V.I.

NII klinicheskoĭ i éksperimental'noĭ limfologii Sibirskogo otdeleniia RAMN, Novosibirsk

Prevention of complications after surgery in patients with upper limbs' lymphedema

Authors:

Liubarskiĭ M.S., Nimaev V.V., Shumkov O.A., Konenkov V.I.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2011;(5): 15‑18

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Table of contents

PREVENTION OF COMPLICATIONS AFTER SURGERY IN PATIENTS WITH UPPER LIMBS' LYMPHEDEMA
PREVENTION OF COMPLICATIONS AFTER SURGERY IN PATIENTS WITH UPPER LIMBS' LYMPHEDEMA

To cite this article:

Liubarskiĭ MS, Nimaev VV, Shumkov OA, Konenkov VI. Prevention of complications after surgery in patients with upper limbs' lymphedema. Pirogov Russian Journal of Surgery. 2011;(5):15‑18. (In Russ.)

Подписка 2025-2 (Pirogov Russian Journal of Surgery)
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The results of surgical treatment of patients with the fourth stage of the upper limbs' lymphedema was studied. Of all 170 patients with lymphedema, 16 (9.4%) had the fourth stage of the disease. The debulking procedures were performed in 15 patients (8 had standart operations, 7 - simultaneous rwo-stage operations). Beeing a preliminary stage of the radical surgical excision of lymphoedematously changed tissues, the liposuction allows a more precisional hemostasis for the accurate vessel visualization. It led to the 4,4 times decrease of the postoperative morbidity rate and shortened the time of the operation.

Keywords:

upper limbs' lymphedema
liposuction
surgical treatment
postoperative complications

Authors:

Liubarskiĭ M.S.

Nauchno-issledovatel'skiĭ institut klinicheskoĭ i ksperimental'noĭ limfologii Sibirskogo otdeleniia RAMN, Novosibirsk

Nimaev V.V.

Nauchno-issledovatel'skiĭ institut klinicheskoĭ i éksperimental'noĭ limfologii Sibirskogo otdeleniia RAMN, Novosibirsk

Shumkov O.A.

Nauchno-issledovatel'skiĭ institut klinicheskoĭ i ksperimental'noĭ limfologii Sibirskogo otdeleniia RAMN, Novosibirsk

Konenkov V.I.

NII klinicheskoĭ i éksperimental'noĭ limfologii Sibirskogo otdeleniia RAMN, Novosibirsk

List of references:

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  3. Campbell W., Harkin D.W. Surgical debulking in a case of chronic lymphoedema. Ir J Med Sci 2009; 178: 227-229.
  4. Dimakakos P.B., Arkadopoulos N.E. Kondoleon: the man behind the procedure. Int Angiol 2000; 19: 84-88.
  5. Kondoleon E. Die operative Behandlung des elephantiasischen Oedema. Zbl Chir 1913; 154: 1022-1025.
  6. Louton R.B., Terranova W.A. The use of suction curettage as adjunct to the management of lymphedema. Ann Plast Surg 1989; 22: 354-357.
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  8. Salgado C.J., Sassu P., Gharb B.B. et al. Radical reduction of upper extremity lymphedema with preservation of perforators. Ann Plast Surg 2009; 63: 302-306.
  9. Savage R.C. The surgical management of lymphedema. Surg Gynecol Obstet 1985; 160: 283-290.
  10. Shi Y.D., Qi F.Z., Zhang X.J. et al. Flap transplantation combined with liposuction to treat upper limb lymphedema after mastectomy. Zhonghua Zheng Xing Wai Ke Za Zhi 2003; 19: 430-432.
  11. Talarico F., Brunetto D., Scialabba M. et al. Fibrosclerotic lymphedema: pathophysiology and therapy. Lymphology 1991; 24: 11-15.

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