Peripheral lymphedema: New advances in microsurgical treatment and long-term outcome

Corradino Campisi, Francesco Boccardo, Angelo Zilli, Alberto Macciò, Anderson Gariglio, Francesco Schenone

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

We report on the modern surgical management of peripheral lymphedema. An adequate diagnostic route is essential: it has to include patient history and clinical examination, an isotopic lymphography, an accurate study of the venous circulation, and in cases of angiodysplasia, an accurate study of the artery circulation. Based on over 25 years of clinical experience (more than 1,000 patients), the role of derivative and (in those cases where a venous disease is associated with lymphostatic pathology) reconstructive lymphatic microsurgery is particularly underlined, in comparison with conservative medico-physical treatment, to which it is complementary. "Debulking" surgery can be used just in properly selected patients for minor operations with only cosmethic-reductive purposes. With a follow-up even over 15 years after surgery, positive results from lymphatic microsurgery can be achieved in more than 80% of cases, especially in patients at precocious stages.

Original languageEnglish
Pages (from-to)522-525
Number of pages4
JournalMicrosurgery
Volume23
Issue number5
DOIs
Publication statusPublished - 2003

Fingerprint

Lymphedema
Microsurgery
Angiodysplasia
Lymphography
Therapeutics
Arteries
Pathology

ASJC Scopus subject areas

  • Surgery

Cite this

Campisi, C., Boccardo, F., Zilli, A., Macciò, A., Gariglio, A., & Schenone, F. (2003). Peripheral lymphedema: New advances in microsurgical treatment and long-term outcome. Microsurgery, 23(5), 522-525. https://doi.org/10.1002/micr.10185

Peripheral lymphedema : New advances in microsurgical treatment and long-term outcome. / Campisi, Corradino; Boccardo, Francesco; Zilli, Angelo; Macciò, Alberto; Gariglio, Anderson; Schenone, Francesco.

In: Microsurgery, Vol. 23, No. 5, 2003, p. 522-525.

Research output: Contribution to journalArticle

Campisi, C, Boccardo, F, Zilli, A, Macciò, A, Gariglio, A & Schenone, F 2003, 'Peripheral lymphedema: New advances in microsurgical treatment and long-term outcome', Microsurgery, vol. 23, no. 5, pp. 522-525. https://doi.org/10.1002/micr.10185
Campisi C, Boccardo F, Zilli A, Macciò A, Gariglio A, Schenone F. Peripheral lymphedema: New advances in microsurgical treatment and long-term outcome. Microsurgery. 2003;23(5):522-525. https://doi.org/10.1002/micr.10185
Campisi, Corradino ; Boccardo, Francesco ; Zilli, Angelo ; Macciò, Alberto ; Gariglio, Anderson ; Schenone, Francesco. / Peripheral lymphedema : New advances in microsurgical treatment and long-term outcome. In: Microsurgery. 2003 ; Vol. 23, No. 5. pp. 522-525.
@article{12bc1b7584b34658a92d1c69c01c70c6,
title = "Peripheral lymphedema: New advances in microsurgical treatment and long-term outcome",
abstract = "We report on the modern surgical management of peripheral lymphedema. An adequate diagnostic route is essential: it has to include patient history and clinical examination, an isotopic lymphography, an accurate study of the venous circulation, and in cases of angiodysplasia, an accurate study of the artery circulation. Based on over 25 years of clinical experience (more than 1,000 patients), the role of derivative and (in those cases where a venous disease is associated with lymphostatic pathology) reconstructive lymphatic microsurgery is particularly underlined, in comparison with conservative medico-physical treatment, to which it is complementary. {"}Debulking{"} surgery can be used just in properly selected patients for minor operations with only cosmethic-reductive purposes. With a follow-up even over 15 years after surgery, positive results from lymphatic microsurgery can be achieved in more than 80{\%} of cases, especially in patients at precocious stages.",
author = "Corradino Campisi and Francesco Boccardo and Angelo Zilli and Alberto Macci{\`o} and Anderson Gariglio and Francesco Schenone",
year = "2003",
doi = "10.1002/micr.10185",
language = "English",
volume = "23",
pages = "522--525",
journal = "Microsurgery",
issn = "0738-1085",
publisher = "Wiley-Liss Inc.",
number = "5",

}

TY - JOUR

T1 - Peripheral lymphedema

T2 - New advances in microsurgical treatment and long-term outcome

AU - Campisi, Corradino

AU - Boccardo, Francesco

AU - Zilli, Angelo

AU - Macciò, Alberto

AU - Gariglio, Anderson

AU - Schenone, Francesco

PY - 2003

Y1 - 2003

N2 - We report on the modern surgical management of peripheral lymphedema. An adequate diagnostic route is essential: it has to include patient history and clinical examination, an isotopic lymphography, an accurate study of the venous circulation, and in cases of angiodysplasia, an accurate study of the artery circulation. Based on over 25 years of clinical experience (more than 1,000 patients), the role of derivative and (in those cases where a venous disease is associated with lymphostatic pathology) reconstructive lymphatic microsurgery is particularly underlined, in comparison with conservative medico-physical treatment, to which it is complementary. "Debulking" surgery can be used just in properly selected patients for minor operations with only cosmethic-reductive purposes. With a follow-up even over 15 years after surgery, positive results from lymphatic microsurgery can be achieved in more than 80% of cases, especially in patients at precocious stages.

AB - We report on the modern surgical management of peripheral lymphedema. An adequate diagnostic route is essential: it has to include patient history and clinical examination, an isotopic lymphography, an accurate study of the venous circulation, and in cases of angiodysplasia, an accurate study of the artery circulation. Based on over 25 years of clinical experience (more than 1,000 patients), the role of derivative and (in those cases where a venous disease is associated with lymphostatic pathology) reconstructive lymphatic microsurgery is particularly underlined, in comparison with conservative medico-physical treatment, to which it is complementary. "Debulking" surgery can be used just in properly selected patients for minor operations with only cosmethic-reductive purposes. With a follow-up even over 15 years after surgery, positive results from lymphatic microsurgery can be achieved in more than 80% of cases, especially in patients at precocious stages.

UR - http://www.scopus.com/inward/record.url?scp=0142213743&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0142213743&partnerID=8YFLogxK

U2 - 10.1002/micr.10185

DO - 10.1002/micr.10185

M3 - Article

C2 - 14558015

AN - SCOPUS:0142213743

VL - 23

SP - 522

EP - 525

JO - Microsurgery

JF - Microsurgery

SN - 0738-1085

IS - 5

ER -