Modern surgical management of chronic lymphedema:
Gespeichert in:
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| Format: | Buch |
| Sprache: | English |
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Stuttgart
Thieme
[2024]
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| Ausgabe: | First edition |
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| Beschreibung: | xxviii, 256 Seiten 320 Illustrationen 28 cm, 1058 g |
| ISBN: | 9783132414280 313241428X |
Internformat
MARC
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| 020 | |a 9783132414280 |c Festeinband : EUR 149.99 (DE) (freier Preis), EUR 154.20 (AT) (freier Preis) |9 978-3-13-241428-0 | ||
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| 245 | 1 | 0 | |a Modern surgical management of chronic lymphedema |c Yves Harder, MD, Christoph Hirche, MD, FACS, Katrin Seidenstücker, MD, Moustapha Hamdi, MD |
| 250 | |a First edition | ||
| 264 | 1 | |a Stuttgart |b Thieme |c [2024] | |
| 264 | 4 | |c © 2024 | |
| 300 | |a xxviii, 256 Seiten |b 320 Illustrationen |c 28 cm, 1058 g | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 650 | 0 | 7 | |a Chronische Krankheit |0 (DE-588)4010176-9 |2 gnd |9 rswk-swf |
| 650 | 0 | 7 | |a Lymphödem |0 (DE-588)4128065-9 |2 gnd |9 rswk-swf |
| 650 | 0 | 7 | |a Chirurgie |0 (DE-588)4009987-8 |2 gnd |9 rswk-swf |
| 653 | |a 806 | ||
| 653 | |a 380 | ||
| 689 | 0 | 0 | |a Chronische Krankheit |0 (DE-588)4010176-9 |D s |
| 689 | 0 | 1 | |a Lymphödem |0 (DE-588)4128065-9 |D s |
| 689 | 0 | 2 | |a Chirurgie |0 (DE-588)4009987-8 |D s |
| 689 | 0 | |5 DE-604 | |
| 700 | 1 | |a Harder, Yves |0 (DE-588)1325336181 |4 edt | |
| 700 | 1 | |a Hirche, Christoph |0 (DE-588)1074918878 |4 edt | |
| 700 | 1 | |a Seidenstücker, Katrin |d 1976- |0 (DE-588)129645176 |4 edt | |
| 700 | 1 | |a Hamdi, Moustapha |0 (DE-588)129998850 |4 edt | |
| 710 | 2 | |a Georg Thieme Verlag KG |0 (DE-588)1064287301 |4 pbl | |
| 776 | 0 | 8 | |i Erscheint auch als |n Online-Ausgabe, EPUB |z 978-3-13-258238-5 |
| 776 | 0 | 8 | |i Erscheint auch als |n Online-Ausgabe, PDF |z 978-3-13-241437-2 |
| 856 | 4 | 2 | |m B:DE-101 |q application/pdf |u https://d-nb.info/1267292113/04 |3 Inhaltsverzeichnis |
| 856 | 4 | 2 | |m DNB Datenaustausch |q application/pdf |u http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=034987720&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |3 Inhaltsverzeichnis |
| 883 | 1 | |8 1\p |a vlb |d 20220905 |q DE-101 |u https://d-nb.info/provenance/plan#vlb | |
Datensatz im Suchindex
| _version_ | 1805082121343074304 |
|---|---|
| adam_text |
ACKNOWLEDGEMENTS
.
XV
FOREWORD
.
XVI
PREFACE
.
XVIII
PERSONAL
PREFACES
.
XX
LIST
OF
ABBREVIATIONS
.
XXIII
CONTRIBUTORS
.
XXIV
SECTION
I:
LYMPHOLOGY
AND
CLINICAL
PRESENTATION
EDITED
BY
YVES
HARDER
AND
KATRIN
SEIDENSTUCKER
1
LYMPHATIC
SYSTEM
.
3
1.1
EMBRYOLOGY
OF
THE
LYMPHATIC
SYSTEM
.
FLORIAN
FRUH,
PATRICK
A.
WILL,
AND
EPAMEINONDAS
GOUSOPOULOS
1.2
ANATOMY
OF
THE
LYMPHATIC
SYSTEM
.
HIROO
SUAMI
1.3
PHYSIOLOGY
OF
THE
LYMPHATIC
SYSTEM.
.
FLORIAN
FRUH,
PATRICK
A.
WILL,
AND
EPAMEINONDAS
GOUSOPOULOS
1.3.1
THE
LYMPHATIC
SYSTEM
TO
TRANSPORT
LYMPH
FLUID
(CIRCULATING
SYSTEM)
.
3
1.3.2
THE
LYMPHATIC
SYSTEM
AND
ITS
IMMUNOLOGICAL
FUNCTION
.
9
4
1.4
LYMPHANGIOGENESIS
.
11
PATRICK
A.
WILL
Y
1.4.1
POTENTIAL
THERAPEUTIC
APPROACHES
AND
FUTURE
PERSPECTIVES
.
12
REFERENCES
.
12
8
2
EPIDEMIOLOGICAL,
CLINICAL,
AND
PATHOPHYSIOLOGICAL
ASPECTS
.
14
2.1
ETIOLOGY
INCLUDING
LYMPHATIC
MALFORMATIONS
.
14
STEPHAN
WAGNER
AND
JORG
WILTING
2.2
PREVALENCE
.
15
KATJA
KILIAN
2.3
INCIDENCE
.
16
KATJA
KILIAN
2.4
PATHOPHYSIOLOGY
.
17
KATJA
KILIAN
2.5
STAGES
AND
CLASSIFICATION
OF
LYMPHEDEMA
.
19
STEPHAN
WAGNER
AND
KATJA
KILIAN
REFERENCES
.
19
3
LYMPHATIC
FILARIASIS
.
21
GURUSAMY
MANOKARAN
AND
LEELA
PRAVEEN
KUMAR
3.1
PREVALENCE
.
21
3.2.1
PATHOLOGY
.
22
3.2
PATHOPHYSIOLOGY
.
213.3
CLINICAL
MANIFESTATIONS
.
22
CONTENTS
3.3.1
DIAGNOSIS
.
22
3.3.2
CLINICAL
CLASSIFICATION
OF
FILARIAL
LYMPHEDEMA
.
23
3.4
MANAGEMENT
.
23
3.4.1
MANAGEMENTOF
FILARIAL
LYMPHEDEMA
.
23
3.4.2
MANAGEMENT
OF
STAGE
I
AND
II
.
23
3.4.3
MANAGEMENT
OF
STAGE
III
AND
IV
.
24
3.4.4
MANAGEMENT
OF
STAGE
V,
VI,
AND
VII
.
24
3.5
CLINICAL
CASE
.
24
3.6
CONCLUSIONS
.
24
REFERENCES
.
25
SECTION
II:
DIAGNOSTIC
EVALUATION
EDITED
BY
CHRISTOPH
HIRCHE
4
DIAGNOSTICS
AND
STAGE-DEPENDENT
PREOPERATIVE
EVALUATION
.
29
4.1
MEDICAL
HISTORY
.
29
TOMKE
CORDTS
4.2
CLINICAL
EXAMINATION
.
29
TOMKE
CORDTS
4.2.1
TISSUE
RESISTANCE
.
30
4.3
NONAPPARATIVE
VOLUME
MEASUREMENT
.
30
TOMKE
CORDTS
4.3.1
CIRCUMFERENCE
.
31
4.3.2
WATER
DISPLACEMENT
.
32
4.4
ULTRASOUND
IMAGING
.
33
GIUSEPPE
VISCONTI,
ALESSENDRO
BIANCHI,
MARZIA
SALGARELLO,
AND
AKITATSU
HAYASHI
4.4.1
ADVANTAGES
OF
TECHNOLOGY
IN
PREOPERATIVE
PLANNING
OF
LYMPHOVENOUS
ANASTOMOSES
.
35
4.4.2
ADVANTAGES
OF
ULTRASOUND
IN
PREOPERATIVE
PLANNING
OF
VASCULARIZED
LYMPH
NODE
TRANSFER
.
36
4.5
SCINTIGRAPHIC
LYMPHANGIOGRAPHY
.
36
PIERRE
BOURGEOIS
4.6
INDOCYANINE
GREEN
NEAR-INFRARED
IMAGING
.
38
EMRE
GAZYAKAN
4.6.1
INDOCYANINE
GREEN
.
38
4.6.2
LYMPHANGIOGRAPHY
.
39
4.6.3
REVERSED
LYMPHATIC
MAPPING
.
41
4.6.4
CONCLUSIONS
.
42
4.7
MAGNETIC
RESONANCE
IMAGING
.
43
CAROLA
BRUSSAARD
4.7.1
CONVENTIONAL
MAGNETIC
RESONANCE
IMAGING:
DETECTION
OF
FREE
MOVABLE
FLUID,
FAT
DEPOSITION
AS
STAGE
PARAMETER,
AND
VOLUMETRY
.
43
4.7.2
MAGNETIC
RESONANCE
IMAGING
OF
LYMPHATIC
VESSELS
.
44
4.7.3
TIPS
AND
TRICKS
.
48
4.8
FUNCTIONAL
MAGNETIC
RESONANCE
LYMPHANGIOGRAPHY
.
48
CAROLA
BRUSSAARD,
HANS
SCHILD,
AND
CLAUS
CHRISTIAN
PIEPER
4.8.1
TECHNIQUE
.
48
4.8.2
DIAGNOSIS
OF
PERIPHERAL
LYMPHATIC
LEAKAGE
.
50
4.9
PEARLS
AND
PITFALLS
.
51
TOMKE
CORDTS
REFERENCES
.
52
CONTENTS
SECTION
III:
MODERN
MANAGEMENT
OF
CHRONIC
LYMPHEDEMA
EDITED
BY
YVES
HARDER
5
ESTABLISHMENT
OF
AN
INTERPROFESSIONAL
AND
MULTIDISCIPLINARY
LYMPHEDEMA
NETWORK
.
57
HOLGER
ENGEL
5.1
PRESENTATION
OF
THE
CONCEPT
.
57
5.6
EXPERT
GROUP/LYRNPHEDERNA
BOARD
AND
PATIENT
ADVOCACY
.
58
5.2
COALS
.
57
5.7
EVIDENCE-BASED
MEDICAL
CARE
.
59
5.3
ORGANIZATIONAL
STRUCTURE
AND
INVOLVED
PERSONNEL
.
58
5.8
FUTURE
OF
LYMPHEDEMA
NETWORKS
AND
DATA-DRIVEN
MEDICINE
.
59
5.4
FUNDING
.
58
5.9
PEARLS
AND
PITFALLS
.
59
5.5
MARKETING
.
58
REFERENCES
.
59
SECTION
IV:
NON-SURGICAL
TREATMENT
AND
TECHNIQUES
EDITED
BY
CHRISTOPH
HIRCHE
6
INTEGRATIVE,
MULTIPROFESSIONAL
CONSERVATIVE
TREATMENT
.
63
JOACHIM
E.
ZUTHER
6.1
BACKGROUND
.
63
6.5.1
SEQUENTIAL
INTERMITTENT
PNEUMATIC
COMPRESSION
.
83
6.2
COMPLETE
DECONGESTIVE
THERAPY
.63
6.5.2
ELASTIC
TAPING
.
84
6.2.1
GOALS
OF
COMPLETE
DECONGESTIVE
6.6
DOCUMENTATION
AND
SCREENING
THERAPY
.
63
MODALITIES
FOR
CONSERVATIVE
6.2.2
COMPONENTS
OF
COMPLETE
DECONGESTIVE
LYMPHEDEMA
MANAGEMENT
.
85
THERAPY
.
64
6.7
ROLE
OF
WEIGHT
MANAGEMENT,
6.3
THE
TWO-PHASE
APPROACH
IN
NUTRITION,
AND
SUPPLEMENTS
.
86
LYMPHEDEMA
MANAGEMENT
.
79
6.8
OUTPATIENT
VERSUS
INPATIENT
6.3.1
6.3.2
6.3.3
INTENSIVE
PHASE
.
79
TREATMENT
.
86
SELF-MANAGEMENT
PHASE.
81
PATIENT
EDUCATION
.
81
6.9
WOUND
MANAGEMENT
IN
LYMPHEDEMA
PATIENTS
.
86
6.4
LIMITATIONS
OF
COMPLETE
DECONGESTIVE
THERAPY
IN
LYMPHEDEMA
6.9.1
TYPES
OF
LYMPHEDEMA-RELATED
WOUNDS
.
86
MANAGEMENT
.
81
6.9.2
MODIFICATION
OF
LYMPHEDEMA
BANDAGING
IN
THE
PRESENCE
OF
WOUNDS
.
88
6.5
ADDITIONAL
TREATMENT
MODALITIES
.
83
REFERENCES
.
88
CONTENTS
SECTION
V:
SURGICAL
TREATMENT
AND
TECHNIQUES
EDITED
BY
YVES
HARDER
7
BASIC
PRINCIPLES
OF
SURGICAL
TREATMENT
AND
ACCOMPANYING
COMPLETE
DECONGESTIVE
THERAPY
.
91
7.1
LYMPHATIC
SURGERY
.
91
JAUME
MASIA
AND
CRISTHIAN
D.
POMATA
7.1.1
INTRODUCTION
.
91
7.1.2
PATHOPHYSIOLOGICAL
ASPECTS
AND
CLINICAL
CONSIDERATIONS
.
91
7.1.3
DIAGNOSTIC
IMAGING
TECHNIQUES
.
92
7.1.4
SURGICAL
PROCEDURES
.
92
7.1.5
CONCLUSIONS
.
93
7.2
COMPLETE
DECONGESTIVE
THERAPY
IN
.
THE
PRE
AND
POSTOPERATIVE
SETTING
93
NELE
ADRIAENSSENS,
ELLEN
VANDYCK,
AND
SARAH
HARNIE
7.2.2
BACKGROUND
.
94
7.2.3
EVIDENCE-BASED
PRACTICE
FOR
PERIOPERATIVE
COMPLETE
DECONGESTIVE
THERAPY
.
96
7.2.4
BEST
PRACTICES-THE
EXPERT
'
S
OPINION
.
99
7.2.5
DISCUSSION
.100
7.2.6
CONCLUSIONS
.
102
REFERENCES
.
102
7.2.1
INTRODUCTION
.
93
SECTION
VI:
LYMPHORECONSTRUCTIVE
PROCEDURES
EDITED
BY
YVES
HARDER,
CHRISTOPH
HIRCHE,
KATRIN
SEIDENSTUCKER,
AND
MOUSTAPHA
HAMDI
8
LYMPHOVENOUS
ANASTOMOSIS
.
JOHNSON
CHIA-SHEN
YANG
AND
CHRISTOPH
HIRCHE
8.1
INTRODUCTION
.
107
8.1.1
DEFINITION
.
107
8.1.2
KEY
CONCEPTS
OF
SUPERMICROSURGICAL
LYMPHOVENOUS
ANASTOMOSIS
.
108
8.2
INDICATIONS
AND
CONTRAINDICATIONS
FOR
LYMPHOVENOUS
ANASTOMOSIS
.110
8.2.1
CURRENT
CONSENSUS
REGARDING
SURGICAL
TREATMENT
FOR
LYMPHEDEMA
WITH
LYMPHOVENOUS
ANASTOMOSIS
.
110
8.2.2
INDICATIONS
.
111
8.2.3
CONTRAINDICATIONS
.
111
8.3
PREOPERATIVE
EVALUATION
AND
PLANNING
.
111
8.3.1
MEDICAL
HISTORY
.
111
8.3.2
PREOPERATIVE
EVALUATION
FOR
LYMPHOVENOUS
ANASTOMOSIS
.
112
8.3.3
IDENTIFYING
FUNCTIONAL
LYMPHATIC
VESSELS
.
112
.
107
8.3.4
TIMING
FOR
THE
INDOCYANINE
GREEN
INJECTION
FOR
THE
IDENTIFICATION
OF
FUNCTIONAL
LYMPHATIC
VESSELS
.
112
8.3.5
IDENTIFYING
REFLUX-FREE
VEINS
WITH
A
VEIN
FINDER
(VEIN
VIEWER)
.
112
8.3.6
OTHER
IMAGING
STUDIES
FOR
PREOPERATIVE
EVALUATION
AND
PLANNING
OF
LYMPHOVENOUS
ANASTOMOSIS
.
113
8.4
SURGICAL
SETTING
AND
TECHNIQUE
.
113
8.4.1
ANESTHESIA:
LOCAL,
REGIONAL,
OR
GENERAL
.
113
8.4.2
INTRAOPERATIVE
POSITION
.
114
8.4.3
TECHNIQUE
OF
SUPERMICROSURGICAL
LYMPHOVENOUS
ANASTOMOSIS
.
115
8.4.4
WHICH
SUTURE
TECHNIQUE
IS
BEST
SUITED
FOR
SUPERMICROSURGERY?
.
116
8.4.5
DOCUMENTATION
.
117
8.4.6
DRESSING
.
117
CONTENTS
8.5
TYPE
AND
CONFIGURATION
OF
LYMPHOVENOUS
ANASTOMOSIS
.
117
8.5.1
KEY
FACTORS
TO
A
SUCCESSFUL
LYMPHOVENOUS
ANASTOMOSIS
.
117
8.5.2
END-TO-END
LYMPHOVENOUS
ANASTOMOSIS
.
118
8.5.3
END-TO-SIDE
LYMPHOVENOUS
ANASTOMOSIS
.
118
8.5.4
SIDE-TO-END
LYMPHOVENOUS
ANASTOMOSIS
.
119
8.5.5
END-TO-END
LYMPHOVENOUS
ANASTOMOSIS
IN
CONJUNCTION
WITH
END-TO-SIDE
LYMPHOVENOUS
ANASTOMOSIS:
THE
LAMBDA-SHAPED
LYMPHOVENOUS
ANASTOMOSIS
.
119
8.5.6
SIDE-TO-SIDE
LYMPHOVENOUS
ANASTOMOSIS
.
120
8.5.7
END-TO-SIDE
LYMPHOLYMPHATIC
ANASTOMOSIS
.
120
8.5.8
COMPARISON
AMONG
DIFFERENT
LYMPHOVENOUS
ANASTOMOSIS
TYPES
.120
8.5.9
LYMPHOVENOUS
ANASTOMOSIS
FOR
SINGLE
RECIPIENT
VEIN
AND
MULTIPLE
LYMPHATIC
VESSELS
.
121
8.5.10
LYMPHOVENOUS
IMPLANTATION
OR
"
OCTOPUS
"
ANASTOMOSIS
.
121
8.6
SURGICAL
EQUIPMENT
.
121
8.6.1
SURGICAL
MICROSCOPES
(SELECTION)
.
121
9
AUTOLOGOUS
LYMPH
VESSEL
TRANSFER.
RUEDIGER
BAUMEISTER,
ANDREAS
FRICK,
AND
CHRISTIANE
9.1
INDICATIONS
AND
CONTRAINDICATIONS
.
127
9.2
PREOPERATIVE
CONSIDERATIONS
.
127
9.3
OPERATIVE
TECHNIQUE
.
127
9.3.1
HARVESTING
THE
LYMPHATIC
GRAFT
.
128
9.3.2
AUTOLOGOUS
LYMPH
VESSEL
TRANSFER
TO
THE
AXILLA
REGION
.
128
9.3.3
AUTOLOGOUS
LYMPH
VESSEL
TRANSFER
IN
THE
GROIN
REGION
.
129
9.4
TYPE
OF
VESSEL
TRANSFER
.
130
9.5
INTERPOSITIONAL
GRAFT
.
130
8.6.2
MOBILE
INDOCYANINE
GREEN
NEAR-INFRARED
SYSTEMS
(SELECTION)
.
122
8.6.3
SUPERMICROSURGICAL
INSTRUMENTS
(SELECTION)
.
123
8.7
ADDITIONAL
INTRAOPERATIVE
TOOLS
.
123
8.7.1
INDOCYANINE
GREEN
LYMPHANGIOGRAPHY.
.
123
8.7.2
BLUEDYE
.
123
8.8
PATIENT
EDUCATION
.
123
8.8.1
BEFORE
LYMPHOVENOUS
ANASTOMOSIS
.
123
8.8.2
AFTER
LYMPHOVENOUS
ANASTOMOSIS
.
123
8.9
ROBOTIC
LYMPHOVENOUS
ANASTOMOSIS
MICROSURGERY
.
124
8.10
HOW
TO
ADVANCE
YOUR
SUPERMICROSURGICAL
SKILLS
FOR
LYMPHOVENOUS
ANASTOMOSIS
.
124
8.11
PERSPECTIVE
.
124
8.12
CLINICAL
CASES
.
124
8.13
PEARLS
AND
PITFALLS
.
124
REFERENCES
.
125
.
127
.
STAUBLE
9.6
NUMBER
OF
USED
LYMPHATIC
COLLECTORS
.
130
9.7
SURGICAL
EQUIPMENT
.
130
9.8
POSTOPERATIVE
MANAGEMENT
.130
9.9
PEARLS
AND
PITFALLS
.130
9.10
CLINICAL
CASES
.
131
REFERENCES
.
132
CONTENTS
10
VASCULARIZED
LYMPH
NODE
TRANSFER
.
133
10.1
DONOR
SITES:
ANATOMICAL
BASICS
AND
10.5.2
VASCULARIZED
SUPRACLAVICULAR
LYMPH
NODE
CLINICAL
REALITY
.
133
TRANSFER
.
143
MOUSTAPHA
HAMDI,
CHIEH-HAN
TZOU,
AND
10.5.3
VASCULARIZED
LATERAL
THORACIC
LYMPH
NODE
JULIA
ROKA-PALKOVITZ
TRANSFER
.
144
10.1.1
10.1.2
10.1.3
INGUINAL
LYMPH
NODE
TRANSFER
.
133
10.5.4
VASCULARIZED
SUBMENTAL
LYMPH
NODES
SUPRACLAVICULAR
LYMPH
NODE
TRANSFER
.
134
TRANSFER
.
145
LATERAL
THORACIC/THORACODORSAL
LYMPH
10.5.5
VASCULARIZED
JEJUNAL
MESENTERIC
LYMPH
NODE
TRANSFER
.
136
NODE
TRANSFER
.
145
10.1.4
10.1.5
10.1.6
10.1.7
SUBMENTAL
LYMPH
NODE
TRANSFER
.
OMENTAL
LYMPH
NODE
TRANSFER
.
138
10.6
ROBOTIC-ASSISTED
OMENTAL
LYMPH
NODE
N
C
139
HARVEST
FOR
LYMPHEDEMA
TREATMENT
.
145
SEUNACDENUENCT/MIPNINOAEPSFER
.
.
138
MOUSTOPHIO
HARTIDI,ASSOF
ZELIZET,AND
TRANSFER
.138
KARL
WEANED
10.7
SURGICAL
EQUIPMENT
AND
INTRAOPERATIVE
10.2
INDICATIONS
AND
CONTRAINDICATIONS
.
139
TOOLS
.
146
HOLGER
ENGEL
HOLGER
ENGEL
10.3
PREOPERATIVE
EVALUATION
AND
10.8
POSTOPERATIVE
MANAGEMENT
.147
PLANNING
.
140
KATRIN
SEIDENSTUCKER
HOLGERENGEL
10.9
PATIENT
EDUCATION
.
148
10.4
CHOICE
AND
MANAGEMENT
OF
DONOR
AND
KATRIN
SEIDENSTUCKER
RECIPIENTSITES.
.
.
140
10.10
PEARLS
AND
PITFALLS
.148
HOLGER
ENGEL
AND
KATAN
SEIDENSTUCKER
KATRIN
SEIDENSTUCKER
10.4.1
PROXIMAL
VERSUS
DISTAL
RECIPIENT
AREA,
SCAR
REFERENCES
148
MANAGEMENT,
AND
FLAP
TYPES
.
140
10.4.2
INGUINAL
VASCULARIZED
LYMPH
NODE
TRANSFER
TO
DISTAL
RECIPIENT
(WRIST)
.
141
10.5
SURGICAL
TECHNIQUE
.
143
MOUSTAPHA
HAMDI,
HOLGER
ENGEL,
AND
KATRIN
SEIDENSTUCKER
10.5.1
VASCULARIZED
INGUINAL
LYMPH
NODE
TRANSFER
.
143
11
AUTOLOGOUS
BREAST
RECONSTRUCTION
IN
CONJUNCTION
WITH
LYMPHATIC
SURGERY
.
150
RANDY
DE
BAERDEMAEKER,
ASSAF
ZELTZER,
AND
MOUSTAPHA
HAMDI
11.1
INDICATIONS
AND
CONTRAINDICATIONS
.
150
11.2.6
BREAST
RECONSTRUCTION
IN
CONJUNCTION
WITH
LYMPH
NODE
FLAP
AND
LYMPHOVENOUS
11.2
SURGICAL
TECHNIQUE
.
151
ANASTOMOSIS
("BARCELONA
COCKTAIL"
OR
TOTAL
BREAST
ANATOMY
RESTORATION)
.
156
11.2.1
LYMPHATIC
ANATOMY
OF
THE
RECIPIENT
SITE
.
151
11.3
INTRAOPERATIVE
POSITION
.156
11.2.2
11.2.3
LYMPHATIC
ANATOMY
OF
THE
DONOR
SITE
.
151
VALUE
AND
EXTENT
OF
SCAR
RELEASE
OF
11.4
POSTOPERATIVE
MANAGEMENT
.
156
AXILLAR
RECIPIENT
SITE
.
152
11.2.4
BREAST
RECONSTRUCTION
IN
CONJUNCTION
WITH
11.4.1
COMPLETE
DECONGESTIVE
THERAPY
.
156
VASCULARIZED
LYMPH
NODE
FLAP
.152
11.4.2
FOLLOW-UPS
.
157
11.2.5
BREAST
RECONSTRUCTION
IN
CONJUNCTION
WITH
LYMPHOVENOUS
ANASTOMOSIS
.155
11.5
PATIENT
EDUCATION
.
157
CONTENTS
11.6
CLINICAL
CASES
.
157
11.6.1
CASE
1
.
157
11.6.2
CASE
2
.
159
11.7
PEARLSAND
PITFALLS
.
REFERENCES
.
12
NODO-VENAL
SHUNT
MICROSURGERY
.
GURUSAMY
MANOKARAN
AND
LEELA
PRAVEEN
KUMAR
12.1
GENERAL
CONSIDERATIONS
.
163
12.6
POSTOPERATIVE
CARE
.
12.2
INDICATIONS
AND
CONTRAINDICATIONS
.
163
12.7
PATIENT
EDUCATION
.
12.3
PREOPERATIVE
ASSESSMENT
.
163
12.8
COMPLICATIONS
.
12.4
PREOPERATIVE
PREPARATION
.164
REFERENCES
.
161
161
163
165
165
165
168
12.5
SURGICAL
TECHNIQUE
.
164
SECTION
VII:
LYMPHOREDUCTIVE
PROCEDURES,
SECONDARY
PROCEDURES,
AND
TIPS
AND
TRICKS
EDITED
BY
CHRISTOPH
HIRCHE,
KATRIN
SEIDENSTUCKER,
AND
MOUSTAPHA
HAMDI
13
SUCTION-ASSISTED
LIPECTOMY
.
ARIN
K.
GREENE,
JEREMY
A.
GOSS,
AND
HAKAN
BRORSON
13.1
INDICATIONS
AND
CONTRAINDICATIONS
.
171
13.2
PREOPERATIVE
EVALUATION
AND
PLANNING
.
171
13.3
SURGICAL
TECHNIQUE
.
172
13.4
INTRAOPERATIVE
POSITION
.
172
13.5
POSTOPERATIVE
MANAGEMENT
.
172
13.6
PATIENT
EDUCATION
.
173
14
EXCISIONAL
PROCEDURES
.
VINCENZO
PENNA
AND
NESTOR
TORIO
14.1
LYMPHOREDUCTIVE
SURGERY
.
177
14.2
INDICATIONS
AND
CONTRAINDICATIONS
.
177
14.3
PREOPERATIVE
EVALUATION
AND
PLANNING
.
178
14.4
SURGICAL
TECHNIQUE
.
179
14.4.1
GENERAL
REMARKS
.
179
14.4.2
DERMOLIPECTOMIES
IN
EXTREMITIES
.
179
14.4.3
SCROTAL
DERMOLIPECTOMIES
.
180
14.4.4
VULVAR
DERMOLIPECTOMIES
.
180
13.7
CLINICAL
CASES
.
13.7.1
LYMPHEDEMA
OF
THE
LOWER
EXTREMITY
.
13.7.2
LYMPHEDEMA
OF
THE
LOWER
EXTREMITY
PRECEDED
BY
CONSERVATIVE
TREATMENT
.
13.7.3
LYMPHEDEMA
OF
THE
UPPER
EXTREMITY
.
13.8
PEARLSAND
PITFALLS
.
REFERENCES
.
14.5
INTRAOPERATIVE
POSITION
.
14.6
ADDITIONAL
INTRAOPERATIVE
TOOLS
.
14.7
SURGICAL
EQUIPMENT
.
14.8
POSTOPERATIVE
MANAGEMENT
.
14.9
PATIENT
EDUCATION
.
14.10
PEARLSAND
PITFALLS
.
171
174
174
174
174
175
175
177
181
181
181
183
183
183
REFERENCES
.
183
CONTENTS
15
SECONDARY
PROCEDURES
AFTER
RECONSTRUCTIVE
MICROSURGERY
.
184
15.1
SUCTION-ASSISTED
LIPECTOMY
.
184
AMIR
K.
BIGDELI,
ANDREAS
FRICK,
AND
CHRISTIANE
G.
STDUBLE
15.2
SECONDARY
LYMPH
NODE
TRANSFER
.
185
KATRIN
SEIDENSTUCKER
15.3
LYMPHOVENOUS
ANASTOMOSIS
FOR
CHRONIC
LYMPHOCELE
AFTER
LYMPH
NODE
EXCISION
AND/OR
VASCULARIZED
LYMPH
NODE
TRANSFER
.
187
NICOLE
LINDENBLATT
AND
SEMRA
UYULMAZ
15.4
ONE
STAGE
VERSUS
STAGED-COMBINED
SURGICAL
PROCEDURES
TO
TREAT
LYMPHEDEMA
.
188
HOLGER
ENGEL
15.5
PEARLS
AND
PITFALLS
.
190
HOLGER
ENGEL
REFERENCES
.
191
16
TIPS
AND
TRICKS
FOR
MODERN
SURGICAL
MANAGEMENT
OF
CHRONIC
LYMPHEDEMA
.
193
16.1
HOW
TO
AVOID
THE
WRONG
SURGICAL
TECHNIQUE
IN
THE
WRONG
PATIENT
FOR
THE
WRONG
LYMPHEDEMA
STAGE
.
193
CHRISTOPH
HIRCHE
AND
YVES
HARDER
16.2
LOCAL
DERMOLIPECTOMY
AND
LYMPHOREDUCTIVE
SURGERY
.
194
VINCENZO
PENNA
AND
NESTOR
TORIO
16.3
SUCTION-ASSISTED
LIPECTOMY
.
194
HAKAN
BRORSON,
ARIN
GREENE,
AND
JEREMY
GOSS
16.3.1
PREOPERATIVE
.
194
16.3.2
INTRAOPERATIVE
.
195
16.3.3
POSTOPERATIVE
.
195
16.4
LYMPHOVENOUS
ANASTOMOSIS
.
195
JOHNSON
CHIA-SHEN
YANG
AND
CHRISTOPH
HIRCHE
16.4.1
FOR
THE
SURGEON
.
195
16.4.2
DURING
SURGERY
.196
16.4.3
REGARDING
THE
PATIENT
.
196
16.5
VASCULARIZED
LYMPH
NODE
TRANSFER
.
196
HOLGER
ENGEL
16.6
AUTOLOGOUS
BREAST
RECONSTRUCTION
IN
CONJUNCTION
WITH
VASCULARIZED
LYMPH
NODE
TRANSFER
197
MOUSTAPHA
HAMDI,
ELENA
RODRIGUEZ-BAUZA,
AND
JAUME
MASIA
16.7
DEALING
WITH
THERAPEUTIC
FAILURE
.
197
HOLGER
ENGEL
16.7.1
ANALYSIS
OF
CAUSES
.
198
16.7.2
SECONDARY
PROCEDURES
.
198
REFERENCES
.
199
SECTION
VIII:
TRAINING,
TREATMENT
ALGORITHM,
OUTCOMES,
AND
FURTHER
DEVELOPMENTS
EDITED
BY
CHRISTOPH
HIRCHE,
YVES
HARDER,
AND
MOUSTAPHA
HAMDI
17
TEACHING
AND
TRAINING
IN
LYMPHORECONSTRUCTIVE
SURGERY
.
203
AMIR
BIGDELI
AND
CHRISTOPH
HIRCHE
17.1
INTRODUCTION
.203
17.2
SUPERMICROSURGICAL
TRAINING
MODELS
WITHOUT
THE
USE
OF
LYMPHATIC
VESSELS.
.
203
17.3
SUPERMICROSURGICAL
TRAINING
MODELS
WITH
THE
USE
OF
LYMPHATIC
VESSELS
.
204
17.4
SUPERMICROSURGICAL
TRAINING
MODELS
WITH
THE
USE
OF
LYMPHATIC
VESSELS
FOR
DIFFERENT
TYPES
OF
LYMPHOVENOUS
ANASTOMOSIS
AND
FOR
VASCULARIZED
LYMPH
NODE
TRANSFER
.
204
17.5
ROBOTIC-ASSISTED
LYMPHEDEMA
SURGERY
.
205
REFERENCES
.
206
CONTENTS
18
TREATMENT
ALGORITHM
FOR
THE
SURGICAL
MANAGEMENT
OF
LYMPHEDEMA
.
207
CHRISTOPH
HIRCHE,
MOUSTAPHA
HAMDI,
KATRIN
SEIDENSTUCKER,
AND
YVES
HARDER
18.1
INTRODUCTION
.
207
18.2
DIAGNOSTICS
.
208
18.3
MODERN
SURGICAL
MANAGEMENT
OF
CHRONIC
LYMPHEDEMA
.
208
18.3.1
SURGERY
FOR
LYMPHEDEMA
PRESENTING
WITH
FUNCTIONAL
LYMPHATIC
COLLECTORS
.
208
18.3.2
SURGERY
FOR
LYMPHEDEMA
LACKING
FUNCTIONAL
LYMPHATIC
COLLECTORS
.
208
18.3.3
SURGERY
FOR
BREAST
CANCER-RELATED
LYMPHEDEMA
.
209
19
REVIEW
OF
THE
CURRENT
LITERATURE
.
MARIO
F.
SCAGLIONI
AND
MATTEO
MERONI
19.1
INTRODUCTION
.
213
19.2
LYMPHOREDUCTIVE
SURGERY
.
213
19.3
NEW
TOOLS
TO
BE
USED
FOR
PRE-,
INTRA-,
AND
POSTOPERATIVE
VISUALIZATION
OF
LYMPHATIC
STRUCTURES
.
214
19.4
LYMPHORECONSTRUCTIVE
SURGERY
.
214
19.5
COMBINED
SURGICAL
APPROACHES
.
221
20
EXPERIMENTAL
RESEARCH
AND
FUTURE
DI
20.1
ANIMAL
MODELS
.
227
FLORIAN
FRUH
20.1.1
INTRODUCTION
.
227
20.1.2
LYMPHEDEMA
MODELS
IN
LARGE
ANIMAL.
.
227
20.1.3
LYMPHEDEMA
MODELS
IN
RODENTS
.
229
20.1.4
CHALLENGES
OFSMALL
ANIMAL
MODELS
.
230
20.1.5
CONCLUSIONS
.
232
20.2
TISSUE
ENGINEERING
AND
REPLACEMENT
OF
LYMPHATIC
VASCULAR
NETWORK
.233
ANDREAS
SPORLEIN,
PATRICK
A.
WILL,
AND
ANJA
M.
BOOS
20.2.1
INTRODUCTION
.233
20.2.2
CELLS
AND
GROWTH
FACTORS
FOR
LYMPHATIC
TISSUE
ENGINEERING
.233
20.2.3
SCAFFOLDS
FOR
LYMPHATIC
TISSUE
ENGINEERING-TRANSLATIONAL
CONCEPTS
.235
20.2.4
CURRENT
ACHIEVEMENTS
AND
LIMITATIONS
.
235
18.3.4
SURGERY
FOR
UPPER
EXTREMITY
LYMPHEDEMA
.
210
18.3.5
SURGERY
FOR
LOWER
EXTREMITY
LYMPHEDEMA
.
210
18.3.6
SURGERY
FOR
LYMPHEDEMA
WITH
FAT
HYPERTROPHY
AND/OR
TISSUE
FIBROSIS
.
210
18.4
CONCLUSIONS
.
210
REFERENCES
.
212
.213
19.6
PROPHYLACTIC
SURGERY
.223
19.7
CONSENSUS
FOR
TREATMENT
INDICATION
.
224
19.8
CONCLUSIONS
.
224
REFERENCES
.
225
CTIONS
.
227
20.2.5
CONCLUSIONS
.
236
20.3
TISSUE
ENGINEERING
FOR
THE
REPLACEMENT
OF
LYMPH
NODES
.
237
MIN-SEOK
KWAK
AND
HANS-GUNTHER
MACHENS
20.3.1
INTRODUCTION
.
237
20.3.2
THE
LYMPHATIC
SYSTEM
.
237
20.3.3
REGENERATION
OF
LYMPHATIC
TISSUE
.
237
20.3.4
BIOMATERIALS
.
238
20.3.5
LYMPH
NODE
TISSUE
ENGINEERING
.
239
20.3.6
CONCLUSIONS
.
240
20.4
VASCULARIZED
LYMPH
NODE
TRANSFER
AND
GROWTH
FACTORS
.
241
MIKKO
VISURI,
PAULIINA
HARTIALA,
AND
ANNE
SAARISTO
20.4.1
INTRODUCTION
.
241
CONTENTS
20.4.2
APPLICATION
AND
DELIVERY
OF
GROWTH
20.4.5
CONCLUSIONS
.
FACTORS
.
242
20.4.3
EXPERIMENTAL
BACKGROUND
.
242
REFERENCES
.
20.4.4
CLINICAL
APPLICATION
.
244
244
245
GLOSSARY
.
249
INDEX
.
251 |
| adam_txt |
ACKNOWLEDGEMENTS
.
XV
FOREWORD
.
XVI
PREFACE
.
XVIII
PERSONAL
PREFACES
.
XX
LIST
OF
ABBREVIATIONS
.
XXIII
CONTRIBUTORS
.
XXIV
SECTION
I:
LYMPHOLOGY
AND
CLINICAL
PRESENTATION
EDITED
BY
YVES
HARDER
AND
KATRIN
SEIDENSTUCKER
1
LYMPHATIC
SYSTEM
.
3
1.1
EMBRYOLOGY
OF
THE
LYMPHATIC
SYSTEM
.
FLORIAN
FRUH,
PATRICK
A.
WILL,
AND
EPAMEINONDAS
GOUSOPOULOS
1.2
ANATOMY
OF
THE
LYMPHATIC
SYSTEM
.
HIROO
SUAMI
1.3
PHYSIOLOGY
OF
THE
LYMPHATIC
SYSTEM.
.
FLORIAN
FRUH,
PATRICK
A.
WILL,
AND
EPAMEINONDAS
GOUSOPOULOS
1.3.1
THE
LYMPHATIC
SYSTEM
TO
TRANSPORT
LYMPH
FLUID
(CIRCULATING
SYSTEM)
.
3
1.3.2
THE
LYMPHATIC
SYSTEM
AND
ITS
IMMUNOLOGICAL
FUNCTION
.
9
4
1.4
LYMPHANGIOGENESIS
.
11
PATRICK
A.
WILL
Y
1.4.1
POTENTIAL
THERAPEUTIC
APPROACHES
AND
FUTURE
PERSPECTIVES
.
12
REFERENCES
.
12
8
2
EPIDEMIOLOGICAL,
CLINICAL,
AND
PATHOPHYSIOLOGICAL
ASPECTS
.
14
2.1
ETIOLOGY
INCLUDING
LYMPHATIC
MALFORMATIONS
.
14
STEPHAN
WAGNER
AND
JORG
WILTING
2.2
PREVALENCE
.
15
KATJA
KILIAN
2.3
INCIDENCE
.
16
KATJA
KILIAN
2.4
PATHOPHYSIOLOGY
.
17
KATJA
KILIAN
2.5
STAGES
AND
CLASSIFICATION
OF
LYMPHEDEMA
.
19
STEPHAN
WAGNER
AND
KATJA
KILIAN
REFERENCES
.
19
3
LYMPHATIC
FILARIASIS
.
21
GURUSAMY
MANOKARAN
AND
LEELA
PRAVEEN
KUMAR
3.1
PREVALENCE
.
21
3.2.1
PATHOLOGY
.
22
3.2
PATHOPHYSIOLOGY
.
213.3
CLINICAL
MANIFESTATIONS
.
22
CONTENTS
3.3.1
DIAGNOSIS
.
22
3.3.2
CLINICAL
CLASSIFICATION
OF
FILARIAL
LYMPHEDEMA
.
23
3.4
MANAGEMENT
.
23
3.4.1
MANAGEMENTOF
FILARIAL
LYMPHEDEMA
.
23
3.4.2
MANAGEMENT
OF
STAGE
I
AND
II
.
23
3.4.3
MANAGEMENT
OF
STAGE
III
AND
IV
.
24
3.4.4
MANAGEMENT
OF
STAGE
V,
VI,
AND
VII
.
24
3.5
CLINICAL
CASE
.
24
3.6
CONCLUSIONS
.
24
REFERENCES
.
25
SECTION
II:
DIAGNOSTIC
EVALUATION
EDITED
BY
CHRISTOPH
HIRCHE
4
DIAGNOSTICS
AND
STAGE-DEPENDENT
PREOPERATIVE
EVALUATION
.
29
4.1
MEDICAL
HISTORY
.
29
TOMKE
CORDTS
4.2
CLINICAL
EXAMINATION
.
29
TOMKE
CORDTS
4.2.1
TISSUE
RESISTANCE
.
30
4.3
NONAPPARATIVE
VOLUME
MEASUREMENT
.
30
TOMKE
CORDTS
4.3.1
CIRCUMFERENCE
.
31
4.3.2
WATER
DISPLACEMENT
.
32
4.4
ULTRASOUND
IMAGING
.
33
GIUSEPPE
VISCONTI,
ALESSENDRO
BIANCHI,
MARZIA
SALGARELLO,
AND
AKITATSU
HAYASHI
4.4.1
ADVANTAGES
OF
TECHNOLOGY
IN
PREOPERATIVE
PLANNING
OF
LYMPHOVENOUS
ANASTOMOSES
.
35
4.4.2
ADVANTAGES
OF
ULTRASOUND
IN
PREOPERATIVE
PLANNING
OF
VASCULARIZED
LYMPH
NODE
TRANSFER
.
36
4.5
SCINTIGRAPHIC
LYMPHANGIOGRAPHY
.
36
PIERRE
BOURGEOIS
4.6
INDOCYANINE
GREEN
NEAR-INFRARED
IMAGING
.
38
EMRE
GAZYAKAN
4.6.1
INDOCYANINE
GREEN
.
38
4.6.2
LYMPHANGIOGRAPHY
.
39
4.6.3
REVERSED
LYMPHATIC
MAPPING
.
41
4.6.4
CONCLUSIONS
.
42
4.7
MAGNETIC
RESONANCE
IMAGING
.
43
CAROLA
BRUSSAARD
4.7.1
CONVENTIONAL
MAGNETIC
RESONANCE
IMAGING:
DETECTION
OF
FREE
MOVABLE
FLUID,
FAT
DEPOSITION
AS
STAGE
PARAMETER,
AND
VOLUMETRY
.
43
4.7.2
MAGNETIC
RESONANCE
IMAGING
OF
LYMPHATIC
VESSELS
.
44
4.7.3
TIPS
AND
TRICKS
.
48
4.8
FUNCTIONAL
MAGNETIC
RESONANCE
LYMPHANGIOGRAPHY
.
48
CAROLA
BRUSSAARD,
HANS
SCHILD,
AND
CLAUS
CHRISTIAN
PIEPER
4.8.1
TECHNIQUE
.
48
4.8.2
DIAGNOSIS
OF
PERIPHERAL
LYMPHATIC
LEAKAGE
.
50
4.9
PEARLS
AND
PITFALLS
.
51
TOMKE
CORDTS
REFERENCES
.
52
CONTENTS
SECTION
III:
MODERN
MANAGEMENT
OF
CHRONIC
LYMPHEDEMA
EDITED
BY
YVES
HARDER
5
ESTABLISHMENT
OF
AN
INTERPROFESSIONAL
AND
MULTIDISCIPLINARY
LYMPHEDEMA
NETWORK
.
57
HOLGER
ENGEL
5.1
PRESENTATION
OF
THE
CONCEPT
.
57
5.6
EXPERT
GROUP/LYRNPHEDERNA
BOARD
AND
PATIENT
ADVOCACY
.
58
5.2
COALS
.
57
5.7
EVIDENCE-BASED
MEDICAL
CARE
.
59
5.3
ORGANIZATIONAL
STRUCTURE
AND
INVOLVED
PERSONNEL
.
58
5.8
FUTURE
OF
LYMPHEDEMA
NETWORKS
AND
DATA-DRIVEN
MEDICINE
.
59
5.4
FUNDING
.
58
5.9
PEARLS
AND
PITFALLS
.
59
5.5
MARKETING
.
58
REFERENCES
.
59
SECTION
IV:
NON-SURGICAL
TREATMENT
AND
TECHNIQUES
EDITED
BY
CHRISTOPH
HIRCHE
6
INTEGRATIVE,
MULTIPROFESSIONAL
CONSERVATIVE
TREATMENT
.
63
JOACHIM
E.
ZUTHER
6.1
BACKGROUND
.
63
6.5.1
SEQUENTIAL
INTERMITTENT
PNEUMATIC
COMPRESSION
.
83
6.2
COMPLETE
DECONGESTIVE
THERAPY
.63
6.5.2
ELASTIC
TAPING
.
84
6.2.1
GOALS
OF
COMPLETE
DECONGESTIVE
6.6
DOCUMENTATION
AND
SCREENING
THERAPY
.
63
MODALITIES
FOR
CONSERVATIVE
6.2.2
COMPONENTS
OF
COMPLETE
DECONGESTIVE
LYMPHEDEMA
MANAGEMENT
.
85
THERAPY
.
64
6.7
ROLE
OF
WEIGHT
MANAGEMENT,
6.3
THE
TWO-PHASE
APPROACH
IN
NUTRITION,
AND
SUPPLEMENTS
.
86
LYMPHEDEMA
MANAGEMENT
.
79
6.8
OUTPATIENT
VERSUS
INPATIENT
6.3.1
6.3.2
6.3.3
INTENSIVE
PHASE
.
79
TREATMENT
.
86
SELF-MANAGEMENT
PHASE.
81
PATIENT
EDUCATION
.
81
6.9
WOUND
MANAGEMENT
IN
LYMPHEDEMA
PATIENTS
.
86
6.4
LIMITATIONS
OF
COMPLETE
DECONGESTIVE
THERAPY
IN
LYMPHEDEMA
6.9.1
TYPES
OF
LYMPHEDEMA-RELATED
WOUNDS
.
86
MANAGEMENT
.
81
6.9.2
MODIFICATION
OF
LYMPHEDEMA
BANDAGING
IN
THE
PRESENCE
OF
WOUNDS
.
88
6.5
ADDITIONAL
TREATMENT
MODALITIES
.
83
REFERENCES
.
88
CONTENTS
SECTION
V:
SURGICAL
TREATMENT
AND
TECHNIQUES
EDITED
BY
YVES
HARDER
7
BASIC
PRINCIPLES
OF
SURGICAL
TREATMENT
AND
ACCOMPANYING
COMPLETE
DECONGESTIVE
THERAPY
.
91
7.1
LYMPHATIC
SURGERY
.
91
JAUME
MASIA
AND
CRISTHIAN
D.
POMATA
7.1.1
INTRODUCTION
.
91
7.1.2
PATHOPHYSIOLOGICAL
ASPECTS
AND
CLINICAL
CONSIDERATIONS
.
91
7.1.3
DIAGNOSTIC
IMAGING
TECHNIQUES
.
92
7.1.4
SURGICAL
PROCEDURES
.
92
7.1.5
CONCLUSIONS
.
93
7.2
COMPLETE
DECONGESTIVE
THERAPY
IN
.
THE
PRE
AND
POSTOPERATIVE
SETTING
93
NELE
ADRIAENSSENS,
ELLEN
VANDYCK,
AND
SARAH
HARNIE
7.2.2
BACKGROUND
.
94
7.2.3
EVIDENCE-BASED
PRACTICE
FOR
PERIOPERATIVE
COMPLETE
DECONGESTIVE
THERAPY
.
96
7.2.4
BEST
PRACTICES-THE
EXPERT
'
S
OPINION
.
99
7.2.5
DISCUSSION
.100
7.2.6
CONCLUSIONS
.
102
REFERENCES
.
102
7.2.1
INTRODUCTION
.
93
SECTION
VI:
LYMPHORECONSTRUCTIVE
PROCEDURES
EDITED
BY
YVES
HARDER,
CHRISTOPH
HIRCHE,
KATRIN
SEIDENSTUCKER,
AND
MOUSTAPHA
HAMDI
8
LYMPHOVENOUS
ANASTOMOSIS
.
JOHNSON
CHIA-SHEN
YANG
AND
CHRISTOPH
HIRCHE
8.1
INTRODUCTION
.
107
8.1.1
DEFINITION
.
107
8.1.2
KEY
CONCEPTS
OF
SUPERMICROSURGICAL
LYMPHOVENOUS
ANASTOMOSIS
.
108
8.2
INDICATIONS
AND
CONTRAINDICATIONS
FOR
LYMPHOVENOUS
ANASTOMOSIS
.110
8.2.1
CURRENT
CONSENSUS
REGARDING
SURGICAL
TREATMENT
FOR
LYMPHEDEMA
WITH
LYMPHOVENOUS
ANASTOMOSIS
.
110
8.2.2
INDICATIONS
.
111
8.2.3
CONTRAINDICATIONS
.
111
8.3
PREOPERATIVE
EVALUATION
AND
PLANNING
.
111
8.3.1
MEDICAL
HISTORY
.
111
8.3.2
PREOPERATIVE
EVALUATION
FOR
LYMPHOVENOUS
ANASTOMOSIS
.
112
8.3.3
IDENTIFYING
FUNCTIONAL
LYMPHATIC
VESSELS
.
112
.
107
8.3.4
TIMING
FOR
THE
INDOCYANINE
GREEN
INJECTION
FOR
THE
IDENTIFICATION
OF
FUNCTIONAL
LYMPHATIC
VESSELS
.
112
8.3.5
IDENTIFYING
REFLUX-FREE
VEINS
WITH
A
VEIN
FINDER
(VEIN
VIEWER)
.
112
8.3.6
OTHER
IMAGING
STUDIES
FOR
PREOPERATIVE
EVALUATION
AND
PLANNING
OF
LYMPHOVENOUS
ANASTOMOSIS
.
113
8.4
SURGICAL
SETTING
AND
TECHNIQUE
.
113
8.4.1
ANESTHESIA:
LOCAL,
REGIONAL,
OR
GENERAL
.
113
8.4.2
INTRAOPERATIVE
POSITION
.
114
8.4.3
TECHNIQUE
OF
SUPERMICROSURGICAL
LYMPHOVENOUS
ANASTOMOSIS
.
115
8.4.4
WHICH
SUTURE
TECHNIQUE
IS
BEST
SUITED
FOR
SUPERMICROSURGERY?
.
116
8.4.5
DOCUMENTATION
.
117
8.4.6
DRESSING
.
117
CONTENTS
8.5
TYPE
AND
CONFIGURATION
OF
LYMPHOVENOUS
ANASTOMOSIS
.
117
8.5.1
KEY
FACTORS
TO
A
SUCCESSFUL
LYMPHOVENOUS
ANASTOMOSIS
.
117
8.5.2
END-TO-END
LYMPHOVENOUS
ANASTOMOSIS
.
118
8.5.3
END-TO-SIDE
LYMPHOVENOUS
ANASTOMOSIS
.
118
8.5.4
SIDE-TO-END
LYMPHOVENOUS
ANASTOMOSIS
.
119
8.5.5
END-TO-END
LYMPHOVENOUS
ANASTOMOSIS
IN
CONJUNCTION
WITH
END-TO-SIDE
LYMPHOVENOUS
ANASTOMOSIS:
THE
LAMBDA-SHAPED
LYMPHOVENOUS
ANASTOMOSIS
.
119
8.5.6
SIDE-TO-SIDE
LYMPHOVENOUS
ANASTOMOSIS
.
120
8.5.7
END-TO-SIDE
LYMPHOLYMPHATIC
ANASTOMOSIS
.
120
8.5.8
COMPARISON
AMONG
DIFFERENT
LYMPHOVENOUS
ANASTOMOSIS
TYPES
.120
8.5.9
LYMPHOVENOUS
ANASTOMOSIS
FOR
SINGLE
RECIPIENT
VEIN
AND
MULTIPLE
LYMPHATIC
VESSELS
.
121
8.5.10
LYMPHOVENOUS
IMPLANTATION
OR
"
OCTOPUS
"
ANASTOMOSIS
.
121
8.6
SURGICAL
EQUIPMENT
.
121
8.6.1
SURGICAL
MICROSCOPES
(SELECTION)
.
121
9
AUTOLOGOUS
LYMPH
VESSEL
TRANSFER.
RUEDIGER
BAUMEISTER,
ANDREAS
FRICK,
AND
CHRISTIANE
9.1
INDICATIONS
AND
CONTRAINDICATIONS
.
127
9.2
PREOPERATIVE
CONSIDERATIONS
.
127
9.3
OPERATIVE
TECHNIQUE
.
127
9.3.1
HARVESTING
THE
LYMPHATIC
GRAFT
.
128
9.3.2
AUTOLOGOUS
LYMPH
VESSEL
TRANSFER
TO
THE
AXILLA
REGION
.
128
9.3.3
AUTOLOGOUS
LYMPH
VESSEL
TRANSFER
IN
THE
GROIN
REGION
.
129
9.4
TYPE
OF
VESSEL
TRANSFER
.
130
9.5
INTERPOSITIONAL
GRAFT
.
130
8.6.2
MOBILE
INDOCYANINE
GREEN
NEAR-INFRARED
SYSTEMS
(SELECTION)
.
122
8.6.3
SUPERMICROSURGICAL
INSTRUMENTS
(SELECTION)
.
123
8.7
ADDITIONAL
INTRAOPERATIVE
TOOLS
.
123
8.7.1
INDOCYANINE
GREEN
LYMPHANGIOGRAPHY.
.
123
8.7.2
BLUEDYE
.
123
8.8
PATIENT
EDUCATION
.
123
8.8.1
BEFORE
LYMPHOVENOUS
ANASTOMOSIS
.
123
8.8.2
AFTER
LYMPHOVENOUS
ANASTOMOSIS
.
123
8.9
ROBOTIC
LYMPHOVENOUS
ANASTOMOSIS
MICROSURGERY
.
124
8.10
HOW
TO
ADVANCE
YOUR
SUPERMICROSURGICAL
SKILLS
FOR
LYMPHOVENOUS
ANASTOMOSIS
.
124
8.11
PERSPECTIVE
.
124
8.12
CLINICAL
CASES
.
124
8.13
PEARLS
AND
PITFALLS
.
124
REFERENCES
.
125
.
127
.
STAUBLE
9.6
NUMBER
OF
USED
LYMPHATIC
COLLECTORS
.
130
9.7
SURGICAL
EQUIPMENT
.
130
9.8
POSTOPERATIVE
MANAGEMENT
.130
9.9
PEARLS
AND
PITFALLS
.130
9.10
CLINICAL
CASES
.
131
REFERENCES
.
132
CONTENTS
10
VASCULARIZED
LYMPH
NODE
TRANSFER
.
133
10.1
DONOR
SITES:
ANATOMICAL
BASICS
AND
10.5.2
VASCULARIZED
SUPRACLAVICULAR
LYMPH
NODE
CLINICAL
REALITY
.
133
TRANSFER
.
143
MOUSTAPHA
HAMDI,
CHIEH-HAN
TZOU,
AND
10.5.3
VASCULARIZED
LATERAL
THORACIC
LYMPH
NODE
JULIA
ROKA-PALKOVITZ
TRANSFER
.
144
10.1.1
10.1.2
10.1.3
INGUINAL
LYMPH
NODE
TRANSFER
.
133
10.5.4
VASCULARIZED
SUBMENTAL
LYMPH
NODES
SUPRACLAVICULAR
LYMPH
NODE
TRANSFER
.
134
TRANSFER
.
145
LATERAL
THORACIC/THORACODORSAL
LYMPH
10.5.5
VASCULARIZED
JEJUNAL
MESENTERIC
LYMPH
NODE
TRANSFER
.
136
NODE
TRANSFER
.
145
10.1.4
10.1.5
10.1.6
10.1.7
SUBMENTAL
LYMPH
NODE
TRANSFER
.
OMENTAL
LYMPH
NODE
TRANSFER
.
138
10.6
ROBOTIC-ASSISTED
OMENTAL
LYMPH
NODE
N
C
139
HARVEST
FOR
LYMPHEDEMA
TREATMENT
.
145
SEUNACDENUENCT/MIPNINOAEPSFER
.
.
138
MOUSTOPHIO
HARTIDI,ASSOF
ZELIZET,AND
TRANSFER
.138
KARL
WEANED
10.7
SURGICAL
EQUIPMENT
AND
INTRAOPERATIVE
10.2
INDICATIONS
AND
CONTRAINDICATIONS
.
139
TOOLS
.
146
HOLGER
ENGEL
HOLGER
ENGEL
10.3
PREOPERATIVE
EVALUATION
AND
10.8
POSTOPERATIVE
MANAGEMENT
.147
PLANNING
.
140
KATRIN
SEIDENSTUCKER
HOLGERENGEL
10.9
PATIENT
EDUCATION
.
148
10.4
CHOICE
AND
MANAGEMENT
OF
DONOR
AND
KATRIN
SEIDENSTUCKER
RECIPIENTSITES.
.
.
140
10.10
PEARLS
AND
PITFALLS
.148
HOLGER
ENGEL
AND
KATAN
SEIDENSTUCKER
KATRIN
SEIDENSTUCKER
10.4.1
PROXIMAL
VERSUS
DISTAL
RECIPIENT
AREA,
SCAR
REFERENCES
148
MANAGEMENT,
AND
FLAP
TYPES
.
140
10.4.2
INGUINAL
VASCULARIZED
LYMPH
NODE
TRANSFER
TO
DISTAL
RECIPIENT
(WRIST)
.
141
10.5
SURGICAL
TECHNIQUE
.
143
MOUSTAPHA
HAMDI,
HOLGER
ENGEL,
AND
KATRIN
SEIDENSTUCKER
10.5.1
VASCULARIZED
INGUINAL
LYMPH
NODE
TRANSFER
.
143
11
AUTOLOGOUS
BREAST
RECONSTRUCTION
IN
CONJUNCTION
WITH
LYMPHATIC
SURGERY
.
150
RANDY
DE
BAERDEMAEKER,
ASSAF
ZELTZER,
AND
MOUSTAPHA
HAMDI
11.1
INDICATIONS
AND
CONTRAINDICATIONS
.
150
11.2.6
BREAST
RECONSTRUCTION
IN
CONJUNCTION
WITH
LYMPH
NODE
FLAP
AND
LYMPHOVENOUS
11.2
SURGICAL
TECHNIQUE
.
151
ANASTOMOSIS
("BARCELONA
COCKTAIL"
OR
TOTAL
BREAST
ANATOMY
RESTORATION)
.
156
11.2.1
LYMPHATIC
ANATOMY
OF
THE
RECIPIENT
SITE
.
151
11.3
INTRAOPERATIVE
POSITION
.156
11.2.2
11.2.3
LYMPHATIC
ANATOMY
OF
THE
DONOR
SITE
.
151
VALUE
AND
EXTENT
OF
SCAR
RELEASE
OF
11.4
POSTOPERATIVE
MANAGEMENT
.
156
AXILLAR
RECIPIENT
SITE
.
152
11.2.4
BREAST
RECONSTRUCTION
IN
CONJUNCTION
WITH
11.4.1
COMPLETE
DECONGESTIVE
THERAPY
.
156
VASCULARIZED
LYMPH
NODE
FLAP
.152
11.4.2
FOLLOW-UPS
.
157
11.2.5
BREAST
RECONSTRUCTION
IN
CONJUNCTION
WITH
LYMPHOVENOUS
ANASTOMOSIS
.155
11.5
PATIENT
EDUCATION
.
157
CONTENTS
11.6
CLINICAL
CASES
.
157
11.6.1
CASE
1
.
157
11.6.2
CASE
2
.
159
11.7
PEARLSAND
PITFALLS
.
REFERENCES
.
12
NODO-VENAL
SHUNT
MICROSURGERY
.
GURUSAMY
MANOKARAN
AND
LEELA
PRAVEEN
KUMAR
12.1
GENERAL
CONSIDERATIONS
.
163
12.6
POSTOPERATIVE
CARE
.
12.2
INDICATIONS
AND
CONTRAINDICATIONS
.
163
12.7
PATIENT
EDUCATION
.
12.3
PREOPERATIVE
ASSESSMENT
.
163
12.8
COMPLICATIONS
.
12.4
PREOPERATIVE
PREPARATION
.164
REFERENCES
.
161
161
163
165
165
165
168
12.5
SURGICAL
TECHNIQUE
.
164
SECTION
VII:
LYMPHOREDUCTIVE
PROCEDURES,
SECONDARY
PROCEDURES,
AND
TIPS
AND
TRICKS
EDITED
BY
CHRISTOPH
HIRCHE,
KATRIN
SEIDENSTUCKER,
AND
MOUSTAPHA
HAMDI
13
SUCTION-ASSISTED
LIPECTOMY
.
ARIN
K.
GREENE,
JEREMY
A.
GOSS,
AND
HAKAN
BRORSON
13.1
INDICATIONS
AND
CONTRAINDICATIONS
.
171
13.2
PREOPERATIVE
EVALUATION
AND
PLANNING
.
171
13.3
SURGICAL
TECHNIQUE
.
172
13.4
INTRAOPERATIVE
POSITION
.
172
13.5
POSTOPERATIVE
MANAGEMENT
.
172
13.6
PATIENT
EDUCATION
.
173
14
EXCISIONAL
PROCEDURES
.
VINCENZO
PENNA
AND
NESTOR
TORIO
14.1
LYMPHOREDUCTIVE
SURGERY
.
177
14.2
INDICATIONS
AND
CONTRAINDICATIONS
.
177
14.3
PREOPERATIVE
EVALUATION
AND
PLANNING
.
178
14.4
SURGICAL
TECHNIQUE
.
179
14.4.1
GENERAL
REMARKS
.
179
14.4.2
DERMOLIPECTOMIES
IN
EXTREMITIES
.
179
14.4.3
SCROTAL
DERMOLIPECTOMIES
.
180
14.4.4
VULVAR
DERMOLIPECTOMIES
.
180
13.7
CLINICAL
CASES
.
13.7.1
LYMPHEDEMA
OF
THE
LOWER
EXTREMITY
.
13.7.2
LYMPHEDEMA
OF
THE
LOWER
EXTREMITY
PRECEDED
BY
CONSERVATIVE
TREATMENT
.
13.7.3
LYMPHEDEMA
OF
THE
UPPER
EXTREMITY
.
13.8
PEARLSAND
PITFALLS
.
REFERENCES
.
14.5
INTRAOPERATIVE
POSITION
.
14.6
ADDITIONAL
INTRAOPERATIVE
TOOLS
.
14.7
SURGICAL
EQUIPMENT
.
14.8
POSTOPERATIVE
MANAGEMENT
.
14.9
PATIENT
EDUCATION
.
14.10
PEARLSAND
PITFALLS
.
171
174
174
174
174
175
175
177
181
181
181
183
183
183
REFERENCES
.
183
CONTENTS
15
SECONDARY
PROCEDURES
AFTER
RECONSTRUCTIVE
MICROSURGERY
.
184
15.1
SUCTION-ASSISTED
LIPECTOMY
.
184
AMIR
K.
BIGDELI,
ANDREAS
FRICK,
AND
CHRISTIANE
G.
STDUBLE
15.2
SECONDARY
LYMPH
NODE
TRANSFER
.
185
KATRIN
SEIDENSTUCKER
15.3
LYMPHOVENOUS
ANASTOMOSIS
FOR
CHRONIC
LYMPHOCELE
AFTER
LYMPH
NODE
EXCISION
AND/OR
VASCULARIZED
LYMPH
NODE
TRANSFER
.
187
NICOLE
LINDENBLATT
AND
SEMRA
UYULMAZ
15.4
ONE
STAGE
VERSUS
STAGED-COMBINED
SURGICAL
PROCEDURES
TO
TREAT
LYMPHEDEMA
.
188
HOLGER
ENGEL
15.5
PEARLS
AND
PITFALLS
.
190
HOLGER
ENGEL
REFERENCES
.
191
16
TIPS
AND
TRICKS
FOR
MODERN
SURGICAL
MANAGEMENT
OF
CHRONIC
LYMPHEDEMA
.
193
16.1
HOW
TO
AVOID
THE
WRONG
SURGICAL
TECHNIQUE
IN
THE
WRONG
PATIENT
FOR
THE
WRONG
LYMPHEDEMA
STAGE
.
193
CHRISTOPH
HIRCHE
AND
YVES
HARDER
16.2
LOCAL
DERMOLIPECTOMY
AND
LYMPHOREDUCTIVE
SURGERY
.
194
VINCENZO
PENNA
AND
NESTOR
TORIO
16.3
SUCTION-ASSISTED
LIPECTOMY
.
194
HAKAN
BRORSON,
ARIN
GREENE,
AND
JEREMY
GOSS
16.3.1
PREOPERATIVE
.
194
16.3.2
INTRAOPERATIVE
.
195
16.3.3
POSTOPERATIVE
.
195
16.4
LYMPHOVENOUS
ANASTOMOSIS
.
195
JOHNSON
CHIA-SHEN
YANG
AND
CHRISTOPH
HIRCHE
16.4.1
FOR
THE
SURGEON
.
195
16.4.2
DURING
SURGERY
.196
16.4.3
REGARDING
THE
PATIENT
.
196
16.5
VASCULARIZED
LYMPH
NODE
TRANSFER
.
196
HOLGER
ENGEL
16.6
AUTOLOGOUS
BREAST
RECONSTRUCTION
IN
CONJUNCTION
WITH
VASCULARIZED
LYMPH
NODE
TRANSFER
197
MOUSTAPHA
HAMDI,
ELENA
RODRIGUEZ-BAUZA,
AND
JAUME
MASIA
16.7
DEALING
WITH
THERAPEUTIC
FAILURE
.
197
HOLGER
ENGEL
16.7.1
ANALYSIS
OF
CAUSES
.
198
16.7.2
SECONDARY
PROCEDURES
.
198
REFERENCES
.
199
SECTION
VIII:
TRAINING,
TREATMENT
ALGORITHM,
OUTCOMES,
AND
FURTHER
DEVELOPMENTS
EDITED
BY
CHRISTOPH
HIRCHE,
YVES
HARDER,
AND
MOUSTAPHA
HAMDI
17
TEACHING
AND
TRAINING
IN
LYMPHORECONSTRUCTIVE
SURGERY
.
203
AMIR
BIGDELI
AND
CHRISTOPH
HIRCHE
17.1
INTRODUCTION
.203
17.2
SUPERMICROSURGICAL
TRAINING
MODELS
WITHOUT
THE
USE
OF
LYMPHATIC
VESSELS.
.
203
17.3
SUPERMICROSURGICAL
TRAINING
MODELS
WITH
THE
USE
OF
LYMPHATIC
VESSELS
.
204
17.4
SUPERMICROSURGICAL
TRAINING
MODELS
WITH
THE
USE
OF
LYMPHATIC
VESSELS
FOR
DIFFERENT
TYPES
OF
LYMPHOVENOUS
ANASTOMOSIS
AND
FOR
VASCULARIZED
LYMPH
NODE
TRANSFER
.
204
17.5
ROBOTIC-ASSISTED
LYMPHEDEMA
SURGERY
.
205
REFERENCES
.
206
CONTENTS
18
TREATMENT
ALGORITHM
FOR
THE
SURGICAL
MANAGEMENT
OF
LYMPHEDEMA
.
207
CHRISTOPH
HIRCHE,
MOUSTAPHA
HAMDI,
KATRIN
SEIDENSTUCKER,
AND
YVES
HARDER
18.1
INTRODUCTION
.
207
18.2
DIAGNOSTICS
.
208
18.3
MODERN
SURGICAL
MANAGEMENT
OF
CHRONIC
LYMPHEDEMA
.
208
18.3.1
SURGERY
FOR
LYMPHEDEMA
PRESENTING
WITH
FUNCTIONAL
LYMPHATIC
COLLECTORS
.
208
18.3.2
SURGERY
FOR
LYMPHEDEMA
LACKING
FUNCTIONAL
LYMPHATIC
COLLECTORS
.
208
18.3.3
SURGERY
FOR
BREAST
CANCER-RELATED
LYMPHEDEMA
.
209
19
REVIEW
OF
THE
CURRENT
LITERATURE
.
MARIO
F.
SCAGLIONI
AND
MATTEO
MERONI
19.1
INTRODUCTION
.
213
19.2
LYMPHOREDUCTIVE
SURGERY
.
213
19.3
NEW
TOOLS
TO
BE
USED
FOR
PRE-,
INTRA-,
AND
POSTOPERATIVE
VISUALIZATION
OF
LYMPHATIC
STRUCTURES
.
214
19.4
LYMPHORECONSTRUCTIVE
SURGERY
.
214
19.5
COMBINED
SURGICAL
APPROACHES
.
221
20
EXPERIMENTAL
RESEARCH
AND
FUTURE
DI
20.1
ANIMAL
MODELS
.
227
FLORIAN
FRUH
20.1.1
INTRODUCTION
.
227
20.1.2
LYMPHEDEMA
MODELS
IN
LARGE
ANIMAL.
.
227
20.1.3
LYMPHEDEMA
MODELS
IN
RODENTS
.
229
20.1.4
CHALLENGES
OFSMALL
ANIMAL
MODELS
.
230
20.1.5
CONCLUSIONS
.
232
20.2
TISSUE
ENGINEERING
AND
REPLACEMENT
OF
LYMPHATIC
VASCULAR
NETWORK
.233
ANDREAS
SPORLEIN,
PATRICK
A.
WILL,
AND
ANJA
M.
BOOS
20.2.1
INTRODUCTION
.233
20.2.2
CELLS
AND
GROWTH
FACTORS
FOR
LYMPHATIC
TISSUE
ENGINEERING
.233
20.2.3
SCAFFOLDS
FOR
LYMPHATIC
TISSUE
ENGINEERING-TRANSLATIONAL
CONCEPTS
.235
20.2.4
CURRENT
ACHIEVEMENTS
AND
LIMITATIONS
.
235
18.3.4
SURGERY
FOR
UPPER
EXTREMITY
LYMPHEDEMA
.
210
18.3.5
SURGERY
FOR
LOWER
EXTREMITY
LYMPHEDEMA
.
210
18.3.6
SURGERY
FOR
LYMPHEDEMA
WITH
FAT
HYPERTROPHY
AND/OR
TISSUE
FIBROSIS
.
210
18.4
CONCLUSIONS
.
210
REFERENCES
.
212
.213
19.6
PROPHYLACTIC
SURGERY
.223
19.7
CONSENSUS
FOR
TREATMENT
INDICATION
.
224
19.8
CONCLUSIONS
.
224
REFERENCES
.
225
CTIONS
.
227
20.2.5
CONCLUSIONS
.
236
20.3
TISSUE
ENGINEERING
FOR
THE
REPLACEMENT
OF
LYMPH
NODES
.
237
MIN-SEOK
KWAK
AND
HANS-GUNTHER
MACHENS
20.3.1
INTRODUCTION
.
237
20.3.2
THE
LYMPHATIC
SYSTEM
.
237
20.3.3
REGENERATION
OF
LYMPHATIC
TISSUE
.
237
20.3.4
BIOMATERIALS
.
238
20.3.5
LYMPH
NODE
TISSUE
ENGINEERING
.
239
20.3.6
CONCLUSIONS
.
240
20.4
VASCULARIZED
LYMPH
NODE
TRANSFER
AND
GROWTH
FACTORS
.
241
MIKKO
VISURI,
PAULIINA
HARTIALA,
AND
ANNE
SAARISTO
20.4.1
INTRODUCTION
.
241
CONTENTS
20.4.2
APPLICATION
AND
DELIVERY
OF
GROWTH
20.4.5
CONCLUSIONS
.
FACTORS
.
242
20.4.3
EXPERIMENTAL
BACKGROUND
.
242
REFERENCES
.
20.4.4
CLINICAL
APPLICATION
.
244
244
245
GLOSSARY
.
249
INDEX
.
251 |
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| id | DE-604.BV049644145 |
| illustrated | Illustrated |
| index_date | 2024-07-03T23:39:39Z |
| indexdate | 2024-07-20T07:27:38Z |
| institution | BVB |
| institution_GND | (DE-588)1064287301 |
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| physical | xxviii, 256 Seiten 320 Illustrationen 28 cm, 1058 g |
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| spelling | Modern surgical management of chronic lymphedema Yves Harder, MD, Christoph Hirche, MD, FACS, Katrin Seidenstücker, MD, Moustapha Hamdi, MD First edition Stuttgart Thieme [2024] © 2024 xxviii, 256 Seiten 320 Illustrationen 28 cm, 1058 g txt rdacontent n rdamedia nc rdacarrier Chronische Krankheit (DE-588)4010176-9 gnd rswk-swf Lymphödem (DE-588)4128065-9 gnd rswk-swf Chirurgie (DE-588)4009987-8 gnd rswk-swf 806 380 Chronische Krankheit (DE-588)4010176-9 s Lymphödem (DE-588)4128065-9 s Chirurgie (DE-588)4009987-8 s DE-604 Harder, Yves (DE-588)1325336181 edt Hirche, Christoph (DE-588)1074918878 edt Seidenstücker, Katrin 1976- (DE-588)129645176 edt Hamdi, Moustapha (DE-588)129998850 edt Georg Thieme Verlag KG (DE-588)1064287301 pbl Erscheint auch als Online-Ausgabe, EPUB 978-3-13-258238-5 Erscheint auch als Online-Ausgabe, PDF 978-3-13-241437-2 B:DE-101 application/pdf https://d-nb.info/1267292113/04 Inhaltsverzeichnis DNB Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=034987720&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis 1\p vlb 20220905 DE-101 https://d-nb.info/provenance/plan#vlb |
| spellingShingle | Modern surgical management of chronic lymphedema Chronische Krankheit (DE-588)4010176-9 gnd Lymphödem (DE-588)4128065-9 gnd Chirurgie (DE-588)4009987-8 gnd |
| subject_GND | (DE-588)4010176-9 (DE-588)4128065-9 (DE-588)4009987-8 |
| title | Modern surgical management of chronic lymphedema |
| title_auth | Modern surgical management of chronic lymphedema |
| title_exact_search | Modern surgical management of chronic lymphedema |
| title_exact_search_txtP | Modern surgical management of chronic lymphedema |
| title_full | Modern surgical management of chronic lymphedema Yves Harder, MD, Christoph Hirche, MD, FACS, Katrin Seidenstücker, MD, Moustapha Hamdi, MD |
| title_fullStr | Modern surgical management of chronic lymphedema Yves Harder, MD, Christoph Hirche, MD, FACS, Katrin Seidenstücker, MD, Moustapha Hamdi, MD |
| title_full_unstemmed | Modern surgical management of chronic lymphedema Yves Harder, MD, Christoph Hirche, MD, FACS, Katrin Seidenstücker, MD, Moustapha Hamdi, MD |
| title_short | Modern surgical management of chronic lymphedema |
| title_sort | modern surgical management of chronic lymphedema |
| topic | Chronische Krankheit (DE-588)4010176-9 gnd Lymphödem (DE-588)4128065-9 gnd Chirurgie (DE-588)4009987-8 gnd |
| topic_facet | Chronische Krankheit Lymphödem Chirurgie |
| url | https://d-nb.info/1267292113/04 http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=034987720&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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