Tags

Type your tag names separated by a space and hit enter

A review of the surgical treatment of vulval lymphangioma and lymphangiectasia: four case reviews.
J Plast Reconstr Aesthet Surg. 2006; 59(12):1442-5.JP

Abstract

OBJECTIVE

To evaluate whether surgical management of vulval lymphoedema and/or lymphangiectasia conveys any longstanding patient benefit.

PATIENT AND METHODS

A qualitative analysis of signs and symptoms that occurred before and after surgical treatment for vulval lymphoedema and/or lymphangiectasia was performed. This was done by analysis of patient notes and telephone conducted interview.

RESULTS

From a hospital database search, four patients were found to have had surgical treatment--three for lymphangioma and one for lymphangiectasia. Overall there was a clear improvement in the signs and symptoms associated with these conditions. In particular, all patients reported an improvement (i.e. a reduction or elimination) in the amount of oedema following surgery.

CONCLUSION

Carbon dioxide laser therapy and superficial radiotherapy have been previously described for the management of vulval lymphangioma and lymphangiectasia with limited success, whereas our data suggests surgery offers a more permanent solution. In particular, labial reduction seems to be more successful than methods such as lymphovenous anastomoses and lymphangioplasties. A single operation may provide benefit for up to ten years. This approach has the potential to allow patients to be rehabilitated to normal life and activity.

Authors+Show Affiliations

Department of Plastic Surgery, Plastic Surgery Unit, St George's Hospital, London, SW17 ORE, UK. dalbir_makh@hotmail.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Evaluation Study
Journal Article

Language

eng

PubMed ID

17113538

Citation

Makh, Dalbir Singh, et al. "A Review of the Surgical Treatment of Vulval Lymphangioma and Lymphangiectasia: Four Case Reviews." Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS, vol. 59, no. 12, 2006, pp. 1442-5.
Makh DS, Mortimer P, Powell B. A review of the surgical treatment of vulval lymphangioma and lymphangiectasia: four case reviews. J Plast Reconstr Aesthet Surg. 2006;59(12):1442-5.
Makh, D. S., Mortimer, P., & Powell, B. (2006). A review of the surgical treatment of vulval lymphangioma and lymphangiectasia: four case reviews. Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS, 59(12), 1442-5.
Makh DS, Mortimer P, Powell B. A Review of the Surgical Treatment of Vulval Lymphangioma and Lymphangiectasia: Four Case Reviews. J Plast Reconstr Aesthet Surg. 2006;59(12):1442-5. PubMed PMID: 17113538.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A review of the surgical treatment of vulval lymphangioma and lymphangiectasia: four case reviews. AU - Makh,Dalbir Singh, AU - Mortimer,P, AU - Powell,B, Y1 - 2006/03/09/ PY - 2005/06/08/received PY - 2005/10/19/revised PY - 2005/12/06/accepted PY - 2006/11/23/pubmed PY - 2007/3/16/medline PY - 2006/11/23/entrez SP - 1442 EP - 5 JF - Journal of plastic, reconstructive & aesthetic surgery : JPRAS JO - J Plast Reconstr Aesthet Surg VL - 59 IS - 12 N2 - OBJECTIVE: To evaluate whether surgical management of vulval lymphoedema and/or lymphangiectasia conveys any longstanding patient benefit. PATIENT AND METHODS: A qualitative analysis of signs and symptoms that occurred before and after surgical treatment for vulval lymphoedema and/or lymphangiectasia was performed. This was done by analysis of patient notes and telephone conducted interview. RESULTS: From a hospital database search, four patients were found to have had surgical treatment--three for lymphangioma and one for lymphangiectasia. Overall there was a clear improvement in the signs and symptoms associated with these conditions. In particular, all patients reported an improvement (i.e. a reduction or elimination) in the amount of oedema following surgery. CONCLUSION: Carbon dioxide laser therapy and superficial radiotherapy have been previously described for the management of vulval lymphangioma and lymphangiectasia with limited success, whereas our data suggests surgery offers a more permanent solution. In particular, labial reduction seems to be more successful than methods such as lymphovenous anastomoses and lymphangioplasties. A single operation may provide benefit for up to ten years. This approach has the potential to allow patients to be rehabilitated to normal life and activity. SN - 1748-6815 UR - https://www.unboundmedicine.com/medline/citation/17113538/A_review_of_the_surgical_treatment_of_vulval_lymphangioma_and_lymphangiectasia:_four_case_reviews_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1748-6815(06)00089-1 DB - PRIME DP - Unbound Medicine ER -