Critérios semiquantitativos de análise da linfocintilografia em linfedema dos membros inferiores

Sapienza, Marcelo Tatit; Endo, Irene Shimura; Ferraro, Giselle Christina; Tavares, Marcia G. M.; Neto, Guilherme de Carvalho Campos; Neto, Henrique Jorge Guedes; Lewin, Shlomo; Marone, Marília Martins Silveira

doi:10.1590/s1677-54492006000400008

Cited by 4 publications

(4 citation statements)

References 12 publications

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“…More complex reconstructions with flaps (Gustillo IIIb) were not necessary, nor were associated vascular lesions requiring repair (Gustillo IIIc). Sapienza et al 33 highlighted the identification of prominent lymphatic vessels or those with collaterals, as well as DR, in cases of edema after trauma or operations. The observation by Van Zanten et al 18 is that there can be recanalization or even regeneration in scar areas or after trauma.…”

Section: Discussionmentioning

confidence: 99%

“…The Kleinhans’s index has a sensitivity of 97.4% and a specificity of 90.3%. It is considered reliable and is well associated with clinical conditions 32 , 33 .…”

Section: Discussionmentioning

confidence: 99%

“…Sapienza et al 33 highlighted the identification of prominent lymphatic vessels or those with collaterals, as well as DR, in cases of edema after trauma or operations. The observation by Van Zanten et al 18 is that there can be recanalization or even regeneration in scar areas or after trauma.…”

Section: Discussionmentioning

confidence: 99%

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Lymphocintilographic evaluation of lymphatic circulation in victims of circuferential degloving injuries of the lower limbs

Mello

Assef

HELENE-JR

2022

Rev. Col. Bras. Cir.

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Introduction: secondary forms of lymphedema may occur as consequence of tumors, surgeries, radiotherapy, trauma and infections. Degloving injuries are severe and infrequent forms of trauma, with avulsion at the level of muscular fascia, and consequent injury of the lymphatic system. Objective: to evaluate the alterations in lymphatic circulation in patients being victims of circumferential degloving injuries in the lower limbs, using lymphoscintigraphic. Patients and Methods: retrospective analysis of the cases treated in the period from 2010 to 2016. Segmental, circumferential and unilateral injuries with involvement of the lower limbs were included. Lymphoscintigraphy was performed after a minimum interval of 12 months after the end of treatment. The non-injured lower limb was used as control. The Kleinhans Semiquantitative Index (KSI) was used for the semiquantitative evaluation of the lymphoscintigraphic findings. Results: eighteen patients were evaluated, six of whom were female and 12 were male. The mean age was 28.11 years. The average vertical extension of the circumferential traumatized segment was 29.33cm. The injured area presented variations of 5 to 15% of the body surface, with an average of 8.95%. Lymphoscintigraphy was performed after an average interval of 22.55 months. Alterations were observed on the traumatized limb (TL) in 13 patients. All control limbs (CL) were normal. The mean KSI observed in TL was 8.32, while in CL, the average value was 0.58 (p<0.001). Conclusion: patients with circumferential degloving injuries in the lower limbs present compromised lymphatic circulation and high probability to develop lymphedema.

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Section: Discussionmentioning

confidence: 99%

“…The Kleinhans’s index has a sensitivity of 97.4% and a specificity of 90.3%. It is considered reliable and is well associated with clinical conditions 32 , 33 .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Lymphocintilographic evaluation of lymphatic circulation in victims of circuferential degloving injuries of the lower limbs

Mello

Assef

HELENE-JR

2022

Rev. Col. Bras. Cir.

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“…É também utilizado para o monitoramento da doença, visto que, contribui para o acompanhamento da sua evolução, colaborando assim, para confirmar se a terapêutica aplicada está sendo eficaz. Esse exame não é considerado muito invasivo e apresenta especificidade entre 90 a 100% e sensibilidade entre 70 a 95% (SAPIENZA et al, 2006).…”

Section: P á G I N a | 584unclassified

Linfedema secundário de membros inferiores: um relato de caso

Barbosa¹,

Silva²,

Aguiar³

et al. 2022

CLIUM

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O linfedema é causado em virtude à insuficiência do sistema linfático e pode ser classificado em primário e secundário. O diagnóstico é sobretudo clínico e seu tratamento consiste em diminuir o edema do membro afetado e manter à integridade das estruturas. Este estudo visa descrever o caso de uma paciente portadora de linfedema secundário dos membros inferiores, acentuando-se as principais manifestações e formas relevantes de diagnóstico e tratamento dessa doença. O relato refere-se à paciente G.A.B.T, portadora de linfedema dos membros inferiores secundário a tratamento de câncer do colo uterino, realizado em outubro de 2001. Após realizadas sessões radioterápicas, observou-se edema persistente em membros inferiores, entretanto, apenas no início de 2003 ocorreu o diagnóstico de linfedema secundário dos membros inferiores em grau III (classificação de Mowlen). A paciente foi submetida ao tratamento medicamentoso associado à terapia complexa descongestiva e acompanhada por uma equipe de saúde, contudo, apresentou infecções de repetição, causando piora considerável no quadro clínico. O linfedema ainda é considerado uma doença subdiagnosticada, que afeta a qualidade de vida dos pacientes e gera aumento dos gastos com a saúde.

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Lower limb lymphoscintigraphy patterns among patients with lower limb lymphedema: a pictorial essay

Nganga

Gitau

Makhdomi

2018

Clin Transl Imaging

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Critérios semiquantitativos de análise da linfocintilografia em linfedema dos membros inferiores

Cited by 4 publications

References 12 publications

Lymphocintilographic evaluation of lymphatic circulation in victims of circuferential degloving injuries of the lower limbs

Lymphocintilographic evaluation of lymphatic circulation in victims of circuferential degloving injuries of the lower limbs

Linfedema secundário de membros inferiores: um relato de caso

Lower limb lymphoscintigraphy patterns among patients with lower limb lymphedema: a pictorial essay

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