Barcelona consensus paper on reconstructive lymphedema surgery: a delphi study
Background: Lymphedema, a chronic condition characterized by accumulation of lymph fluid due to malfunction of the lymphatic system, remains a significant clinical challenge despite advances in diagnosis and treatment. Given that lymphatic surgery is an important therapeutic option, the aim of the p...
| Autores: | , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Fecha de publicación: | 2025 |
| País: | España |
| Institución: | Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| Repositorio: | Recercat. Dipósit de la Recerca de Catalunya |
| OAI Identifier: | oai:recercat.cat:20.500.12328/4953 |
| Acceso en línea: | http://hdl.handle.net/20.500.12328/4953 https://dx.doi.org/10.1097/PRS.0000000000012201 |
| Access Level: | acceso abierto |
| Palabra clave: | Cirugía reconstructiva del linfedema Cirurgia reconstructiva del limfedema Reconstructive surgery for lymphedema 61 |
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Barcelona consensus paper on reconstructive lymphedema surgery: a delphi studyMasià, JaumeAl Sakkaf, AliHong, Joon PioNeligan, PeterPons, GemmaRovnaya, AlexandraMartínez Jaimez, PatriciaCirugía reconstructiva del linfedemaCirurgia reconstructiva del limfedemaReconstructive surgery for lymphedema61Background: Lymphedema, a chronic condition characterized by accumulation of lymph fluid due to malfunction of the lymphatic system, remains a significant clinical challenge despite advances in diagnosis and treatment. Given that lymphatic surgery is an important therapeutic option, the aim of the present study was to establish an expert consensus on recommendations for improving the surgical management of lymphedema. Methods: This was an international consensus study involving a modified nominal group and Delphi process. During the World Symposium for Lymphedema Surgery in 2023, the steering group invited five experts to participate in a nominal group with the aim of drawing up a set of seven preliminary recommendations. These recommendations were then evaluated and revised by a panel of 31 international experts in a two-round Delphi process. The threshold for consensus was set at a minimum of 70% agreement among panelists. Results: Consensus regarding the content of the seven recommendations was high (mean overall agreement of 79.6%). Agreement was highest for the recommendations concerning specific techniques of reconstructive surgery, measures for preventing lymphedema and its clinical assessment, and post-intervention follow-up protocols. Conclusions: The consensus recommendations on the surgical management of lymphedema highlight the importance of preoperative preparation of patients and careful clinical assessment. Also recommended is the use of preventive surgical procedures, including the combination of reconstructive and reductive techniques, along with multidisciplinary monitoring and follow up. Although these guidelines hold promise, further studies are required to evaluate their implementation and explore their impact on patient health outcomes.info:eu-repo/semantics/publishedVersionAmerican Society of Plastic Surgeons2025info:eu-repo/semantics/articleDesconocidohttp://hdl.handle.net/20.500.12328/4953https://dx.doi.org/10.1097/PRS.0000000000012201reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésPlastic and Reconstructive Surgery: Journal of the American Society of Plastic Surgeons© 2025 by the American Society of Plastic Surgeonsinfo:eu-repo/semantics/openAccessoai:recercat.cat:20.500.12328/49532026-05-29T05:05:01Z |
| dc.title.none.fl_str_mv |
Barcelona consensus paper on reconstructive lymphedema surgery: a delphi study |
| title |
Barcelona consensus paper on reconstructive lymphedema surgery: a delphi study |
| spellingShingle |
Barcelona consensus paper on reconstructive lymphedema surgery: a delphi study Masià, Jaume Cirugía reconstructiva del linfedema Cirurgia reconstructiva del limfedema Reconstructive surgery for lymphedema 61 |
| title_short |
Barcelona consensus paper on reconstructive lymphedema surgery: a delphi study |
| title_full |
Barcelona consensus paper on reconstructive lymphedema surgery: a delphi study |
| title_fullStr |
Barcelona consensus paper on reconstructive lymphedema surgery: a delphi study |
| title_full_unstemmed |
Barcelona consensus paper on reconstructive lymphedema surgery: a delphi study |
| title_sort |
Barcelona consensus paper on reconstructive lymphedema surgery: a delphi study |
| dc.creator.none.fl_str_mv |
Masià, Jaume Al Sakkaf, Ali Hong, Joon Pio Neligan, Peter Pons, Gemma Rovnaya, Alexandra Martínez Jaimez, Patricia |
| author |
Masià, Jaume |
| author_facet |
Masià, Jaume Al Sakkaf, Ali Hong, Joon Pio Neligan, Peter Pons, Gemma Rovnaya, Alexandra Martínez Jaimez, Patricia |
| author_role |
author |
| author2 |
Al Sakkaf, Ali Hong, Joon Pio Neligan, Peter Pons, Gemma Rovnaya, Alexandra Martínez Jaimez, Patricia |
| author2_role |
author author author author author author |
| dc.subject.none.fl_str_mv |
Cirugía reconstructiva del linfedema Cirurgia reconstructiva del limfedema Reconstructive surgery for lymphedema 61 |
| topic |
Cirugía reconstructiva del linfedema Cirurgia reconstructiva del limfedema Reconstructive surgery for lymphedema 61 |
| description |
Background: Lymphedema, a chronic condition characterized by accumulation of lymph fluid due to malfunction of the lymphatic system, remains a significant clinical challenge despite advances in diagnosis and treatment. Given that lymphatic surgery is an important therapeutic option, the aim of the present study was to establish an expert consensus on recommendations for improving the surgical management of lymphedema. Methods: This was an international consensus study involving a modified nominal group and Delphi process. During the World Symposium for Lymphedema Surgery in 2023, the steering group invited five experts to participate in a nominal group with the aim of drawing up a set of seven preliminary recommendations. These recommendations were then evaluated and revised by a panel of 31 international experts in a two-round Delphi process. The threshold for consensus was set at a minimum of 70% agreement among panelists. Results: Consensus regarding the content of the seven recommendations was high (mean overall agreement of 79.6%). Agreement was highest for the recommendations concerning specific techniques of reconstructive surgery, measures for preventing lymphedema and its clinical assessment, and post-intervention follow-up protocols. Conclusions: The consensus recommendations on the surgical management of lymphedema highlight the importance of preoperative preparation of patients and careful clinical assessment. Also recommended is the use of preventive surgical procedures, including the combination of reconstructive and reductive techniques, along with multidisciplinary monitoring and follow up. Although these guidelines hold promise, further studies are required to evaluate their implementation and explore their impact on patient health outcomes. |
| publishDate |
2025 |
| dc.date.none.fl_str_mv |
2025 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| dc.identifier.none.fl_str_mv |
http://hdl.handle.net/20.500.12328/4953 https://dx.doi.org/10.1097/PRS.0000000000012201 |
| url |
http://hdl.handle.net/20.500.12328/4953 https://dx.doi.org/10.1097/PRS.0000000000012201 |
| dc.language.none.fl_str_mv |
Inglés |
| language_invalid_str_mv |
Inglés |
| dc.relation.none.fl_str_mv |
Plastic and Reconstructive Surgery: Journal of the American Society of Plastic Surgeons |
| dc.rights.none.fl_str_mv |
© 2025 by the American Society of Plastic Surgeons info:eu-repo/semantics/openAccess |
| rights_invalid_str_mv |
© 2025 by the American Society of Plastic Surgeons |
| eu_rights_str_mv |
openAccess |
| dc.format.none.fl_str_mv |
Desconocido |
| dc.publisher.none.fl_str_mv |
American Society of Plastic Surgeons |
| publisher.none.fl_str_mv |
American Society of Plastic Surgeons |
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reponame:Recercat. Dipósit de la Recerca de Catalunya instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
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Recercat. Dipósit de la Recerca de Catalunya |
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Recercat. Dipósit de la Recerca de Catalunya |
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