{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T10:01:15Z","timestamp":1789207275294,"version":"build-2803163510"},"reference-count":36,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>ABSTRACT  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&lt;0.001).  Conclusion:  patients with circumferential degloving injuries in the lower limbs present compromised lymphatic circulation and high probability to develop lymphedema.<\/jats:p>","DOI":"10.1590\/0100-6991e-20222981","type":"journal-article","created":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T22:14:42Z","timestamp":1646172882000},"source":"Crossref","is-referenced-by-count":1,"title":["Lymphocintilographic evaluation of lymphatic circulation in victims of circuferential degloving injuries of the lower limbs"],"prefix":"10.1590","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7801-5585","authenticated-orcid":false,"given":"DANIEL FRANCISCO","family":"MELLO","sequence":"first","affiliation":[{"name":"Irmandade da Santa Casa de Miseric\u00f3rdia de S\u00e3o Paulo,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JOSE CESAR","family":"ASSEF","sequence":"additional","affiliation":[{"name":"Irmandade da Santa Casa de Miseric\u00f3rdia de S\u00e3o Paulo,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"AMERICO","family":"HELENE-JR","sequence":"additional","affiliation":[{"name":"Irmandade da Santa Casa de Miseric\u00f3rdia de S\u00e3o Paulo,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2022]]},"reference":[{"issue":"6","key":"ref1","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1002\/cmmi.116","article-title":"Imaging of the lymphatic system New horizons","volume":"1","author":"Barret T","year":"2006","journal-title":"Contrast Med Mol Imaging"},{"issue":"4","key":"ref2","first-page":"170","article-title":"The diagnosis and treatment of peripheral lymphedema 2016 Consensus document of the International Society of Lymphology","volume":"49","year":"2016","journal-title":"Lymphology"},{"issue":"2","key":"ref3","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1177\/1358836X9800300209","article-title":"Lymphedema Classification, diagnosis and therapy","volume":"3","author":"Szuba A","year":"1998","journal-title":"Vasc Med"},{"issue":"4","key":"ref4","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1053\/j.sempedsurg.2014.07.004","article-title":"Lymphedema","volume":"23","author":"Maclellan RA","year":"2014","journal-title":"Semin Pediatr Surg"},{"issue":"2","key":"ref5","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1016\/j.jaad.2008.04.013","article-title":"Lower extremity lymphedema","volume":"59","author":"Kerchner K","year":"2008","journal-title":"J Am Acad Dermatol"},{"issue":"2","key":"ref6","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1016\/j.amjmed.2011.06.032","article-title":"Current views on diagnostic approach and treatment of lymphedema","volume":"125","author":"Murdaca G","year":"2012","journal-title":"Am J Med"},{"issue":"1-2","key":"ref7","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/S0169-409X(01)00150-8","article-title":"The physiology of the lymphatic system","volume":"50","author":"Swartz MA","year":"2001","journal-title":"Adv Drug Deliv Rev"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1097\/01.sap.0000257149.42922.7e","article-title":"Lymphedema - 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