Ileocecal vascularized lymph node transfer for the treatment of extremity lymphedema: A case report.
Identifieur interne : 000502 ( Main/Exploration ); précédent : 000501; suivant : 000503Ileocecal vascularized lymph node transfer for the treatment of extremity lymphedema: A case report.
Auteurs : Pedro Ciudad [Taïwan] ; Oscar J. Manrique [États-Unis] ; Mouchammed Agko [Taïwan] ; En-Wei Liu [Taïwan] ; Wei-Ling Chang [Taïwan] ; Matthew Sze-Wei Yeo [Singapour] ; Tony Chieh-Ting Huang [Taïwan] ; Ram M. Chilgar [Taïwan] ; Hung-Chi Chen [Taïwan]Source :
- Microsurgery [ 1098-2752 ] ; 2017.
Abstract
Vascularized lymph node (VLN) transfer has been of high interest in the past decade for the treatment of lymphedema, since it has been shown to be effective in reducing limb volumes, decreasing infectious episodes and improving quality of life. Multiple donor sites have been described in the quest for the optimal one. Herein, we describe a novel lymph node flap option based on the ileocolic artery and vein. The ileocecal vascularized lymph node (IC-VLN) flap was used in the management of a 33-year-old male patient with lower extremity lymphedema secondary to left inguinal trauma. The patient had previously underwent a pedicled omentum flap transposition with minimal improvement in limb size and persistent episodes of infection. At 15 month follow-up, the IC-VLN flap improved the lymphatic drainage in the affected limb with a mean limb circumference reduction rate of 26.3%. No donor site complications or further episodes of infection were noted. According to our findings, the IC-VLN flap may be another option for VLN transfer in very selected cases. Nevertheless, larger series with a longer follow-up are required to analyze the efficacy and long-term results of this flap.
DOI: 10.1002/micr.30186
PubMed: 28543381
Affiliations:
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Manrique</name><affiliation wicri:level="2"><nlm:affiliation>Division of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, Minnesota.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Minnesota</region></placeName><wicri:cityArea>Division of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester</wicri:cityArea></affiliation></author><author><name sortKey="Agko, Mouchammed" sort="Agko, Mouchammed" uniqKey="Agko M" first="Mouchammed" last="Agko">Mouchammed Agko</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea><wicri:noRegion>Taichung</wicri:noRegion></affiliation></author><author><name sortKey="Liu, En Wei" sort="Liu, En Wei" uniqKey="Liu E" first="En-Wei" last="Liu">En-Wei Liu</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea><wicri:noRegion>Taichung</wicri:noRegion></affiliation></author><author><name sortKey="Chang, Wei Ling" sort="Chang, Wei Ling" uniqKey="Chang W" first="Wei-Ling" last="Chang">Wei-Ling Chang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea><wicri:noRegion>Taichung</wicri:noRegion></affiliation></author><author><name sortKey="Sze Wei Yeo, Matthew" sort="Sze Wei Yeo, Matthew" uniqKey="Sze Wei Yeo M" first="Matthew" last="Sze-Wei Yeo">Matthew Sze-Wei Yeo</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic Surgery, Tan Tock Seng Hospital, Singapore.</nlm:affiliation><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Plastic Surgery, Tan Tock Seng Hospital</wicri:regionArea><wicri:noRegion>Tan Tock Seng Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Huang, Tony Chieh Ting" sort="Huang, Tony Chieh Ting" uniqKey="Huang T" first="Tony Chieh-Ting" last="Huang">Tony Chieh-Ting Huang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea><wicri:noRegion>Taichung</wicri:noRegion></affiliation></author><author><name sortKey="Chilgar, Ram M" sort="Chilgar, Ram M" uniqKey="Chilgar R" first="Ram M" last="Chilgar">Ram M. Chilgar</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea><wicri:noRegion>Taichung</wicri:noRegion></affiliation></author><author><name sortKey="Chen, Hung Chi" sort="Chen, Hung Chi" uniqKey="Chen H" first="Hung-Chi" last="Chen">Hung-Chi Chen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea><wicri:noRegion>Taichung</wicri:noRegion></affiliation></author></analytic><series><title level="j">Microsurgery</title><idno type="eISSN">1098-2752</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Vascularized lymph node (VLN) transfer has been of high interest in the past decade for the treatment of lymphedema, since it has been shown to be effective in reducing limb volumes, decreasing infectious episodes and improving quality of life. Multiple donor sites have been described in the quest for the optimal one. Herein, we describe a novel lymph node flap option based on the ileocolic artery and vein. The ileocecal vascularized lymph node (IC-VLN) flap was used in the management of a 33-year-old male patient with lower extremity lymphedema secondary to left inguinal trauma. The patient had previously underwent a pedicled omentum flap transposition with minimal improvement in limb size and persistent episodes of infection. At 15 month follow-up, the IC-VLN flap improved the lymphatic drainage in the affected limb with a mean limb circumference reduction rate of 26.3%. No donor site complications or further episodes of infection were noted. According to our findings, the IC-VLN flap may be another option for VLN transfer in very selected cases. Nevertheless, larger series with a longer follow-up are required to analyze the efficacy and long-term results of this flap.</div></front></TEI><affiliations><list><country><li>Singapour</li><li>Taïwan</li><li>États-Unis</li></country><region><li>Minnesota</li></region></list><tree><country name="Taïwan"><noRegion><name sortKey="Ciudad, Pedro" sort="Ciudad, Pedro" uniqKey="Ciudad P" first="Pedro" last="Ciudad">Pedro Ciudad</name></noRegion><name sortKey="Agko, Mouchammed" sort="Agko, Mouchammed" uniqKey="Agko M" first="Mouchammed" last="Agko">Mouchammed Agko</name><name sortKey="Chang, Wei Ling" sort="Chang, Wei Ling" uniqKey="Chang W" first="Wei-Ling" last="Chang">Wei-Ling Chang</name><name sortKey="Chen, Hung Chi" sort="Chen, Hung Chi" uniqKey="Chen H" first="Hung-Chi" last="Chen">Hung-Chi Chen</name><name sortKey="Chilgar, Ram M" sort="Chilgar, Ram M" uniqKey="Chilgar R" first="Ram M" last="Chilgar">Ram M. Chilgar</name><name sortKey="Huang, Tony Chieh Ting" sort="Huang, Tony Chieh Ting" uniqKey="Huang T" first="Tony Chieh-Ting" last="Huang">Tony Chieh-Ting Huang</name><name sortKey="Liu, En Wei" sort="Liu, En Wei" uniqKey="Liu E" first="En-Wei" last="Liu">En-Wei Liu</name></country><country name="États-Unis"><region name="Minnesota"><name sortKey="Manrique, Oscar J" sort="Manrique, Oscar J" uniqKey="Manrique O" first="Oscar J" last="Manrique">Oscar J. Manrique</name></region></country><country name="Singapour"><noRegion><name sortKey="Sze Wei Yeo, Matthew" sort="Sze Wei Yeo, Matthew" uniqKey="Sze Wei Yeo M" first="Matthew" last="Sze-Wei Yeo">Matthew Sze-Wei Yeo</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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