Vascularized Free Lymph Node Flap Transfer in Advanced Lymphedema Patient after Axillary Lymph Node Dissection
Identifieur interne : 000941 ( Main/Exploration ); précédent : 000940; suivant : 000942Vascularized Free Lymph Node Flap Transfer in Advanced Lymphedema Patient after Axillary Lymph Node Dissection
Auteurs : Kyung Hoon Cook [Corée du Sud] ; Myong Chul Park [Corée du Sud] ; Il Jae Lee [Corée du Sud] ; Seong Yoon Lim [Corée du Sud] ; Yong Sik Jung [Corée du Sud]Source :
- Journal of Breast Cancer [ 1738-6756 ] ; 2016.
Abstract
Lymphedema is a condition characterized by tissue swelling caused by localized fluid retention. Advanced lymphedema is characterized by irreversible skin fibrosis (stage IIIb) and nonpitting edema, with leather-like skin, skin crypts, and ulcers with or without involvement of the toes (stage IVa and IVb, respectively). Recently, surgical treatment of advanced lymphedema has been a challenging reconstructive modality. Microvascular techniques such as lymphaticovenous anastomosis and vascularized lymph node flap transfer are effective for early stage lymphedema. In this study, we performed a two-stage operation in an advanced lymphedema patient. First, a debulking procedure was performed using liposuction. A vascularized free lymph node flap transfer was then conducted 10 weeks after the first operation. In this case, good results were obtained, with reduced circumferences in various parts of the upper extremity noted immediately postoperation.
Url:
DOI: 10.4048/jbc.2016.19.1.92
PubMed: 27064862
PubMed Central: 4822114
Affiliations:
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first="Kyung Hoon" last="Cook">Kyung Hoon Cook</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine, Suwon, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine, Suwon</wicri:regionArea><wicri:noRegion>Suwon</wicri:noRegion></affiliation></author><author><name sortKey="Park, Myong Chul" sort="Park, Myong Chul" uniqKey="Park M" first="Myong Chul" last="Park">Myong Chul Park</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou University School of Medicine, Suwon, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Ajou University Hospital, Ajou 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Advanced lymphedema is characterized by irreversible skin fibrosis (stage IIIb) and nonpitting edema, with leather-like skin, skin crypts, and ulcers with or without involvement of the toes (stage IVa and IVb, respectively). Recently, surgical treatment of advanced lymphedema has been a challenging reconstructive modality. Microvascular techniques such as lymphaticovenous anastomosis and vascularized lymph node flap transfer are effective for early stage lymphedema. In this study, we performed a two-stage operation in an advanced lymphedema patient. First, a debulking procedure was performed using liposuction. A vascularized free lymph node flap transfer was then conducted 10 weeks after the first operation. In this case, good results were obtained, with reduced circumferences in various parts of the upper extremity noted immediately postoperation.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Murdaca, G" uniqKey="Murdaca G">G Murdaca</name></author><author><name sortKey="Cagnati, P" uniqKey="Cagnati P">P Cagnati</name></author><author><name sortKey="Gulli, R" uniqKey="Gulli R">R Gulli</name></author><author><name sortKey="Span, F" uniqKey="Span F">F Spanò</name></author><author><name sortKey="Puppo, F" uniqKey="Puppo F">F Puppo</name></author><author><name sortKey="Campisi, C" uniqKey="Campisi C">C Campisi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Karri, V" uniqKey="Karri V">V Karri</name></author><author><name sortKey="Yang, Mc" uniqKey="Yang M">MC Yang</name></author><author><name sortKey="Lee, Ij" uniqKey="Lee I">IJ Lee</name></author><author><name sortKey="Chen, Sh" uniqKey="Chen S">SH Chen</name></author><author><name sortKey="Hong, Jp" uniqKey="Hong J">JP Hong</name></author><author><name sortKey="Xu, Es" uniqKey="Xu E">ES Xu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sapountzis, S" uniqKey="Sapountzis S">S Sapountzis</name></author><author><name sortKey="Ciudad, P" uniqKey="Ciudad P">P Ciudad</name></author><author><name sortKey="Lim, Sy" uniqKey="Lim S">SY Lim</name></author><author><name sortKey="Chilgar, Rm" uniqKey="Chilgar R">RM Chilgar</name></author><author><name sortKey="Kiranantawat, K" uniqKey="Kiranantawat K">K Kiranantawat</name></author><author><name sortKey="Nicoli, F" uniqKey="Nicoli F">F Nicoli</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="O Brien, Bm" uniqKey="O Brien B">BM O'Brien</name></author><author><name sortKey="Khazanchi, Rk" uniqKey="Khazanchi R">RK Khazanchi</name></author><author><name sortKey="Kumar, Pa" uniqKey="Kumar P">PA Kumar</name></author><author><name sortKey="Dvir, E" uniqKey="Dvir E">E Dvir</name></author><author><name sortKey="Pederson, Wc" uniqKey="Pederson W">WC Pederson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Granzow, Jw" uniqKey="Granzow J">JW Granzow</name></author><author><name sortKey="Soderberg, Jm" uniqKey="Soderberg J">JM Soderberg</name></author><author><name sortKey="Kaji, Ah" uniqKey="Kaji A">AH Kaji</name></author><author><name sortKey="Dauphine, C" uniqKey="Dauphine C">C Dauphine</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chang, Dw" uniqKey="Chang D">DW Chang</name></author><author><name sortKey="Kim, S" uniqKey="Kim S">S Kim</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Granzow, Jw" uniqKey="Granzow J">JW Granzow</name></author><author><name sortKey="Soderberg, Jm" uniqKey="Soderberg J">JM Soderberg</name></author><author><name sortKey="Dauphine, C" uniqKey="Dauphine C">C Dauphine</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cheng, Mh" uniqKey="Cheng M">MH Cheng</name></author><author><name sortKey="Chen, Sc" uniqKey="Chen S">SC Chen</name></author><author><name sortKey="Henry, Sl" uniqKey="Henry S">SL Henry</name></author><author><name sortKey="Tan, Bk" uniqKey="Tan B">BK Tan</name></author><author><name sortKey="Lin, Mc" uniqKey="Lin M">MC Lin</name></author><author><name sortKey="Huang, Jj" uniqKey="Huang J">JJ Huang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lin, Ch" uniqKey="Lin C">CH Lin</name></author><author><name sortKey="Ali, R" uniqKey="Ali R">R Ali</name></author><author><name sortKey="Chen, Sc" uniqKey="Chen S">SC Chen</name></author><author><name sortKey="Wallace, C" uniqKey="Wallace C">C Wallace</name></author><author><name sortKey="Chang, Yc" uniqKey="Chang Y">YC Chang</name></author><author><name sortKey="Chen, Hc" uniqKey="Chen H">HC Chen</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country></list><tree><country name="Corée du Sud"><noRegion><name sortKey="Cook, Kyung Hoon" sort="Cook, Kyung Hoon" uniqKey="Cook K" first="Kyung Hoon" last="Cook">Kyung Hoon Cook</name></noRegion><name sortKey="Jung, Yong Sik" sort="Jung, Yong Sik" uniqKey="Jung Y" first="Yong Sik" last="Jung">Yong Sik Jung</name><name sortKey="Lee, Il Jae" sort="Lee, Il Jae" uniqKey="Lee I" first="Il Jae" last="Lee">Il Jae Lee</name><name sortKey="Lim, Seong Yoon" sort="Lim, Seong Yoon" uniqKey="Lim S" first="Seong Yoon" last="Lim">Seong Yoon Lim</name><name sortKey="Park, Myong Chul" sort="Park, Myong Chul" uniqKey="Park M" first="Myong Chul" last="Park">Myong Chul Park</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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