New Refinements in Greater Omentum Free Flap Transfer for Severe Secondary Lymphedema Surgical Treatment
Identifieur interne : 001A57 ( Main/Exploration ); précédent : 001A56; suivant : 001A58New Refinements in Greater Omentum Free Flap Transfer for Severe Secondary Lymphedema Surgical Treatment
Auteurs : Jose M. Lasso ; Carmen Pinilla ; Michele CastellanoSource :
- Plastic and Reconstructive Surgery Global Open [ 2169-7574 ] ; 2015.
Abstract
Lymphedema is a chronic debilitating disease, affecting a considerable part of the population; it results from impairment of the lymphatic system. It is highly prevalent among patients subjected to axillary and groin nodal dissection after surgery for breast cancer, abdominopelvic surgery, and lymphadenectomy after melanoma surgery. Interestingly, among the surgical treatment options for lymphedema, groin lymph node transfer is gaining popularity; however, in some cases, dissection at this site can cause significant morbidity, including possible development of iatrogenic lymphedema. To avoid these complications, new donor nodal groups are being proposed (eg, submental or supraclavicular). We have used the greater omentum as a lymph node and lymph vessel donor site. Dissection of the omentum is easy to perform and can even be done in patients who have undergone previous abdominal surgeries. We present refinements in the surgical technique for free omentum transfer in the management of secondary lymphedema: the first free omental flap dissection performed laparoscopically and the use of a primary flap as the recipient pedicle of a free greater omentum flap for anatomical repair after chest osteoradionecrosis and simultaneous functional repair of chronic lymphedema.
Url:
DOI: 10.1097/GOX.0000000000000358
PubMed: 26090277
PubMed Central: 4457250
Affiliations:
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Lasso</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Pinilla, Carmen" sort="Pinilla, Carmen" uniqKey="Pinilla C" first="Carmen" last="Pinilla">Carmen Pinilla</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Castellano, Michele" sort="Castellano, Michele" uniqKey="Castellano M" first="Michele" last="Castellano">Michele Castellano</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></analytic><series><title level="j">Plastic and Reconstructive Surgery Global Open</title><idno type="eISSN">2169-7574</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Summary:</title><p>Lymphedema is a chronic debilitating disease, affecting a considerable part of the population; it results from impairment of the lymphatic system. It is highly prevalent among patients subjected to axillary and groin nodal dissection after surgery for breast cancer, abdominopelvic surgery, and lymphadenectomy after melanoma surgery. Interestingly, among the surgical treatment options for lymphedema, groin lymph node transfer is gaining popularity; however, in some cases, dissection at this site can cause significant morbidity, including possible development of iatrogenic lymphedema. To avoid these complications, new donor nodal groups are being proposed (eg, submental or supraclavicular). We have used the greater omentum as a lymph node and lymph vessel donor site. Dissection of the omentum is easy to perform and can even be done in patients who have undergone previous abdominal surgeries. We present refinements in the surgical technique for free omentum transfer in the management of secondary lymphedema: the first free omental flap dissection performed laparoscopically and the use of a primary flap as the recipient pedicle of a free greater omentum flap for anatomical repair after chest osteoradionecrosis and simultaneous functional repair of chronic lymphedema.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Purushotham, Ad" uniqKey="Purushotham A">AD Purushotham</name></author><author><name sortKey="Upponi, S" uniqKey="Upponi S">S Upponi</name></author><author><name sortKey="Klevesath, Mb" uniqKey="Klevesath M">MB Klevesath</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cheng, Mh" uniqKey="Cheng M">MH Cheng</name></author><author><name sortKey="Huang, Jj" uniqKey="Huang J">JJ Huang</name></author><author><name sortKey="Huang, Jj" uniqKey="Huang J">JJ Huang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Althubaiti, Ga" uniqKey="Althubaiti G">GA Althubaiti</name></author><author><name sortKey="Crosby, Ma" uniqKey="Crosby M">MA Crosby</name></author><author><name sortKey="Chang, Dw" uniqKey="Chang D">DW. 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Lasso</name><name sortKey="Pinilla, Carmen" sort="Pinilla, Carmen" uniqKey="Pinilla C" first="Carmen" last="Pinilla">Carmen Pinilla</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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