A case of donor-site lymphoedema after lymph node-superficial circumflex iliac artery perforator flap transfer.
Identifieur interne : 002E40 ( Main/Exploration ); précédent : 002E39; suivant : 002E41A case of donor-site lymphoedema after lymph node-superficial circumflex iliac artery perforator flap transfer.
Auteurs : Gemma Pons [Italie] ; Jaume Masia [Italie] ; Pietro Loschi [Italie] ; Maria Luisa Nardulli [Italie] ; Joan Duch [Italie]Source :
- Journal of plastic, reconstructive & aesthetic surgery : JPRAS [ 1878-0539 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Aisselle, Canal inguinal, Carcinome canalaire du sein (), Cuisse, Femelle, Humains, Lambeaux chirurgicaux (), Lambeaux chirurgicaux (effets indésirables), Lymphadénectomie (effets indésirables), Lymphoedème (), Lymphoedème (étiologie), Mastectomie radicale, Membre supérieur, Noeuds lymphatiques (), Noeuds lymphatiques (transplantation), Site donneur de greffe, Tumeurs du sein ().
- MESH :
- effets indésirables : Lambeaux chirurgicaux, Lymphadénectomie.
- étiologie : Lymphoedème, Noeuds lymphatiques.
- Adulte d'âge moyen, Aisselle, Canal inguinal, Carcinome canalaire du sein, Cuisse, Femelle, Humains, Lambeaux chirurgicaux, Lymphoedème, Mastectomie radicale, Membre supérieur, Noeuds lymphatiques, Site donneur de greffe, Tumeurs du sein.
English descriptors
- KwdEn :
- Axilla, Breast Neoplasms (therapy), Carcinoma, Ductal, Breast (therapy), Female, Humans, Inguinal Canal, Lymph Node Excision (adverse effects), Lymph Nodes (surgery), Lymph Nodes (transplantation), Lymphedema (etiology), Lymphedema (surgery), Mastectomy, Radical, Middle Aged, Surgical Flaps (adverse effects), Surgical Flaps (blood supply), Thigh, Transplant Donor Site, Upper Extremity.
- MESH :
- adverse effects : Lymph Node Excision, Surgical Flaps.
- blood supply : Surgical Flaps.
- etiology : Lymphedema.
- surgery : Lymph Nodes, Lymphedema.
- therapy : Breast Neoplasms, Carcinoma, Ductal, Breast.
- transplantation : Lymph Nodes.
- Axilla, Female, Humans, Inguinal Canal, Mastectomy, Radical, Middle Aged, Thigh, Transplant Donor Site, Upper Extremity.
Abstract
Vascularised lymph node transfer is a promising technique to treat limb lymphoedema, especially when caused by lymph node dissection. The most common approach is the transfer of superficial inguinal lymph nodes using groin flaps or superficial circumflex iliac artery perforator flaps. Lower-limb lymphatic sequelae are unexpected as these lymph nodes should drain lymph from the lower abdominal wall. Recently, Vignes et al. described two cases out of 26 cases of chronic lymphoedema after superficial inguinal lymph node harvest. From a series of 42 vascularised lymph node transfers performed at our centre, only one patient developed swelling in the donor thigh. The features of this patient who underwent a lymph node-containing superficial circumflex iliac artery perforator flap are reported herein. We recommend maximal accuracy in selecting the appropriate lymph nodes for transfer and provide some tips from our experience.
DOI: 10.1016/j.bjps.2013.06.005
PubMed: 23827445
Affiliations:
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Sant Antoni M. Claret, 167, 08025 Barcelona, Spain(c); Department of Plastic and Recostructive Surgery, University-Hospital of Modena and Reggio Emilia, Via del Pozzo, 71, 41125 Modena, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Hospital de la Santa Creu I Sant Pau, Av. Sant Antoni M. Claret, 167, 08025 Barcelona, Spain(c); Department of Plastic and Recostructive Surgery, University-Hospital of Modena and Reggio Emilia, Via del Pozzo, 71, 41125 Modena</wicri:regionArea><wicri:noRegion>41125 Modena</wicri:noRegion></affiliation></author><author><name sortKey="Masia, Jaume" sort="Masia, Jaume" uniqKey="Masia J" first="Jaume" last="Masia">Jaume Masia</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, Hospital de la Santa Creu I Sant Pau, Av. Sant Antoni M. Claret, 167, 08025 Barcelona, Spain(c); Department of Plastic and Recostructive Surgery, University-Hospital of Modena and Reggio Emilia, Via del Pozzo, 71, 41125 Modena, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Hospital de la Santa Creu I Sant Pau, Av. Sant Antoni M. Claret, 167, 08025 Barcelona, Spain(c); Department of Plastic and Recostructive Surgery, University-Hospital of Modena and Reggio Emilia, Via del Pozzo, 71, 41125 Modena</wicri:regionArea><wicri:noRegion>41125 Modena</wicri:noRegion></affiliation></author><author><name sortKey="Loschi, Pietro" sort="Loschi, Pietro" uniqKey="Loschi P" first="Pietro" last="Loschi">Pietro Loschi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, Hospital de la Santa Creu I Sant Pau, Av. Sant Antoni M. Claret, 167, 08025 Barcelona, Spain(c); Department of Plastic and Recostructive Surgery, University-Hospital of Modena and Reggio Emilia, Via del Pozzo, 71, 41125 Modena, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Hospital de la Santa Creu I Sant Pau, Av. Sant Antoni M. Claret, 167, 08025 Barcelona, Spain(c); Department of Plastic and Recostructive Surgery, University-Hospital of Modena and Reggio Emilia, Via del Pozzo, 71, 41125 Modena</wicri:regionArea><wicri:noRegion>41125 Modena</wicri:noRegion></affiliation></author><author><name sortKey="Nardulli, Maria Luisa" sort="Nardulli, Maria Luisa" uniqKey="Nardulli M" first="Maria Luisa" last="Nardulli">Maria Luisa Nardulli</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, Hospital de la Santa Creu I Sant Pau, Av. Sant Antoni M. Claret, 167, 08025 Barcelona, Spain(c); Department of Plastic and Recostructive Surgery, University-Hospital of Modena and Reggio Emilia, Via del Pozzo, 71, 41125 Modena, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Hospital de la Santa Creu I Sant Pau, Av. Sant Antoni M. Claret, 167, 08025 Barcelona, Spain(c); Department of Plastic and Recostructive Surgery, University-Hospital of Modena and Reggio Emilia, Via del Pozzo, 71, 41125 Modena</wicri:regionArea><wicri:noRegion>41125 Modena</wicri:noRegion></affiliation></author><author><name sortKey="Duch, Joan" sort="Duch, Joan" uniqKey="Duch J" first="Joan" last="Duch">Joan Duch</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, Hospital de la Santa Creu I Sant Pau, Av. Sant Antoni M. Claret, 167, 08025 Barcelona, Spain(c); Department of Plastic and Recostructive Surgery, University-Hospital of Modena and Reggio Emilia, Via del Pozzo, 71, 41125 Modena, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Hospital de la Santa Creu I Sant Pau, Av. Sant Antoni M. Claret, 167, 08025 Barcelona, Spain(c); Department of Plastic and Recostructive Surgery, University-Hospital of Modena and Reggio Emilia, Via del Pozzo, 71, 41125 Modena</wicri:regionArea><wicri:noRegion>41125 Modena</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of plastic, reconstructive & aesthetic surgery : JPRAS</title><idno type="eISSN">1878-0539</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Axilla</term><term>Breast Neoplasms (therapy)</term><term>Carcinoma, Ductal, Breast (therapy)</term><term>Female</term><term>Humans</term><term>Inguinal Canal</term><term>Lymph Node Excision (adverse effects)</term><term>Lymph Nodes (surgery)</term><term>Lymph Nodes (transplantation)</term><term>Lymphedema (etiology)</term><term>Lymphedema (surgery)</term><term>Mastectomy, Radical</term><term>Middle Aged</term><term>Surgical Flaps (adverse effects)</term><term>Surgical Flaps (blood supply)</term><term>Thigh</term><term>Transplant Donor Site</term><term>Upper Extremity</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Canal inguinal</term><term>Carcinome canalaire du sein ()</term><term>Cuisse</term><term>Femelle</term><term>Humains</term><term>Lambeaux chirurgicaux ()</term><term>Lambeaux chirurgicaux (effets indésirables)</term><term>Lymphadénectomie (effets indésirables)</term><term>Lymphoedème ()</term><term>Lymphoedème (étiologie)</term><term>Mastectomie radicale</term><term>Membre supérieur</term><term>Noeuds lymphatiques ()</term><term>Noeuds lymphatiques (transplantation)</term><term>Site donneur de greffe</term><term>Tumeurs du sein ()</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Lymph Node Excision</term><term>Surgical Flaps</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Surgical Flaps</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lambeaux chirurgicaux</term><term>Lymphadénectomie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymph Nodes</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Breast Neoplasms</term><term>Carcinoma, Ductal, Breast</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Lymph Nodes</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term><term>Noeuds lymphatiques</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Axilla</term><term>Female</term><term>Humans</term><term>Inguinal Canal</term><term>Mastectomy, Radical</term><term>Middle Aged</term><term>Thigh</term><term>Transplant Donor Site</term><term>Upper Extremity</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Aisselle</term><term>Canal inguinal</term><term>Carcinome canalaire du sein</term><term>Cuisse</term><term>Femelle</term><term>Humains</term><term>Lambeaux chirurgicaux</term><term>Lymphoedème</term><term>Mastectomie radicale</term><term>Membre supérieur</term><term>Noeuds lymphatiques</term><term>Site donneur de greffe</term><term>Tumeurs du sein</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Vascularised lymph node transfer is a promising technique to treat limb lymphoedema, especially when caused by lymph node dissection. The most common approach is the transfer of superficial inguinal lymph nodes using groin flaps or superficial circumflex iliac artery perforator flaps. Lower-limb lymphatic sequelae are unexpected as these lymph nodes should drain lymph from the lower abdominal wall. Recently, Vignes et al. described two cases out of 26 cases of chronic lymphoedema after superficial inguinal lymph node harvest. From a series of 42 vascularised lymph node transfers performed at our centre, only one patient developed swelling in the donor thigh. The features of this patient who underwent a lymph node-containing superficial circumflex iliac artery perforator flap are reported herein. We recommend maximal accuracy in selecting the appropriate lymph nodes for transfer and provide some tips from our experience.</div></front></TEI><affiliations><list><country><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Pons, Gemma" sort="Pons, Gemma" uniqKey="Pons G" first="Gemma" last="Pons">Gemma Pons</name></noRegion><name sortKey="Duch, Joan" sort="Duch, Joan" uniqKey="Duch J" first="Joan" last="Duch">Joan Duch</name><name sortKey="Loschi, Pietro" sort="Loschi, Pietro" uniqKey="Loschi P" first="Pietro" last="Loschi">Pietro Loschi</name><name sortKey="Masia, Jaume" sort="Masia, Jaume" uniqKey="Masia J" first="Jaume" last="Masia">Jaume Masia</name><name sortKey="Nardulli, Maria Luisa" sort="Nardulli, Maria Luisa" uniqKey="Nardulli M" first="Maria Luisa" last="Nardulli">Maria Luisa Nardulli</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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