LymphedemaV1, Main, Exploration, bibRecord, 005416

Vascularized Lymph Node Transfer Based on the Hilar Perforators Improves the Outcome in Upper Limb Lymphedema

Identifieur interne : 005416 ( Main/Exploration ); précédent : 005415; suivant : 005417

Vascularized Lymph Node Transfer Based on the Hilar Perforators Improves the Outcome in Upper Limb Lymphedema

Auteurs : BAHAR BASSIRI GHARB [Taïwan] ; Antonio Rampazzo [Taïwan] ; Stefano Spanio Di Spilimbergo [Taïwan] ; Enny-Sonia Xu [Taïwan] ; Kuo-Piao Chung [Taïwan] ; Hung-Chi Chen [Taïwan]

Source :

Annals of plastic surgery [ 0148-7043 ] ; 2011.

RBID : Pascal:12-0014893

Descripteurs français

Pascal (Inist)
- Lymphoedème, Ganglion lymphatique, Pronostic, Membre supérieur, Chirurgie plastique, Traitement.

English descriptors

KwdEn :
- Lymph node, Lymphedema, Plastic surgery, Prognosis, Treatment, Upper limb.

Abstract

Background: Maintenance of the blood supply to the lymph nodes is necessary for survival and function. We report the outcome of vascularized lymph node transfer with hilar perforators compared with the conventional technique. Patients: A total of 21 patients affected by early stage II upper limb lymphedema were included in this study. Of them, 11 patients received a free groin flap containing lymph nodes, and 10 patients received vascularized inguinal lymph nodes with hilar perforators. Mean follow-up was 46 and 40 months, respectively. Complications, secondary procedures, circumference of the limb, and subjective symptomatology were registered. The differences were evaluated statistically. Results: The limb circumferences decreased significantly in the new group. The number of secondary procedures was significantly higher in the standard group. There were 2 cases of partial flap loss and donor site lymphorrhea in the standard group. In both the groups, visual analog scale scores improved after the operation. Conclusions: Transfer of vascularized inguinal lymph nodes based on the hilar perforators improves the outcomes in the treatment of early lymphedema of the upper extremity.

Affiliations:

Taïwan

Links toward previous steps (curation, corpus...)

to stream PascalFrancis, to step Corpus: 000131
to stream PascalFrancis, to step Curation: 000826
to stream PascalFrancis, to step Checkpoint: 000133
to stream Main, to step Merge: 005455
to stream Main, to step Curation: 005416

Le document en format XML

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<front><div type="abstract" xml:lang="en">Background: Maintenance of the blood supply to the lymph nodes is necessary for survival and function. We report the outcome of vascularized lymph node transfer with hilar perforators compared with the conventional technique. Patients: A total of 21 patients affected by early stage II upper limb lymphedema were included in this study. Of them, 11 patients received a free groin flap containing lymph nodes, and 10 patients received vascularized inguinal lymph nodes with hilar perforators. Mean follow-up was 46 and 40 months, respectively. Complications, secondary procedures, circumference of the limb, and subjective symptomatology were registered. The differences were evaluated statistically. Results: The limb circumferences decreased significantly in the new group. The number of secondary procedures was significantly higher in the standard group. There were 2 cases of partial flap loss and donor site lymphorrhea in the standard group. In both the groups, visual analog scale scores improved after the operation. Conclusions: Transfer of vascularized inguinal lymph nodes based on the hilar perforators improves the outcomes in the treatment of early lymphedema of the upper extremity.</div>
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Vascularized Lymph Node Transfer Based on the Hilar Perforators Improves the Outcome in Upper Limb Lymphedema

Vascularized Lymph Node Transfer Based on the Hilar Perforators Improves the Outcome in Upper Limb Lymphedema

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri