Vascularized Groin Lymph Node Transfer Using the Wrist as a Recipient Site for Management of Postmastectomy Upper Extremity Lymphedema
Identifieur interne : 006789 ( Main/Exploration ); précédent : 006788; suivant : 006790Vascularized Groin Lymph Node Transfer Using the Wrist as a Recipient Site for Management of Postmastectomy Upper Extremity Lymphedema
Auteurs : Cheng-Hung Lin [Taïwan] ; Rozina Ali ; Shin-Cheh Chen ; Chris Wallace ; Yu-Chen Chang ; Hung-Chi Chen ; Ming-Huei ChengSource :
- Plastic and reconstructive surgery : (1963) [ 0032-1052 ] ; 2009.
Descripteurs français
- Pascal (Inist)
- Wicri :
English descriptors
- KwdEn :
Abstract
Background: Restoring the continuity of lymphatic drainage by lymphaticovenous or lymphaticolymphatic anastomosis was observed in the short term to be patent but eventually occluded because the elevated interstitial pressure will cause obliteration of these tiny, thin-walled, low-pressure lumens. The purpose of this study was to evaluate the outcome of vascularized groin lymph node transfer using the wrist as a recipient site in patients with postmastectomy upper extremity lymphedema. Methods: Between January of 1997 and June of 2005, 13 consecutive patients with a mean age of 50.69 ± 11.25 years underwent vascularized groin lymph node transfer for postmastectomy upper extremity lymphedema. A vascularized groin lymph node nourished by the superficial circumflex iliac vessels was harvested and transferred to the dorsal wrist of the lymphedematous limb. The superficial radial artery and the cephalic vein were used as the recipient vessels. Outcome was assessed by upper limb girth, incidence of cellulitis, and lymphoscintigraphy. Results: All flaps survived, and one flap required reexploration, with successful salvage. No donor-site morbidity was encountered. At a mean follow-up of 56.31 ± 27.12 months, the mean reduction rate (50.55 ± 19.26 percent) of the lymphedematous limb was statistically significant between the preoperative and postoperative groups (p < 0.01). The incidence of cellulitis was decreased in 11 patients. Postoperative lymphoscintigraphy indicated improved lymph drainage of the affected arm, revealing decreased lymph stasis and rapid lymphatic clearance. A hypothesis was proposed that the vascularized groin lymph node transfer might act as an internal pump and suction pathway for lymphatic clearance of lymphedematous limb. Conclusion: Vascularized groin lymph node transfer using the wrist as a recipient site is a novel and reliable procedure that significantly improves postmastectomy upper extremity lymphedema.
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PascalFrancis, to step Corpus: 000337
- to stream PascalFrancis, to step Curation: 000621
- to stream PascalFrancis, to step Checkpoint: 000297
- to stream Main, to step Merge: 006867
- to stream Main, to step Curation: 006789
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Vascularized Groin Lymph Node Transfer Using the Wrist as a Recipient Site for Management of Postmastectomy Upper Extremity Lymphedema</title>
<author><name sortKey="Lin, Cheng Hung" sort="Lin, Cheng Hung" uniqKey="Lin C" first="Cheng-Hung" last="Lin">Cheng-Hung Lin</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Departments of Plastic and Reconstructive Surgery, General Surgery, and Nuclear Medicine, Chang Gung Memorial Hospital, Chang Gung Medical College, Chang Gung University</s1>
<s3>TWN</s3>
</inist:fA14>
<country>Taïwan</country>
<wicri:noRegion>Departments of Plastic and Reconstructive Surgery, General Surgery, and Nuclear Medicine, Chang Gung Memorial Hospital, Chang Gung Medical College, Chang Gung University</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Plastic and Reconstructive Surgery, E-Da Hospital</s1>
<s3>TWN</s3>
</inist:fA14>
<country>Taïwan</country>
<wicri:noRegion>Department of Plastic and Reconstructive Surgery, E-Da Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ali, Rozina" sort="Ali, Rozina" uniqKey="Ali R" first="Rozina" last="Ali">Rozina Ali</name>
</author>
<author><name sortKey="Chen, Shin Cheh" sort="Chen, Shin Cheh" uniqKey="Chen S" first="Shin-Cheh" last="Chen">Shin-Cheh Chen</name>
</author>
<author><name sortKey="Wallace, Chris" sort="Wallace, Chris" uniqKey="Wallace C" first="Chris" last="Wallace">Chris Wallace</name>
</author>
<author><name sortKey="Chang, Yu Chen" sort="Chang, Yu Chen" uniqKey="Chang Y" first="Yu-Chen" last="Chang">Yu-Chen Chang</name>
</author>
<author><name sortKey="Chen, Hung Chi" sort="Chen, Hung Chi" uniqKey="Chen H" first="Hung-Chi" last="Chen">Hung-Chi Chen</name>
</author>
<author><name sortKey="Cheng, Ming Huei" sort="Cheng, Ming Huei" uniqKey="Cheng M" first="Ming-Huei" last="Cheng">Ming-Huei Cheng</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">INIST</idno>
<idno type="inist">09-0186125</idno>
<date when="2009">2009</date>
<idno type="stanalyst">PASCAL 09-0186125 INIST</idno>
<idno type="RBID">Pascal:09-0186125</idno>
<idno type="wicri:Area/PascalFrancis/Corpus">000337</idno>
<idno type="wicri:Area/PascalFrancis/Curation">000621</idno>
<idno type="wicri:Area/PascalFrancis/Checkpoint">000297</idno>
<idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000297</idno>
<idno type="wicri:doubleKey">0032-1052:2009:Lin C:vascularized:groin:lymph</idno>
<idno type="wicri:Area/Main/Merge">006867</idno>
<idno type="wicri:Area/Main/Curation">006789</idno>
<idno type="wicri:Area/Main/Exploration">006789</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Vascularized Groin Lymph Node Transfer Using the Wrist as a Recipient Site for Management of Postmastectomy Upper Extremity Lymphedema</title>
<author><name sortKey="Lin, Cheng Hung" sort="Lin, Cheng Hung" uniqKey="Lin C" first="Cheng-Hung" last="Lin">Cheng-Hung Lin</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Departments of Plastic and Reconstructive Surgery, General Surgery, and Nuclear Medicine, Chang Gung Memorial Hospital, Chang Gung Medical College, Chang Gung University</s1>
<s3>TWN</s3>
</inist:fA14>
<country>Taïwan</country>
<wicri:noRegion>Departments of Plastic and Reconstructive Surgery, General Surgery, and Nuclear Medicine, Chang Gung Memorial Hospital, Chang Gung Medical College, Chang Gung University</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Plastic and Reconstructive Surgery, E-Da Hospital</s1>
<s3>TWN</s3>
</inist:fA14>
<country>Taïwan</country>
<wicri:noRegion>Department of Plastic and Reconstructive Surgery, E-Da Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ali, Rozina" sort="Ali, Rozina" uniqKey="Ali R" first="Rozina" last="Ali">Rozina Ali</name>
</author>
<author><name sortKey="Chen, Shin Cheh" sort="Chen, Shin Cheh" uniqKey="Chen S" first="Shin-Cheh" last="Chen">Shin-Cheh Chen</name>
</author>
<author><name sortKey="Wallace, Chris" sort="Wallace, Chris" uniqKey="Wallace C" first="Chris" last="Wallace">Chris Wallace</name>
</author>
<author><name sortKey="Chang, Yu Chen" sort="Chang, Yu Chen" uniqKey="Chang Y" first="Yu-Chen" last="Chang">Yu-Chen Chang</name>
</author>
<author><name sortKey="Chen, Hung Chi" sort="Chen, Hung Chi" uniqKey="Chen H" first="Hung-Chi" last="Chen">Hung-Chi Chen</name>
</author>
<author><name sortKey="Cheng, Ming Huei" sort="Cheng, Ming Huei" uniqKey="Cheng M" first="Ming-Huei" last="Cheng">Ming-Huei Cheng</name>
</author>
</analytic>
<series><title level="j" type="main">Plastic and reconstructive surgery : (1963)</title>
<title level="j" type="abbreviated">Plast. reconstr. surg. : (1963)</title>
<idno type="ISSN">0032-1052</idno>
<imprint><date when="2009">2009</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">Plastic and reconstructive surgery : (1963)</title>
<title level="j" type="abbreviated">Plast. reconstr. surg. : (1963)</title>
<idno type="ISSN">0032-1052</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Clinical management</term>
<term>Human</term>
<term>Inguinal</term>
<term>Lymph node</term>
<term>Lymphedema</term>
<term>Recipient</term>
<term>Surgery</term>
<term>Treatment</term>
<term>Upper extremity</term>
<term>Upper limb</term>
<term>Wrist</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Lymphoedème</term>
<term>Traitement</term>
<term>Chirurgie</term>
<term>Inguinal</term>
<term>Ganglion lymphatique</term>
<term>Poignet</term>
<term>Homme</term>
<term>Receveur</term>
<term>Conduite à tenir</term>
<term>Extrémité supérieure</term>
<term>Membre supérieur</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term>
<term>Homme</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Background: Restoring the continuity of lymphatic drainage by lymphaticovenous or lymphaticolymphatic anastomosis was observed in the short term to be patent but eventually occluded because the elevated interstitial pressure will cause obliteration of these tiny, thin-walled, low-pressure lumens. The purpose of this study was to evaluate the outcome of vascularized groin lymph node transfer using the wrist as a recipient site in patients with postmastectomy upper extremity lymphedema. Methods: Between January of 1997 and June of 2005, 13 consecutive patients with a mean age of 50.69 ± 11.25 years underwent vascularized groin lymph node transfer for postmastectomy upper extremity lymphedema. A vascularized groin lymph node nourished by the superficial circumflex iliac vessels was harvested and transferred to the dorsal wrist of the lymphedematous limb. The superficial radial artery and the cephalic vein were used as the recipient vessels. Outcome was assessed by upper limb girth, incidence of cellulitis, and lymphoscintigraphy. Results: All flaps survived, and one flap required reexploration, with successful salvage. No donor-site morbidity was encountered. At a mean follow-up of 56.31 ± 27.12 months, the mean reduction rate (50.55 ± 19.26 percent) of the lymphedematous limb was statistically significant between the preoperative and postoperative groups (p < 0.01). The incidence of cellulitis was decreased in 11 patients. Postoperative lymphoscintigraphy indicated improved lymph drainage of the affected arm, revealing decreased lymph stasis and rapid lymphatic clearance. A hypothesis was proposed that the vascularized groin lymph node transfer might act as an internal pump and suction pathway for lymphatic clearance of lymphedematous limb. Conclusion: Vascularized groin lymph node transfer using the wrist as a recipient site is a novel and reliable procedure that significantly improves postmastectomy upper extremity lymphedema.</div>
</front>
</TEI>
<affiliations><list><country><li>Taïwan</li>
</country>
</list>
<tree><noCountry><name sortKey="Ali, Rozina" sort="Ali, Rozina" uniqKey="Ali R" first="Rozina" last="Ali">Rozina Ali</name>
<name sortKey="Chang, Yu Chen" sort="Chang, Yu Chen" uniqKey="Chang Y" first="Yu-Chen" last="Chang">Yu-Chen 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="Chen, Shin Cheh" sort="Chen, Shin Cheh" uniqKey="Chen S" first="Shin-Cheh" last="Chen">Shin-Cheh Chen</name>
<name sortKey="Cheng, Ming Huei" sort="Cheng, Ming Huei" uniqKey="Cheng M" first="Ming-Huei" last="Cheng">Ming-Huei Cheng</name>
<name sortKey="Wallace, Chris" sort="Wallace, Chris" uniqKey="Wallace C" first="Chris" last="Wallace">Chris Wallace</name>
</noCountry>
<country name="Taïwan"><noRegion><name sortKey="Lin, Cheng Hung" sort="Lin, Cheng Hung" uniqKey="Lin C" first="Cheng-Hung" last="Lin">Cheng-Hung Lin</name>
</noRegion>
<name sortKey="Lin, Cheng Hung" sort="Lin, Cheng Hung" uniqKey="Lin C" first="Cheng-Hung" last="Lin">Cheng-Hung Lin</name>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 006789 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 006789 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= LymphedemaV1 |flux= Main |étape= Exploration |type= RBID |clé= Pascal:09-0186125 |texte= Vascularized Groin Lymph Node Transfer Using the Wrist as a Recipient Site for Management of Postmastectomy Upper Extremity Lymphedema }}
This area was generated with Dilib version V0.6.31. |