Lymphovenous Anastomosis and Secondary Resection for Noonan Syndrome with Vulvar Lymphangiectasia
Identifieur interne : 000809 ( Pmc/Checkpoint ); précédent : 000808; suivant : 000810Lymphovenous Anastomosis and Secondary Resection for Noonan Syndrome with Vulvar Lymphangiectasia
Auteurs : Harm Winters ; Hanneke J. P. Tielemans ; Dietmar J. O. UlrichSource :
- Plastic and Reconstructive Surgery Global Open [ 2169-7574 ] ; 2016.
Abstract
In this case report we describe the use of a 2-stage approach to treat severe recurrent vulvar lymphangiectasia in a patient with Noonan syndrome. First, 3 functional lymphatic vessels were identified and anastomosed to venules in an end-to-end fashion. Then, in a second surgical procedure, the vulvar lesions were resected as much as possible and the vulva was reconstructed. By the 12-month follow-up the patient had recovered well. Although there were still some small vesicles on the left labia there was no more ooze, itch, and pain. Lymphatic mapping using indocyanine green showed improvement of the edema of her vulva region and patent LVA. In addition to the demonstration of this 2-stage approach, this case report also demonstrates the benefits of preemptive LVA before performing surgery that may be at high risk for postoperative lymph edema.
Url:
DOI: 10.1097/GOX.0000000000001007
PubMed: 27622088
PubMed Central: 5010352
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Ulrich</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27622088</idno><idno type="pmc">5010352</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5010352</idno><idno type="RBID">PMC:5010352</idno><idno type="doi">10.1097/GOX.0000000000001007</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">002376</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002376</idno><idno type="wicri:Area/Pmc/Curation">002375</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002375</idno><idno type="wicri:Area/Pmc/Checkpoint">000809</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000809</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Lymphovenous Anastomosis and Secondary Resection for Noonan Syndrome with Vulvar Lymphangiectasia</title><author><name sortKey="Winters, Harm" sort="Winters, Harm" uniqKey="Winters H" first="Harm" last="Winters">Harm Winters</name></author><author><name sortKey="Tielemans, Hanneke J P" sort="Tielemans, Hanneke J P" uniqKey="Tielemans H" first="Hanneke J. P." last="Tielemans">Hanneke J. P. Tielemans</name></author><author><name sortKey="Ulrich, Dietmar J O" sort="Ulrich, Dietmar J O" uniqKey="Ulrich D" first="Dietmar J. O." last="Ulrich">Dietmar J. O. Ulrich</name></author></analytic><series><title level="j">Plastic and Reconstructive Surgery Global Open</title><idno type="eISSN">2169-7574</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Summary:</title><p>In this case report we describe the use of a 2-stage approach to treat severe recurrent vulvar lymphangiectasia in a patient with Noonan syndrome. First, 3 functional lymphatic vessels were identified and anastomosed to venules in an end-to-end fashion. Then, in a second surgical procedure, the vulvar lesions were resected as much as possible and the vulva was reconstructed. By the 12-month follow-up the patient had recovered well. Although there were still some small vesicles on the left labia there was no more ooze, itch, and pain. Lymphatic mapping using indocyanine green showed improvement of the edema of her vulva region and patent LVA. In addition to the demonstration of this 2-stage approach, this case report also demonstrates the benefits of preemptive LVA before performing surgery that may be at high risk for postoperative lymph edema.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Mendez, Hm" uniqKey="Mendez H">HM Mendez</name></author><author><name sortKey="Opitz, Jm" uniqKey="Opitz J">JM Opitz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chang, M" uniqKey="Chang M">M Chang</name></author><author><name sortKey="Shiao, G" uniqKey="Shiao G">G Shiao</name></author><author><name sortKey="Tseng, C" uniqKey="Tseng C">C Tseng</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kokcu, A" uniqKey="Kokcu A">A Kokcu</name></author><author><name sortKey="Sari, S" uniqKey="Sari S">S Sari</name></author><author><name sortKey="Kefeli, M" uniqKey="Kefeli M">M Kefeli</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pootrakul, L" uniqKey="Pootrakul L">L Pootrakul</name></author><author><name sortKey="Nazareth, Mr" uniqKey="Nazareth M">MR Nazareth</name></author><author><name sortKey="Cheney, Rt" uniqKey="Cheney R">RT Cheney</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Singh, N" uniqKey="Singh N">N Singh</name></author><author><name sortKey="Kumari, R" uniqKey="Kumari R">R Kumari</name></author><author><name sortKey="Thappa, D" uniqKey="Thappa D">D Thappa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Haneef, Ns" uniqKey="Haneef N">NS Haneef</name></author><author><name sortKey="Ramachandra, S" uniqKey="Ramachandra S">S Ramachandra</name></author><author><name sortKey="Metta, Ak" uniqKey="Metta A">AK Metta</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Okur, Mi" uniqKey="Okur M">MI Okur</name></author><author><name sortKey="Kose, R" uniqKey="Kose R">R Köse</name></author><author><name sortKey="Yildirim, Am" uniqKey="Yildirim A">AM Yildirim</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bhat, Rm" uniqKey="Bhat R">RM Bhat</name></author><author><name sortKey="Saldanha, Cs" uniqKey="Saldanha C">CS Saldanha</name></author><author><name sortKey="Kambil, Sm" uniqKey="Kambil S">SM Kambil</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ghaemmaghami, F" uniqKey="Ghaemmaghami F">F Ghaemmaghami</name></author><author><name sortKey="Karimi Zarchi, M" uniqKey="Karimi Zarchi M">M Karimi Zarchi</name></author><author><name sortKey="Mousavi, A" uniqKey="Mousavi A">A Mousavi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yamamoto, T" uniqKey="Yamamoto T">T Yamamoto</name></author><author><name sortKey="Koshima, I" uniqKey="Koshima I">I Koshima</name></author><author><name sortKey="Yoshimatsu, H" uniqKey="Yoshimatsu H">H Yoshimatsu</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Plast Reconstr Surg Glob Open</journal-id><journal-id journal-id-type="iso-abbrev">Plast Reconstr Surg Glob Open</journal-id><journal-id journal-id-type="publisher-id">GOX</journal-id><journal-title-group><journal-title>Plastic and Reconstructive Surgery Global Open</journal-title></journal-title-group><issn pub-type="epub">2169-7574</issn><publisher><publisher-name>Wolters Kluwer Health</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27622088</article-id><article-id pub-id-type="pmc">5010352</article-id><article-id pub-id-type="art-access-id">00035</article-id><article-id pub-id-type="doi">10.1097/GOX.0000000000001007</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Lymphovenous Anastomosis and Secondary Resection for Noonan Syndrome with Vulvar Lymphangiectasia</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Winters</surname><given-names>Harm</given-names></name><degrees>BSc</degrees></contrib><contrib contrib-type="author"><name><surname>Tielemans</surname><given-names>Hanneke J.P.</given-names></name><degrees>MD</degrees></contrib><contrib contrib-type="author"><name><surname>Ulrich</surname><given-names>Dietmar J.O.</given-names></name><degrees>MD, PhD</degrees></contrib><aff>From the Department of Plastic and Reconstructive Surgery, Radboud University Medical Center, Nijmegen, the Netherlands.</aff></contrib-group><author-notes><corresp id="c1">Harm Winters, BSc, Department of Plastic and Reconstructive Surgery, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, the Netherlands, E-mail: <email xlink:href="Harm.Winters@radboudumc.nl">Harm.Winters@radboudumc.nl</email></corresp></author-notes><pub-date pub-type="collection"><month>8</month><year>2016</year></pub-date><pub-date pub-type="epub"><day>29</day><month>8</month><year>2016</year></pub-date><volume>4</volume><issue>8</issue><elocation-id>e1007</elocation-id><history><date date-type="received"><day>25</day><month>5</month><year>2016</year></date><date date-type="accepted"><day>29</day><month>6</month><year>2016</year></date></history><permissions><copyright-statement>Copyright © 2016 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. All rights reserved.</copyright-statement><copyright-year>2016</copyright-year><license license-type="open-access"><license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND)</ext-link>, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially.</license-p></license></permissions><self-uri xlink:type="simple" xlink:href="gox-4-e1007.pdf"></self-uri><abstract><title>Summary:</title><p>In this case report we describe the use of a 2-stage approach to treat severe recurrent vulvar lymphangiectasia in a patient with Noonan syndrome. First, 3 functional lymphatic vessels were identified and anastomosed to venules in an end-to-end fashion. Then, in a second surgical procedure, the vulvar lesions were resected as much as possible and the vulva was reconstructed. By the 12-month follow-up the patient had recovered well. Although there were still some small vesicles on the left labia there was no more ooze, itch, and pain. Lymphatic mapping using indocyanine green showed improvement of the edema of her vulva region and patent LVA. In addition to the demonstration of this 2-stage approach, this case report also demonstrates the benefits of preemptive LVA before performing surgery that may be at high risk for postoperative lymph edema.</p></abstract></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Tielemans, Hanneke J P" sort="Tielemans, Hanneke J P" uniqKey="Tielemans H" first="Hanneke J. P." last="Tielemans">Hanneke J. P. Tielemans</name><name sortKey="Ulrich, Dietmar J O" sort="Ulrich, Dietmar J O" uniqKey="Ulrich D" first="Dietmar J. O." last="Ulrich">Dietmar J. O. Ulrich</name><name sortKey="Winters, Harm" sort="Winters, Harm" uniqKey="Winters H" first="Harm" last="Winters">Harm Winters</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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