Proposed pathway and mechanism of vascularized lymph node flaps.
Identifieur interne : 000698 ( PubMed/Checkpoint ); précédent : 000697; suivant : 000699Proposed pathway and mechanism of vascularized lymph node flaps.
Auteurs : Ran Ito [Japon] ; Jonathan Zelken [États-Unis] ; Chin-Yu Yang [République populaire de Chine] ; Chia-Yu Lin [République populaire de Chine] ; Ming-Huei Cheng [République populaire de Chine]Source :
- Gynecologic oncology [ 1095-6859 ] ; 2016.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- blood supply : Lymph Nodes.
- Adolescent, Animals, Female, Fluorescence, Humans, Male, Middle Aged, Rats, Rats, Sprague-Dawley, Surgical Flaps.
Abstract
To investigate the pump mechanism and pathway of lymph transit in vascularized lymph node flaps.
DOI: 10.1016/j.ygyno.2016.01.007
PubMed: 26773469
Affiliations:
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pubmed:26773469Le document en format XML
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<author><name sortKey="Yang, Chin Yu" sort="Yang, Chin Yu" uniqKey="Yang C" first="Chin-Yu" last="Yang">Chin-Yu Yang</name>
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<country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country>
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<author><name sortKey="Lin, Chia Yu" sort="Lin, Chia Yu" uniqKey="Lin C" first="Chia-Yu" last="Lin">Chia-Yu Lin</name>
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<series><title level="j">Gynecologic oncology</title>
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<term>Animals</term>
<term>Female</term>
<term>Fluorescence</term>
<term>Humans</term>
<term>Lymph Nodes (blood supply)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Rats</term>
<term>Rats, Sprague-Dawley</term>
<term>Surgical Flaps</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term>
<term>Adulte d'âge moyen</term>
<term>Animaux</term>
<term>Femelle</term>
<term>Fluorescence</term>
<term>Humains</term>
<term>Lambeaux chirurgicaux</term>
<term>Mâle</term>
<term>Noeuds lymphatiques ()</term>
<term>Rat Sprague-Dawley</term>
<term>Rats</term>
</keywords>
<keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Lymph Nodes</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Animals</term>
<term>Female</term>
<term>Fluorescence</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Rats</term>
<term>Rats, Sprague-Dawley</term>
<term>Surgical Flaps</term>
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<term>Adulte d'âge moyen</term>
<term>Animaux</term>
<term>Femelle</term>
<term>Fluorescence</term>
<term>Humains</term>
<term>Lambeaux chirurgicaux</term>
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<front><div type="abstract" xml:lang="en">To investigate the pump mechanism and pathway of lymph transit in vascularized lymph node flaps.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26773469</PMID>
<DateCreated><Year>2016</Year>
<Month>03</Month>
<Day>26</Day>
</DateCreated>
<DateCompleted><Year>2016</Year>
<Month>08</Month>
<Day>16</Day>
</DateCompleted>
<DateRevised><Year>2016</Year>
<Month>03</Month>
<Day>26</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1095-6859</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>141</Volume>
<Issue>1</Issue>
<PubDate><Year>2016</Year>
<Month>Apr</Month>
</PubDate>
</JournalIssue>
<Title>Gynecologic oncology</Title>
<ISOAbbreviation>Gynecol. Oncol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Proposed pathway and mechanism of vascularized lymph node flaps.</ArticleTitle>
<Pagination><MedlinePgn>182-8</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ygyno.2016.01.007</ELocationID>
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<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To investigate the pump mechanism and pathway of lymph transit in vascularized lymph node flaps.</AbstractText>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Microsurgical treatment of lymphedema with vascularized lymph node transfer can improve signs and symptoms of disease, but the pathways and mechanisms of these flaps warrant further exploration.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">(Animal model) 72 flaps were raised in 18 rats: 36 groin flaps contained lymph nodes (LN), 36 deep inferior epigastric artery perforator flaps did not (non-LN). Indocyanine green (ICG) was added into normal saline (NS), 1%, 3%, 5%, 7% and 10% albumin. Three rats were assigned to each group. LN and non-LN flaps were submerged in solution and surveyed for venous fluorescence. In the 7% albumin and NS groups, volumetric change of solution was measured. (Human model) A similar experiment was performed in humans using five submental LN flaps.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">(Animal model) Fluorescence was detected in the venous pedicle of LN flaps submerged in 5%, 7% and 10% albumin, and half of flaps submerged in 3% albumin. Fluorescence was not detected in LN node flaps submerged in ICG-containing NS or 1% albumin solution. Fluorescence was not detected in non-LN flaps. There was greater volume reduction with LN flaps than non-LN flaps (p<0.001). (Human model) Fluorescence was detected in the venous pedicle of all flaps immersed in lymph.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">ICG fluorescence was detected in the venous pedicle of rat and human LN flaps submerged in lymph or albumin when the concentration was greater than 3%. Based on these results, a pathway for lymphatic uptake is presented.</AbstractText>
<CopyrightInformation>Copyright © 2016 Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ito</LastName>
<ForeName>Ran</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan, ROC; Department of Plastic and Reconstructive Surgery, Kyoto University, Kyoto, Japan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Zelken</LastName>
<ForeName>Jonathan</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan, ROC; Breastlink Medical Group, Finesse Plastic Surgery, Orange, CA, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Yang</LastName>
<ForeName>Chin-Yu</ForeName>
<Initials>CY</Initials>
<AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan, ROC; Center for Tissue Engineering, Chang Gung Memorial Hospital, Taoyuan, Taiwan, ROC.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Lin</LastName>
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<AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan, ROC; Center for Tissue Engineering, Chang Gung Memorial Hospital, Taoyuan, Taiwan, ROC.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Cheng</LastName>
<ForeName>Ming-Huei</ForeName>
<Initials>MH</Initials>
<AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan, ROC; Center for Tissue Engineering, Chang Gung Memorial Hospital, Taoyuan, Taiwan, ROC. Electronic address: minghueicheng@gmail.com.</Affiliation>
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<Language>eng</Language>
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<Month>01</Month>
<Day>07</Day>
</ArticleDate>
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<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Gynecol Oncol</MedlineTA>
<NlmUniqueID>0365304</NlmUniqueID>
<ISSNLinking>0090-8258</ISSNLinking>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
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<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading><DescriptorName UI="D005453" MajorTopicYN="N">Fluorescence</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008198" MajorTopicYN="N">Lymph Nodes</DescriptorName>
<QualifierName UI="Q000098" MajorTopicYN="Y">blood supply</QualifierName>
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<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D051381" MajorTopicYN="N">Rats</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017207" MajorTopicYN="N">Rats, Sprague-Dawley</DescriptorName>
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<MeshHeading><DescriptorName UI="D013524" MajorTopicYN="Y">Surgical Flaps</DescriptorName>
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