Free vascularized lymph node transfer for treatment of lymphedema: A systematic evidence based review.
Identifieur interne : 000900 ( PubMed/Checkpoint ); précédent : 000899; suivant : 000901Free vascularized lymph node transfer for treatment of lymphedema: A systematic evidence based review.
Auteurs : Cemile Nurdan Ozturk [États-Unis] ; Can Ozturk [États-Unis] ; Mark Glasgow [États-Unis] ; Mary Platek [États-Unis] ; Zain Ashary [États-Unis] ; Joseph Kuhn [États-Unis] ; Nell Aronoff [États-Unis] ; Robert Lohman [États-Unis] ; Risal Djohan [États-Unis] ; Raffi Gurunluoglu [États-Unis]Source :
- Journal of plastic, reconstructive & aesthetic surgery : JPRAS [ 1878-0539 ] ; 2016.
Descripteurs français
- KwdFr :
- MESH :
- diagnostic : Lymphoedème.
- effets indésirables : Mastectomie.
- Complications postopératoires, Femelle, Humains, Lambeaux tissulaires libres, Lymphoedème, Lymphographie, Lymphoscintigraphie, Noeuds lymphatiques, Tumeurs du sein.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Mastectomy.
- diagnosis : Lymphedema.
- surgery : Breast Neoplasms, Lymphedema.
- transplantation : Lymph Nodes.
- Female, Free Tissue Flaps, Humans, Lymphography, Lymphoscintigraphy, Postoperative Complications.
Abstract
Free vascularized lymph node transfer (VLNT) is a relatively novel technique for treatment of lymphedema. The purpose of this systematic review was to evaluate the current evidence on VLNT and to determine if there is objective data concerning improved outcomes.
DOI: 10.1016/j.bjps.2016.06.022
PubMed: 27425000
Affiliations:
Links toward previous steps (curation, corpus...)
Links to Exploration step
pubmed:27425000Le document en format XML
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<term>Humans</term>
<term>Lymph Nodes (transplantation)</term>
<term>Lymphedema (diagnosis)</term>
<term>Lymphedema (surgery)</term>
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<term>Lambeaux tissulaires libres</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (diagnostic)</term>
<term>Lymphographie</term>
<term>Lymphoscintigraphie</term>
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<term>Lymphedema</term>
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<term>Free Tissue Flaps</term>
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<term>Lymphography</term>
<term>Lymphoscintigraphy</term>
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<term>Humains</term>
<term>Lambeaux tissulaires libres</term>
<term>Lymphoedème</term>
<term>Lymphographie</term>
<term>Lymphoscintigraphie</term>
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<front><div type="abstract" xml:lang="en">Free vascularized lymph node transfer (VLNT) is a relatively novel technique for treatment of lymphedema. The purpose of this systematic review was to evaluate the current evidence on VLNT and to determine if there is objective data concerning improved outcomes.</div>
</front>
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<Month>08</Month>
<Day>15</Day>
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<DateCompleted><Year>2017</Year>
<Month>04</Month>
<Day>13</Day>
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<Month>08</Month>
<Day>17</Day>
</DateRevised>
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<JournalIssue CitedMedium="Internet"><Volume>69</Volume>
<Issue>9</Issue>
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<Month>Sep</Month>
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<Title>Journal of plastic, reconstructive & aesthetic surgery : JPRAS</Title>
<ISOAbbreviation>J Plast Reconstr Aesthet Surg</ISOAbbreviation>
</Journal>
<ArticleTitle>Free vascularized lymph node transfer for treatment of lymphedema: A systematic evidence based review.</ArticleTitle>
<Pagination><MedlinePgn>1234-47</MedlinePgn>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Free vascularized lymph node transfer (VLNT) is a relatively novel technique for treatment of lymphedema. The purpose of this systematic review was to evaluate the current evidence on VLNT and to determine if there is objective data concerning improved outcomes.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A literature search of PubMed, EMBASE and CENTRAL electronic databases was conducted to identify articles written in the English language on VLNT for treatment of lymphedema. Publications were selected according to inclusion criteria. Papers reporting adjunct techniques and those that did not describe outcomes were excluded. Data including patient demographics, surgical technique, complications and outcomes were extracted. A quality score was calculated for each article.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Eighteen studies were included with an overall study population of 305 patients. Mean quality score of articles was 5.3 with levels of evidence range from II to IV. Among 182 patients who underwent limb circumference assessment, 165 (91%) showed postoperative improvement. Reduction of limb volume was noted in 98 of 114 (86%) patients. Ninety two patients underwent lymphoscintigraphy/lymphangiography and 55 (60%) demonstrated moderate or significant improvement of flow. Patient satisfaction was questioned in 105 patients and with exception of 7 patients, all reported a high satisfaction level with significant relief in symptoms and improved quality of life. Publications also reported a reduction in infectious episodes.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">VLNT appears to provide improvement in lymphedema. More studies with standardized methods for reporting outcomes and uniform patient selection are needed to evaluate this technique thoroughly.</AbstractText>
<CopyrightInformation>Published by Elsevier Ltd.</CopyrightInformation>
</Abstract>
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<ForeName>Cemile Nurdan</ForeName>
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</AffiliationInfo>
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</AffiliationInfo>
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</AffiliationInfo>
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<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Lymph node transfer</Keyword>
<Keyword MajorTopicYN="Y">Lymph node transplantation</Keyword>
<Keyword MajorTopicYN="Y">Lymphedema</Keyword>
<Keyword MajorTopicYN="Y">VLNT</Keyword>
<Keyword MajorTopicYN="Y">Vascularized lymph node transfer</Keyword>
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<ArticleIdList><ArticleId IdType="pubmed">27425000</ArticleId>
<ArticleId IdType="pii">S1748-6815(16)30138-3</ArticleId>
<ArticleId IdType="doi">10.1016/j.bjps.2016.06.022</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>Indiana</li>
<li>Ohio</li>
<li>État de New York</li>
</region>
</list>
<tree><country name="États-Unis"><region name="État de New York"><name sortKey="Ozturk, Cemile Nurdan" sort="Ozturk, Cemile Nurdan" uniqKey="Ozturk C" first="Cemile Nurdan" last="Ozturk">Cemile Nurdan Ozturk</name>
</region>
<name sortKey="Aronoff, Nell" sort="Aronoff, Nell" uniqKey="Aronoff N" first="Nell" last="Aronoff">Nell Aronoff</name>
<name sortKey="Ashary, Zain" sort="Ashary, Zain" uniqKey="Ashary Z" first="Zain" last="Ashary">Zain Ashary</name>
<name sortKey="Djohan, Risal" sort="Djohan, Risal" uniqKey="Djohan R" first="Risal" last="Djohan">Risal Djohan</name>
<name sortKey="Glasgow, Mark" sort="Glasgow, Mark" uniqKey="Glasgow M" first="Mark" last="Glasgow">Mark Glasgow</name>
<name sortKey="Gurunluoglu, Raffi" sort="Gurunluoglu, Raffi" uniqKey="Gurunluoglu R" first="Raffi" last="Gurunluoglu">Raffi Gurunluoglu</name>
<name sortKey="Kuhn, Joseph" sort="Kuhn, Joseph" uniqKey="Kuhn J" first="Joseph" last="Kuhn">Joseph Kuhn</name>
<name sortKey="Lohman, Robert" sort="Lohman, Robert" uniqKey="Lohman R" first="Robert" last="Lohman">Robert Lohman</name>
<name sortKey="Ozturk, Can" sort="Ozturk, Can" uniqKey="Ozturk C" first="Can" last="Ozturk">Can Ozturk</name>
<name sortKey="Platek, Mary" sort="Platek, Mary" uniqKey="Platek M" first="Mary" last="Platek">Mary Platek</name>
</country>
</tree>
</affiliations>
</record>
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