Risk of donor-site lymphatic vessel dysfunction after microvascular lymph node transfer.
Identifieur interne : 000C96 ( PubMed/Checkpoint ); précédent : 000C95; suivant : 000C97Risk of donor-site lymphatic vessel dysfunction after microvascular lymph node transfer.
Auteurs : E. Sulo [Finlande] ; P. Hartiala [Finlande] ; T. Viitanen [Finlande] ; M. M Ki [Finlande] ; M. Sepp Nen [Finlande] ; A. Saarikko [Finlande]Source :
- Journal of plastic, reconstructive & aesthetic surgery : JPRAS [ 1878-0539 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Aine, Autogreffes, Femelle, Humains, Lymphoedème (), Lymphoscintigraphie, Noeuds lymphatiques (transplantation), Site donneur de greffe (anatomopathologie), Site donneur de greffe (physiopathologie), Sujet âgé, Vaisseaux lymphatiques (anatomopathologie), Vaisseaux lymphatiques (physiopathologie).
- MESH :
- anatomopathologie : Site donneur de greffe, Vaisseaux lymphatiques.
- physiopathologie : Site donneur de greffe, Vaisseaux lymphatiques.
- Adulte, Adulte d'âge moyen, Aine, Autogreffes, Femelle, Humains, Lymphoedème, Lymphoscintigraphie, Noeuds lymphatiques, Sujet âgé.
English descriptors
- KwdEn :
- MESH :
- pathology : Lymphatic Vessels, Transplant Donor Site.
- physiopathology : Lymphatic Vessels, Transplant Donor Site.
- surgery : Lymphedema.
- transplantation : Lymph Nodes.
- Adult, Aged, Autografts, Female, Groin, Humans, Lymphoscintigraphy, Middle Aged.
Abstract
Microvascular lymph node transfer has been used to improve lymphatic function in patients with lymphoedema. We previously reported changes in the lymphatic function of the donor limb after lymph node transfer. For this reason, we modified our surgical method to be more conservative.
DOI: 10.1016/j.bjps.2014.11.016
PubMed: 25543523
Affiliations:
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Sulo</name><affiliation wicri:level="3"><nlm:affiliation>Department of Plastic and General Surgery, Turku University Hospital, Turku, Finland.</nlm:affiliation><country xml:lang="fr">Finlande</country><wicri:regionArea>Department of Plastic and General Surgery, Turku University Hospital, Turku</wicri:regionArea><placeName><settlement type="city">Turku</settlement><region type="région" nuts="2">Finlande occidentale</region></placeName></affiliation></author><author><name sortKey="Hartiala, P" sort="Hartiala, P" uniqKey="Hartiala P" first="P" last="Hartiala">P. Hartiala</name><affiliation wicri:level="3"><nlm:affiliation>Department of Plastic and General Surgery, Turku University Hospital, Turku, Finland.</nlm:affiliation><country xml:lang="fr">Finlande</country><wicri:regionArea>Department of Plastic and General Surgery, Turku University Hospital, Turku</wicri:regionArea><placeName><settlement type="city">Turku</settlement><region type="région" nuts="2">Finlande occidentale</region></placeName></affiliation></author><author><name sortKey="Viitanen, T" sort="Viitanen, T" uniqKey="Viitanen T" first="T" last="Viitanen">T. Viitanen</name><affiliation wicri:level="3"><nlm:affiliation>Department of Plastic and General Surgery, Turku University Hospital, Turku, Finland.</nlm:affiliation><country xml:lang="fr">Finlande</country><wicri:regionArea>Department of Plastic and General Surgery, Turku University Hospital, Turku</wicri:regionArea><placeName><settlement type="city">Turku</settlement><region type="région" nuts="2">Finlande occidentale</region></placeName></affiliation></author><author><name sortKey="M Ki, M" sort="M Ki, M" uniqKey="M Ki M" first="M" last="M Ki">M. M Ki</name><affiliation wicri:level="3"><nlm:affiliation>Department of Clinical Physiology and Nuclear Medicine, Turku University Hospital, Turku, Finland.</nlm:affiliation><country xml:lang="fr">Finlande</country><wicri:regionArea>Department of Clinical Physiology and Nuclear Medicine, Turku University Hospital, Turku</wicri:regionArea><placeName><settlement type="city">Turku</settlement><region type="région" nuts="2">Finlande occidentale</region></placeName></affiliation></author><author><name sortKey="Sepp Nen, M" sort="Sepp Nen, M" uniqKey="Sepp Nen M" first="M" last="Sepp Nen">M. Sepp Nen</name><affiliation wicri:level="3"><nlm:affiliation>Department of Clinical Physiology and Nuclear Medicine, Turku University Hospital, Turku, Finland; Turku PET Centre, Turku, Finland.</nlm:affiliation><country xml:lang="fr">Finlande</country><wicri:regionArea>Department of Clinical Physiology and Nuclear Medicine, Turku University Hospital, Turku, Finland; Turku PET Centre, Turku</wicri:regionArea><placeName><settlement type="city">Turku</settlement><region type="région" nuts="2">Finlande occidentale</region></placeName></affiliation></author><author><name sortKey="Saarikko, A" sort="Saarikko, A" uniqKey="Saarikko A" first="A" last="Saarikko">A. Saarikko</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and General Surgery, Turku University Hospital, Turku, Finland; Department of Plastic Surgery, Helsinki University Central Hospital, Helsinki, Finland. Electronic address: anne.saarikko@hus.fi.</nlm:affiliation><country xml:lang="fr">Finlande</country><wicri:regionArea>Department of Plastic and General Surgery, Turku University Hospital, Turku, Finland; Department of Plastic Surgery, Helsinki University Central Hospital, Helsinki</wicri:regionArea><wicri:noRegion>Helsinki</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of plastic, reconstructive & aesthetic surgery : JPRAS</title><idno type="eISSN">1878-0539</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Autografts</term><term>Female</term><term>Groin</term><term>Humans</term><term>Lymph Nodes (transplantation)</term><term>Lymphatic Vessels (pathology)</term><term>Lymphatic Vessels (physiopathology)</term><term>Lymphedema (surgery)</term><term>Lymphoscintigraphy</term><term>Middle Aged</term><term>Transplant Donor Site (pathology)</term><term>Transplant Donor Site (physiopathology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aine</term><term>Autogreffes</term><term>Femelle</term><term>Humains</term><term>Lymphoedème ()</term><term>Lymphoscintigraphie</term><term>Noeuds lymphatiques (transplantation)</term><term>Site donneur de greffe (anatomopathologie)</term><term>Site donneur de greffe (physiopathologie)</term><term>Sujet âgé</term><term>Vaisseaux lymphatiques (anatomopathologie)</term><term>Vaisseaux lymphatiques (physiopathologie)</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Site donneur de greffe</term><term>Vaisseaux lymphatiques</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lymphatic Vessels</term><term>Transplant Donor Site</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Site donneur de greffe</term><term>Vaisseaux lymphatiques</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Lymphatic Vessels</term><term>Transplant Donor Site</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Lymph Nodes</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Autografts</term><term>Female</term><term>Groin</term><term>Humans</term><term>Lymphoscintigraphy</term><term>Middle Aged</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aine</term><term>Autogreffes</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Lymphoscintigraphie</term><term>Noeuds lymphatiques</term><term>Sujet âgé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Microvascular lymph node transfer has been used to improve lymphatic function in patients with lymphoedema. We previously reported changes in the lymphatic function of the donor limb after lymph node transfer. For this reason, we modified our surgical method to be more conservative.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25543523</PMID><DateCreated><Year>2015</Year><Month>04</Month><Day>06</Day></DateCreated><DateCompleted><Year>2015</Year><Month>06</Month><Day>15</Day></DateCompleted><DateRevised><Year>2015</Year><Month>04</Month><Day>06</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1878-0539</ISSN><JournalIssue CitedMedium="Internet"><Volume>68</Volume><Issue>4</Issue><PubDate><Year>2015</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Journal of plastic, reconstructive & aesthetic surgery : JPRAS</Title><ISOAbbreviation>J Plast Reconstr Aesthet Surg</ISOAbbreviation></Journal><ArticleTitle>Risk of donor-site lymphatic vessel dysfunction after microvascular lymph node transfer.</ArticleTitle><Pagination><MedlinePgn>551-8</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.bjps.2014.11.016</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S1748-6815(14)00681-0</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Microvascular lymph node transfer has been used to improve lymphatic function in patients with lymphoedema. We previously reported changes in the lymphatic function of the donor limb after lymph node transfer. For this reason, we modified our surgical method to be more conservative.</AbstractText><AbstractText Label="SUBJECTS AND METHODS" NlmCategory="METHODS">Microvascular lymph node transfer was performed in 13 patients using the previously reported original method. Sixteen patients were operated upon using the more conservative modified method. Lymphatic function in the donor limb was evaluated using volumetry, lymphoscintigraphy and tissue water percentage.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">In the original method group, the donor-limb volume was on average greater (199 ± 540 ml) than in the non-operated control limb. The volume difference between the limbs was smaller (151 ± 463 ml) in the modified method group. Two patients in the original method group had abnormal transport index (Ti) values in lymphoscintigraphy indicating decreased lymphatic function of the donor limb. In the modified method group, the Ti-values remained normal. The tissue water percentage of the donor limb was on average 40% ± 4% in the original method group and 40% ± 3% in the modified method group. Importantly, none of the patients in either group developed clinical lymphoedema in the donor limb during the 11-84-month follow-up.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Even with the more conservative lymph node transfer method, we can observe slight, subclinical signs of lymphatic dysfunction in the donor limb. These results highlight the importance of minimizing the surgical exploration in the inguinal area and avoiding damage to the lymphatic vessels or sentinel nodes draining the lower limb.</AbstractText><CopyrightInformation>Copyright © 2014 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Sulo</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Plastic and General Surgery, Turku University Hospital, Turku, Finland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hartiala</LastName><ForeName>P</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Plastic and General Surgery, Turku University Hospital, Turku, Finland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Viitanen</LastName><ForeName>T</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Plastic and General Surgery, Turku University Hospital, Turku, Finland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mäki</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Clinical Physiology and Nuclear Medicine, Turku University Hospital, Turku, Finland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Seppänen</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Clinical Physiology and Nuclear Medicine, Turku University Hospital, Turku, Finland; Turku PET Centre, Turku, Finland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Saarikko</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Plastic and General Surgery, Turku University Hospital, Turku, Finland; Department of Plastic Surgery, Helsinki University Central Hospital, Helsinki, Finland. Electronic address: anne.saarikko@hus.fi.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>12</Month><Day>03</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>J Plast Reconstr Aesthet Surg</MedlineTA><NlmUniqueID>101264239</NlmUniqueID><ISSNLinking>1748-6815</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D064592" MajorTopicYN="N">Autografts</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006119" MajorTopicYN="N">Groin</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008198" MajorTopicYN="N">Lymph Nodes</DescriptorName><QualifierName UI="Q000637" MajorTopicYN="Y">transplantation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D042601" MajorTopicYN="N">Lymphatic Vessels</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D061305" MajorTopicYN="N">Lymphoscintigraphy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D060053" MajorTopicYN="N">Transplant Donor Site</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Autologous</Keyword><Keyword MajorTopicYN="N">Breast reconstruction</Keyword><Keyword MajorTopicYN="N">Lymphoedema</Keyword><Keyword MajorTopicYN="N">Reconstructive surgery</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>07</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2014</Year><Month>11</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>11</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>12</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>12</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>6</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25543523</ArticleId><ArticleId IdType="pii">S1748-6815(14)00681-0</ArticleId><ArticleId IdType="doi">10.1016/j.bjps.2014.11.016</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Finlande</li></country><region><li>Finlande occidentale</li></region><settlement><li>Turku</li></settlement></list><tree><country name="Finlande"><region name="Finlande occidentale"><name sortKey="Sulo, E" sort="Sulo, E" uniqKey="Sulo E" first="E" last="Sulo">E. Sulo</name></region><name sortKey="Hartiala, P" sort="Hartiala, P" uniqKey="Hartiala P" first="P" last="Hartiala">P. Hartiala</name><name sortKey="M Ki, M" sort="M Ki, M" uniqKey="M Ki M" first="M" last="M Ki">M. M Ki</name><name sortKey="Saarikko, A" sort="Saarikko, A" uniqKey="Saarikko A" first="A" last="Saarikko">A. Saarikko</name><name sortKey="Sepp Nen, M" sort="Sepp Nen, M" uniqKey="Sepp Nen M" first="M" last="Sepp Nen">M. Sepp Nen</name><name sortKey="Viitanen, T" sort="Viitanen, T" uniqKey="Viitanen T" first="T" last="Viitanen">T. Viitanen</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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