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The distribution of lymph nodes and their nutrient vessels in the groin region: an anatomic study for design of the lymph node flap.

Identifieur interne : 001235 ( PubMed/Checkpoint ); précédent : 001234; suivant : 001236

The distribution of lymph nodes and their nutrient vessels in the groin region: an anatomic study for design of the lymph node flap.

Auteurs : Han Zhang [République populaire de Chine] ; Weiwei Chen ; Lan Mu ; Ru Chen ; Jie Luan ; Dali Mu ; Chunjun Liu ; Minqiang Xin

Source :

RBID : pubmed:24753039

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English descriptors

Abstract

The groin lymph node flap transfer has been used for treatment of extremity lymphedema. The design of this flap is based on the superficial circumflex iliac artery/vein (SCIA/V), or superficial inferior epigastric artery/vein (SIEA/V). The purpose of this study is to delineate the distribution of lymph nodes in the groin area and their relationship to inguinal vessels by the use of multidirector-row CT angiography (MDCTA).

DOI: 10.1002/micr.22261
PubMed: 24753039


Affiliations:


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pubmed:24753039

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<title xml:lang="en">The distribution of lymph nodes and their nutrient vessels in the groin region: an anatomic study for design of the lymph node flap.</title>
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<name sortKey="Zhang, Han" sort="Zhang, Han" uniqKey="Zhang H" first="Han" last="Zhang">Han Zhang</name>
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<nlm:affiliation>Breast Plastic and Reconstructive Surgery Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Breast Plastic and Reconstructive Surgery Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing</wicri:regionArea>
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<name sortKey="Chen, Weiwei" sort="Chen, Weiwei" uniqKey="Chen W" first="Weiwei" last="Chen">Weiwei Chen</name>
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<name sortKey="Mu, Lan" sort="Mu, Lan" uniqKey="Mu L" first="Lan" last="Mu">Lan Mu</name>
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<name sortKey="Chen, Ru" sort="Chen, Ru" uniqKey="Chen R" first="Ru" last="Chen">Ru Chen</name>
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<name sortKey="Luan, Jie" sort="Luan, Jie" uniqKey="Luan J" first="Jie" last="Luan">Jie Luan</name>
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<name sortKey="Mu, Dali" sort="Mu, Dali" uniqKey="Mu D" first="Dali" last="Mu">Dali Mu</name>
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<name sortKey="Liu, Chunjun" sort="Liu, Chunjun" uniqKey="Liu C" first="Chunjun" last="Liu">Chunjun Liu</name>
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<name sortKey="Xin, Minqiang" sort="Xin, Minqiang" uniqKey="Xin M" first="Minqiang" last="Xin">Minqiang Xin</name>
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<title xml:lang="en">The distribution of lymph nodes and their nutrient vessels in the groin region: an anatomic study for design of the lymph node flap.</title>
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<country xml:lang="fr">République populaire de Chine</country>
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<name sortKey="Mu, Dali" sort="Mu, Dali" uniqKey="Mu D" first="Dali" last="Mu">Dali Mu</name>
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<name sortKey="Liu, Chunjun" sort="Liu, Chunjun" uniqKey="Liu C" first="Chunjun" last="Liu">Chunjun Liu</name>
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<name sortKey="Xin, Minqiang" sort="Xin, Minqiang" uniqKey="Xin M" first="Minqiang" last="Xin">Minqiang Xin</name>
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<title level="j">Microsurgery</title>
<idno type="eISSN">1098-2752</idno>
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<term>Groin (anatomy & histology)</term>
<term>Groin (blood supply)</term>
<term>Humans</term>
<term>Lymph Nodes (anatomy & histology)</term>
<term>Lymph Nodes (blood supply)</term>
<term>Lymphedema (surgery)</term>
<term>Surgical Flaps (blood supply)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Aine ()</term>
<term>Aine (anatomie et histologie)</term>
<term>Humains</term>
<term>Lambeaux chirurgicaux ()</term>
<term>Lymphoedème ()</term>
<term>Noeuds lymphatiques ()</term>
<term>Noeuds lymphatiques (anatomie et histologie)</term>
</keywords>
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<term>Aine</term>
<term>Noeuds lymphatiques</term>
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<term>Groin</term>
<term>Lymph Nodes</term>
</keywords>
<keywords scheme="MESH" qualifier="blood supply" xml:lang="en">
<term>Groin</term>
<term>Lymph Nodes</term>
<term>Surgical Flaps</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Humans</term>
</keywords>
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<term>Aine</term>
<term>Humains</term>
<term>Lambeaux chirurgicaux</term>
<term>Lymphoedème</term>
<term>Noeuds lymphatiques</term>
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<div type="abstract" xml:lang="en">The groin lymph node flap transfer has been used for treatment of extremity lymphedema. The design of this flap is based on the superficial circumflex iliac artery/vein (SCIA/V), or superficial inferior epigastric artery/vein (SIEA/V). The purpose of this study is to delineate the distribution of lymph nodes in the groin area and their relationship to inguinal vessels by the use of multidirector-row CT angiography (MDCTA).</div>
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<DateCreated>
<Year>2014</Year>
<Month>09</Month>
<Day>26</Day>
</DateCreated>
<DateCompleted>
<Year>2015</Year>
<Month>06</Month>
<Day>09</Day>
</DateCompleted>
<DateRevised>
<Year>2014</Year>
<Month>09</Month>
<Day>26</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1098-2752</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>34</Volume>
<Issue>7</Issue>
<PubDate>
<Year>2014</Year>
<Month>Oct</Month>
</PubDate>
</JournalIssue>
<Title>Microsurgery</Title>
<ISOAbbreviation>Microsurgery</ISOAbbreviation>
</Journal>
<ArticleTitle>The distribution of lymph nodes and their nutrient vessels in the groin region: an anatomic study for design of the lymph node flap.</ArticleTitle>
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<MedlinePgn>558-61</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1002/micr.22261</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The groin lymph node flap transfer has been used for treatment of extremity lymphedema. The design of this flap is based on the superficial circumflex iliac artery/vein (SCIA/V), or superficial inferior epigastric artery/vein (SIEA/V). The purpose of this study is to delineate the distribution of lymph nodes in the groin area and their relationship to inguinal vessels by the use of multidirector-row CT angiography (MDCTA).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">MDCTA was performed in 52 patients who underwent the deep inferior epigastric perforator (DIEP) flap or transverse rectus abdominis musculocutaneous (TRAM) flap for breast reconstruction. The MDCTA data were used to analyze the locations of lymph nodes and their adjacent vascular vessels. The groin region was divided into the superior lateral (I), superior medial (II), inferior lateral (III), and inferior medial (IV) quadrants based on the point where SCIV joined into great saphenous vein. The number of lymph nodes in each of the four quadrants was counted and the dominant vessels were observed.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The mean number of lymph nodes in quadrants I-IV were 3.3 ± 1.6, 2.0 ± 1.2, 1.5 ± 1.3, and 1.9 ± 1.4, respectively. The difference between the four quadrants was statistically significant (P < 0.001). In quadrant I, the appearance rate of SCIA was 100% while SIEA was 6.6%. In quadrant II, no SCIA was observed but the appearance rate of SIEA was 78.0%. There were neither SCIA nor SIEA observed in quadrants III and IV.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The superior lateral quadrant of the groin region was found to have the most lymph nodes. The superficial circumflex iliac vessels are the major sources for blood supply to this region. The findings from this study provide evidence for the clinical design of the lymph node flap from the groin area.</AbstractText>
<CopyrightInformation>© 2014 Wiley Periodicals, Inc.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
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<LastName>Zhang</LastName>
<ForeName>Han</ForeName>
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<Affiliation>Breast Plastic and Reconstructive Surgery Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.</Affiliation>
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<DescriptorName UI="D006119" MajorTopicYN="N">Groin</DescriptorName>
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<QualifierName UI="Q000098" MajorTopicYN="N">blood supply</QualifierName>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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