Donor-site lymphatic function after microvascular lymph node transfer.
Identifieur interne : 002086 ( PubMed/Checkpoint ); précédent : 002085; suivant : 002087Donor-site lymphatic function after microvascular lymph node transfer.
Auteurs : Tiina P. Viitanen [Finlande] ; Maija T. M Ki ; Marko P. Sepp Nen ; Erkki A. Suominen ; Anne M. SaaristoSource :
- Plastic and reconstructive surgery [ 1529-4242 ] ; 2012.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Aine, Aisselle, Complications postopératoires (), Complications postopératoires (imagerie diagnostique), Femelle, Humains, Lambeaux tissulaires libres, Lymphoedème (), Lymphoedème (imagerie diagnostique), Lymphoedème (étiologie), Lymphoscintigraphie, Mammoplastie, Mastectomie, Microchirurgie, Noeuds lymphatiques (imagerie diagnostique), Noeuds lymphatiques (physiopathologie), Noeuds lymphatiques (transplantation), Résultat thérapeutique, Site donneur de greffe (imagerie diagnostique), Site donneur de greffe (physiopathologie), Sujet âgé, Tumeurs du sein (), Vaisseaux lymphatiques (imagerie diagnostique), Vaisseaux lymphatiques (physiopathologie), Études de suivi, Études rétrospectives.
- MESH :
- imagerie diagnostique : Complications postopératoires, Lymphoedème, Noeuds lymphatiques, Site donneur de greffe, Vaisseaux lymphatiques.
- physiopathologie : Noeuds lymphatiques, Site donneur de greffe, Vaisseaux lymphatiques.
- étiologie : Lymphoedème, Noeuds lymphatiques.
- Adulte, Adulte d'âge moyen, Aine, Aisselle, Complications postopératoires, Femelle, Humains, Lambeaux tissulaires libres, Lymphoedème, Lymphoscintigraphie, Mammoplastie, Mastectomie, Microchirurgie, Résultat thérapeutique, Sujet âgé, Tumeurs du sein, Études de suivi, Études rétrospectives.
English descriptors
- KwdEn :
- Adult, Aged, Axilla, Breast Neoplasms (surgery), Female, Follow-Up Studies, Free Tissue Flaps, Groin, Humans, Lymph Nodes (diagnostic imaging), Lymph Nodes (physiopathology), Lymph Nodes (transplantation), Lymphatic Vessels (diagnostic imaging), Lymphatic Vessels (physiopathology), Lymphedema (diagnostic imaging), Lymphedema (etiology), Lymphedema (surgery), Lymphoscintigraphy, Mammaplasty, Mastectomy, Microsurgery, Middle Aged, Postoperative Complications (diagnostic imaging), Postoperative Complications (surgery), Retrospective Studies, Transplant Donor Site (diagnostic imaging), Transplant Donor Site (physiopathology), Treatment Outcome.
- MESH :
- diagnostic imaging : Lymph Nodes, Lymphatic Vessels, Lymphedema, Postoperative Complications, Transplant Donor Site.
- etiology : Lymphedema.
- physiopathology : Lymph Nodes, Lymphatic Vessels, Transplant Donor Site.
- surgery : Breast Neoplasms, Lymphedema, Postoperative Complications.
- transplantation : Lymph Nodes.
- Adult, Aged, Axilla, Female, Follow-Up Studies, Free Tissue Flaps, Groin, Humans, Lymphoscintigraphy, Mammaplasty, Mastectomy, Microsurgery, Middle Aged, Retrospective Studies, Treatment Outcome.
Abstract
Lymphedema remains a challenging clinical problem that often lacks curative treatment options. Recent reports have shown that microvascular lymph node transfer from the groin area into axillas of lymphedematous patients may improve lymphatic drainage, but the effect on donor-site lymphatic flow has not been studied. These patients may be more prone to develop lymphedema at donor sites as well; therefore, the authors' aim was to evaluate postoperative donor-site lymphatic function.
DOI: 10.1097/PRS.0b013e31826d1682
PubMed: 22878480
Affiliations:
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M Ki</name></author><author><name sortKey="Sepp Nen, Marko P" sort="Sepp Nen, Marko P" uniqKey="Sepp Nen M" first="Marko P" last="Sepp Nen">Marko P. Sepp Nen</name></author><author><name sortKey="Suominen, Erkki A" sort="Suominen, Erkki A" uniqKey="Suominen E" first="Erkki A" last="Suominen">Erkki A. Suominen</name></author><author><name sortKey="Saaristo, Anne M" sort="Saaristo, Anne M" uniqKey="Saaristo A" first="Anne M" last="Saaristo">Anne M. 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Suominen</name></author><author><name sortKey="Saaristo, Anne M" sort="Saaristo, Anne M" uniqKey="Saaristo A" first="Anne M" last="Saaristo">Anne M. Saaristo</name></author></analytic><series><title level="j">Plastic and reconstructive surgery</title><idno type="eISSN">1529-4242</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Axilla</term><term>Breast Neoplasms (surgery)</term><term>Female</term><term>Follow-Up Studies</term><term>Free Tissue Flaps</term><term>Groin</term><term>Humans</term><term>Lymph Nodes (diagnostic imaging)</term><term>Lymph Nodes (physiopathology)</term><term>Lymph Nodes (transplantation)</term><term>Lymphatic Vessels (diagnostic imaging)</term><term>Lymphatic Vessels (physiopathology)</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (etiology)</term><term>Lymphedema (surgery)</term><term>Lymphoscintigraphy</term><term>Mammaplasty</term><term>Mastectomy</term><term>Microsurgery</term><term>Middle Aged</term><term>Postoperative Complications (diagnostic imaging)</term><term>Postoperative Complications (surgery)</term><term>Retrospective Studies</term><term>Transplant Donor Site (diagnostic imaging)</term><term>Transplant Donor Site (physiopathology)</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aine</term><term>Aisselle</term><term>Complications postopératoires ()</term><term>Complications postopératoires (imagerie diagnostique)</term><term>Femelle</term><term>Humains</term><term>Lambeaux tissulaires libres</term><term>Lymphoedème ()</term><term>Lymphoedème (imagerie diagnostique)</term><term>Lymphoedème (étiologie)</term><term>Lymphoscintigraphie</term><term>Mammoplastie</term><term>Mastectomie</term><term>Microchirurgie</term><term>Noeuds lymphatiques (imagerie diagnostique)</term><term>Noeuds lymphatiques (physiopathologie)</term><term>Noeuds lymphatiques (transplantation)</term><term>Résultat thérapeutique</term><term>Site donneur de greffe (imagerie diagnostique)</term><term>Site donneur de greffe (physiopathologie)</term><term>Sujet âgé</term><term>Tumeurs du sein ()</term><term>Vaisseaux lymphatiques (imagerie diagnostique)</term><term>Vaisseaux lymphatiques (physiopathologie)</term><term>Études de suivi</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lymph Nodes</term><term>Lymphatic Vessels</term><term>Lymphedema</term><term>Postoperative Complications</term><term>Transplant Donor Site</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Complications postopératoires</term><term>Lymphoedème</term><term>Noeuds lymphatiques</term><term>Site donneur de greffe</term><term>Vaisseaux lymphatiques</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Noeuds lymphatiques</term><term>Site donneur de greffe</term><term>Vaisseaux lymphatiques</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Lymph Nodes</term><term>Lymphatic Vessels</term><term>Transplant Donor Site</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Lymph Nodes</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term><term>Noeuds lymphatiques</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Axilla</term><term>Female</term><term>Follow-Up Studies</term><term>Free Tissue Flaps</term><term>Groin</term><term>Humans</term><term>Lymphoscintigraphy</term><term>Mammaplasty</term><term>Mastectomy</term><term>Microsurgery</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aine</term><term>Aisselle</term><term>Complications postopératoires</term><term>Femelle</term><term>Humains</term><term>Lambeaux tissulaires libres</term><term>Lymphoedème</term><term>Lymphoscintigraphie</term><term>Mammoplastie</term><term>Mastectomie</term><term>Microchirurgie</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Tumeurs du sein</term><term>Études de suivi</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lymphedema remains a challenging clinical problem that often lacks curative treatment options. Recent reports have shown that microvascular lymph node transfer from the groin area into axillas of lymphedematous patients may improve lymphatic drainage, but the effect on donor-site lymphatic flow has not been studied. These patients may be more prone to develop lymphedema at donor sites as well; therefore, the authors' aim was to evaluate postoperative donor-site lymphatic function.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22878480</PMID><DateCreated><Year>2012</Year><Month>11</Month><Day>30</Day></DateCreated><DateCompleted><Year>2013</Year><Month>01</Month><Day>28</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>25</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1529-4242</ISSN><JournalIssue CitedMedium="Internet"><Volume>130</Volume><Issue>6</Issue><PubDate><Year>2012</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Plastic and reconstructive surgery</Title><ISOAbbreviation>Plast. Reconstr. Surg.</ISOAbbreviation></Journal><ArticleTitle>Donor-site lymphatic function after microvascular lymph node transfer.</ArticleTitle><Pagination><MedlinePgn>1246-53</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/PRS.0b013e31826d1682</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Lymphedema remains a challenging clinical problem that often lacks curative treatment options. Recent reports have shown that microvascular lymph node transfer from the groin area into axillas of lymphedematous patients may improve lymphatic drainage, but the effect on donor-site lymphatic flow has not been studied. These patients may be more prone to develop lymphedema at donor sites as well; therefore, the authors' aim was to evaluate postoperative donor-site lymphatic function.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">The authors performed lymphatic groin flap transfer to the axilla in 13 lymphedema patients. In 10 patients, the lymph node transfer was performed simultaneously with lower abdominal breast reconstruction. Postoperative lymphatic vessel function of the donor site was evaluated by lymphoscintigraphy and limb circumference measurements. For semiquantitative evaluation of lymphatic drainage, a numerical transport index was used.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">In six of 10 patients, postoperative lymphoscintigraphy revealed minor changes in lymphatic flow of the donor-site limbs. The transport index was considered slightly abnormal in two of 10 patients. None of the 13 patients had changes in lower limb circumferences during the 8- to 56-month follow-up.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Lymph node transfer can be easily combined with lower abdominal breast reconstruction, and the popularity of this technique is increasing rapidly. Even though none of our patients had developed symptoms of postoperative lymphedema, the results of the first lymphoscintigrams show that it is important to reduce the surgical trauma to the lymphatic flap donor site.</AbstractText><AbstractText Label="CLINICAL QUESTION/LEVEL OF EVIDENCE" NlmCategory="METHODS">Therapeutic, IV.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Viitanen</LastName><ForeName>Tiina P</ForeName><Initials>TP</Initials><AffiliationInfo><Affiliation>Department of Clinical Physiology and Nuclear Medicine, Turku University Hospital, and Turku PET Center, Turku, Finland</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mäki</LastName><ForeName>Maija T</ForeName><Initials>MT</Initials></Author><Author ValidYN="Y"><LastName>Seppänen</LastName><ForeName>Marko P</ForeName><Initials>MP</Initials></Author><Author ValidYN="Y"><LastName>Suominen</LastName><ForeName>Erkki A</ForeName><Initials>EA</Initials></Author><Author ValidYN="Y"><LastName>Saaristo</LastName><ForeName>Anne M</ForeName><Initials>AM</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D023362">Evaluation Studies</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Plast Reconstr Surg</MedlineTA><NlmUniqueID>1306050</NlmUniqueID><ISSNLinking>0032-1052</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Plast Reconstr Surg. 2013 Mar;131(3):444e</RefSource><PMID Version="1">23446601</PMID></CommentsCorrections><CommentsCorrections RefType="CommentIn"><RefSource>Plast Reconstr Surg. 2013 Mar;131(3):443e-4e</RefSource><PMID Version="1">23446600</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001365" MajorTopicYN="N">Axilla</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058752" MajorTopicYN="Y">Free Tissue Flaps</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="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000637" MajorTopicYN="Y">transplantation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D042601" MajorTopicYN="N">Lymphatic Vessels</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D061305" MajorTopicYN="N">Lymphoscintigraphy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016462" MajorTopicYN="N">Mammaplasty</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008408" MajorTopicYN="N">Mastectomy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008866" MajorTopicYN="Y">Microsurgery</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D060053" MajorTopicYN="N">Transplant Donor Site</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>8</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>8</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>1</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">22878480</ArticleId><ArticleId IdType="doi">10.1097/PRS.0b013e31826d1682</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Finlande</li></country><region><li>Finlande occidentale</li></region><settlement><li>Turku</li></settlement></list><tree><noCountry><name sortKey="M Ki, Maija T" sort="M Ki, Maija T" uniqKey="M Ki M" first="Maija T" last="M Ki">Maija T. M Ki</name><name sortKey="Saaristo, Anne M" sort="Saaristo, Anne M" uniqKey="Saaristo A" first="Anne M" last="Saaristo">Anne M. Saaristo</name><name sortKey="Sepp Nen, Marko P" sort="Sepp Nen, Marko P" uniqKey="Sepp Nen M" first="Marko P" last="Sepp Nen">Marko P. Sepp Nen</name><name sortKey="Suominen, Erkki A" sort="Suominen, Erkki A" uniqKey="Suominen E" first="Erkki A" last="Suominen">Erkki A. Suominen</name></noCountry><country name="Finlande"><region name="Finlande occidentale"><name sortKey="Viitanen, Tiina P" sort="Viitanen, Tiina P" uniqKey="Viitanen T" first="Tiina P" last="Viitanen">Tiina P. Viitanen</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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