Vascularized Jejunal Mesenteric Lymph Node Transfer: A Novel Surgical Treatment for Extremity Lymphedema.
Identifieur interne : 000042 ( PubMed/Corpus ); précédent : 000041; suivant : 000043Vascularized Jejunal Mesenteric Lymph Node Transfer: A Novel Surgical Treatment for Extremity Lymphedema.
Auteurs : Michelle Coriddi ; Corrine Wee ; Joseph Meyerson ; Daniel Eiferman ; Roman SkorackiSource :
- Journal of the American College of Surgeons [ 1879-1190 ] ; 2017.
Abstract
Vascularized lymph node transfer (VLNT) is a surgical treatment for lymphedema. Multiple donor sites have been described and each has significant disadvantages. We propose the jejunal mesentery as a novel donor site for VLNT.
DOI: 10.1016/j.jamcollsurg.2017.08.001
PubMed: 28818700
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pubmed:28818700Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Vascularized Jejunal Mesenteric Lymph Node Transfer: A Novel Surgical Treatment for Extremity Lymphedema.</title>
<author><name sortKey="Coriddi, Michelle" sort="Coriddi, Michelle" uniqKey="Coriddi M" first="Michelle" last="Coriddi">Michelle Coriddi</name>
<affiliation><nlm:affiliation>Department of Plastic Surgery, The Ohio State University, Columbus, OH.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Wee, Corrine" sort="Wee, Corrine" uniqKey="Wee C" first="Corrine" last="Wee">Corrine Wee</name>
<affiliation><nlm:affiliation>Department of Plastic Surgery, The Ohio State University, Columbus, OH.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Meyerson, Joseph" sort="Meyerson, Joseph" uniqKey="Meyerson J" first="Joseph" last="Meyerson">Joseph Meyerson</name>
<affiliation><nlm:affiliation>Department of Plastic Surgery, The Ohio State University, Columbus, OH.</nlm:affiliation>
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<author><name sortKey="Eiferman, Daniel" sort="Eiferman, Daniel" uniqKey="Eiferman D" first="Daniel" last="Eiferman">Daniel Eiferman</name>
<affiliation><nlm:affiliation>Department of General Surgery, The Ohio State University, Columbus, OH.</nlm:affiliation>
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<author><name sortKey="Skoracki, Roman" sort="Skoracki, Roman" uniqKey="Skoracki R" first="Roman" last="Skoracki">Roman Skoracki</name>
<affiliation><nlm:affiliation>Department of Plastic Surgery, The Ohio State University, Columbus, OH. Electronic address: roman.skoracki@osumc.edu.</nlm:affiliation>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Vascularized Jejunal Mesenteric Lymph Node Transfer: A Novel Surgical Treatment for Extremity Lymphedema.</title>
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<author><name sortKey="Wee, Corrine" sort="Wee, Corrine" uniqKey="Wee C" first="Corrine" last="Wee">Corrine Wee</name>
<affiliation><nlm:affiliation>Department of Plastic Surgery, The Ohio State University, Columbus, OH.</nlm:affiliation>
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<author><name sortKey="Meyerson, Joseph" sort="Meyerson, Joseph" uniqKey="Meyerson J" first="Joseph" last="Meyerson">Joseph Meyerson</name>
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<author><name sortKey="Eiferman, Daniel" sort="Eiferman, Daniel" uniqKey="Eiferman D" first="Daniel" last="Eiferman">Daniel Eiferman</name>
<affiliation><nlm:affiliation>Department of General Surgery, The Ohio State University, Columbus, OH.</nlm:affiliation>
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<author><name sortKey="Skoracki, Roman" sort="Skoracki, Roman" uniqKey="Skoracki R" first="Roman" last="Skoracki">Roman Skoracki</name>
<affiliation><nlm:affiliation>Department of Plastic Surgery, The Ohio State University, Columbus, OH. Electronic address: roman.skoracki@osumc.edu.</nlm:affiliation>
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<series><title level="j">Journal of the American College of Surgeons</title>
<idno type="eISSN">1879-1190</idno>
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<front><div type="abstract" xml:lang="en">Vascularized lymph node transfer (VLNT) is a surgical treatment for lymphedema. Multiple donor sites have been described and each has significant disadvantages. We propose the jejunal mesentery as a novel donor site for VLNT.</div>
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<DateCreated><Year>2017</Year>
<Month>08</Month>
<Day>18</Day>
</DateCreated>
<DateRevised><Year>2017</Year>
<Month>09</Month>
<Day>13</Day>
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<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1879-1190</ISSN>
<JournalIssue CitedMedium="Internet"><PubDate><Year>2017</Year>
<Month>Aug</Month>
<Day>14</Day>
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</JournalIssue>
<Title>Journal of the American College of Surgeons</Title>
<ISOAbbreviation>J. Am. Coll. Surg.</ISOAbbreviation>
</Journal>
<ArticleTitle>Vascularized Jejunal Mesenteric Lymph Node Transfer: A Novel Surgical Treatment for Extremity Lymphedema.</ArticleTitle>
<ELocationID EIdType="pii" ValidYN="Y">S1072-7515(17)31751-9</ELocationID>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Vascularized lymph node transfer (VLNT) is a surgical treatment for lymphedema. Multiple donor sites have been described and each has significant disadvantages. We propose the jejunal mesentery as a novel donor site for VLNT.</AbstractText>
<AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">We performed a cadaveric anatomic study analyzing jejunal lymph nodes (LNs) and describe outcomes from the first patients who received jejunal mesenteric VLNT for treatment of lymphedema.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In 5 cadavers, the average numbers of total LNs and peripheral LNs were identified in the proximal, middle, and distal segments of jejunum. Totals counted were 19.2/13.8/9.6, (SD 7.0/4.4/1.1), respectively; of those, 10.4/6.8/3.4 (SD 3.6/2.3/2.6), respectively, were in the periphery. There were significantly more total and peripheral lymph nodes in the proximal segment compared with the middle and distal segments (p = 0.027 and p = 0.008, respectively). The jejunal VLNT was used in 15 patients for treatment of upper (n = 8) or lower (n = 7) extremity lymphedema. Average follow-up was 9.1 (±6.4) months (range 1 to 19 months). Of 14 patients with viable flaps (93.3%), 12 had subjective improvement (87.5%). Ten patients had preoperative measurements, and of those, 7 had objective improvement in lymphedema (70%).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The jejunal mesenteric VLNT is an excellent option for lymphedema treatment because there is no risk of donor site lymphedema or nerve damage, and the scar is easily concealed. Harvest from the periphery of the proximal jejunum is optimal. Improvement from lymphedema can be expected in a majority of patients.</AbstractText>
<CopyrightInformation>Copyright © 2017 American College of Surgeons. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Coriddi</LastName>
<ForeName>Michelle</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Plastic Surgery, The Ohio State University, Columbus, OH.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Wee</LastName>
<ForeName>Corrine</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Department of Plastic Surgery, The Ohio State University, Columbus, OH.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Meyerson</LastName>
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<AffiliationInfo><Affiliation>Department of Plastic Surgery, The Ohio State University, Columbus, OH.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Eiferman</LastName>
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<AffiliationInfo><Affiliation>Department of General Surgery, The Ohio State University, Columbus, OH.</Affiliation>
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<AffiliationInfo><Affiliation>Department of Plastic Surgery, The Ohio State University, Columbus, OH. Electronic address: roman.skoracki@osumc.edu.</Affiliation>
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<Language>eng</Language>
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<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>J Am Coll Surg</MedlineTA>
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<PubMedPubDate PubStatus="revised"><Year>2017</Year>
<Month>07</Month>
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