The vascularized groin lymph node flap (VGLN): Anatomical study and flap planning using multi-detector CT scanner. The golden triangle for flap harvesting.
Identifieur interne : 000182 ( PubMed/Corpus ); précédent : 000181; suivant : 000183The vascularized groin lymph node flap (VGLN): Anatomical study and flap planning using multi-detector CT scanner. The golden triangle for flap harvesting.
Auteurs : Assaf A. Zeltzer ; Alexander Anzarut ; Delphine Braeckmans ; Katrin Seidenstuecker ; Benoit Hendrickx ; Eddy Van Hedent ; Moustapha HamdiSource :
- Journal of surgical oncology [ 1096-9098 ] ; 2017.
English descriptors
- KwdEn :
- Breast Neoplasms (complications), Breast Neoplasms (surgery), Cohort Studies, Female, Groin, Humans, Lymph Nodes (diagnostic imaging), Lymphedema (diagnostic imaging), Lymphedema (etiology), Lymphedema (surgery), Mastectomy (adverse effects), Middle Aged, Multidetector Computed Tomography, Surgical Flaps (blood supply), Tissue and Organ Harvesting.
- MESH :
- adverse effects : Mastectomy.
- blood supply : Surgical Flaps.
- complications : Breast Neoplasms.
- diagnostic imaging : Lymph Nodes, Lymphedema.
- etiology : Lymphedema.
- surgery : Breast Neoplasms, Lymphedema.
- Cohort Studies, Female, Groin, Humans, Middle Aged, Multidetector Computed Tomography, Tissue and Organ Harvesting.
Abstract
A growing number of surgeons perform lymph node transfers for the treatment of lymphedema. When harvesting a vascularized lymph node groin flap (VGLNF) one of the major concerns is the potential risk of iatrogenic lymphedema of the donor-site. This article helps understanding of the lymph node distribution of the groin in order to minimize this risk.
DOI: 10.1002/jso.24682
PubMed: 28543027
Links to Exploration step
pubmed:28543027Le document en format XML
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Zeltzer</name><affiliation><nlm:affiliation>Universitair Ziekenhuis Brussel, Brussels, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Anzarut, Alexander" sort="Anzarut, Alexander" uniqKey="Anzarut A" first="Alexander" last="Anzarut">Alexander Anzarut</name><affiliation><nlm:affiliation>Universitair Ziekenhuis Brussel, Brussels, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Braeckmans, Delphine" sort="Braeckmans, Delphine" uniqKey="Braeckmans D" first="Delphine" last="Braeckmans">Delphine Braeckmans</name><affiliation><nlm:affiliation>Universitair Ziekenhuis Brussel, Brussels, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Seidenstuecker, Katrin" sort="Seidenstuecker, Katrin" uniqKey="Seidenstuecker K" first="Katrin" last="Seidenstuecker">Katrin Seidenstuecker</name><affiliation><nlm:affiliation>Universitair Ziekenhuis Brussel, Brussels, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Hendrickx, Benoit" sort="Hendrickx, Benoit" uniqKey="Hendrickx B" first="Benoit" last="Hendrickx">Benoit Hendrickx</name><affiliation><nlm:affiliation>Universitair Ziekenhuis Brussel, Brussels, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Van Hedent, Eddy" sort="Van Hedent, Eddy" uniqKey="Van Hedent E" first="Eddy" last="Van Hedent">Eddy Van Hedent</name><affiliation><nlm:affiliation>ASZ Hopsital Aalst, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Hamdi, Moustapha" sort="Hamdi, Moustapha" uniqKey="Hamdi M" first="Moustapha" last="Hamdi">Moustapha Hamdi</name><affiliation><nlm:affiliation>Universitair Ziekenhuis Brussel, Brussels, Belgium.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28543027</idno><idno type="pmid">28543027</idno><idno type="doi">10.1002/jso.24682</idno><idno type="wicri:Area/PubMed/Corpus">000182</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000182</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The vascularized groin lymph node flap (VGLN): Anatomical study and flap planning using multi-detector CT scanner. The golden triangle for flap harvesting.</title><author><name sortKey="Zeltzer, Assaf A" sort="Zeltzer, Assaf A" uniqKey="Zeltzer A" first="Assaf A" last="Zeltzer">Assaf A. Zeltzer</name><affiliation><nlm:affiliation>Universitair Ziekenhuis Brussel, Brussels, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Anzarut, Alexander" sort="Anzarut, Alexander" uniqKey="Anzarut A" first="Alexander" last="Anzarut">Alexander Anzarut</name><affiliation><nlm:affiliation>Universitair Ziekenhuis Brussel, Brussels, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Braeckmans, Delphine" sort="Braeckmans, Delphine" uniqKey="Braeckmans D" first="Delphine" last="Braeckmans">Delphine Braeckmans</name><affiliation><nlm:affiliation>Universitair Ziekenhuis Brussel, Brussels, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Seidenstuecker, Katrin" sort="Seidenstuecker, Katrin" uniqKey="Seidenstuecker K" first="Katrin" last="Seidenstuecker">Katrin Seidenstuecker</name><affiliation><nlm:affiliation>Universitair Ziekenhuis Brussel, Brussels, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Hendrickx, Benoit" sort="Hendrickx, Benoit" uniqKey="Hendrickx B" first="Benoit" last="Hendrickx">Benoit Hendrickx</name><affiliation><nlm:affiliation>Universitair Ziekenhuis Brussel, Brussels, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Van Hedent, Eddy" sort="Van Hedent, Eddy" uniqKey="Van Hedent E" first="Eddy" last="Van Hedent">Eddy Van Hedent</name><affiliation><nlm:affiliation>ASZ Hopsital Aalst, Belgium.</nlm:affiliation></affiliation></author><author><name sortKey="Hamdi, Moustapha" sort="Hamdi, Moustapha" uniqKey="Hamdi M" first="Moustapha" last="Hamdi">Moustapha Hamdi</name><affiliation><nlm:affiliation>Universitair Ziekenhuis Brussel, Brussels, Belgium.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Journal of surgical oncology</title><idno type="eISSN">1096-9098</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Breast Neoplasms (complications)</term><term>Breast Neoplasms (surgery)</term><term>Cohort Studies</term><term>Female</term><term>Groin</term><term>Humans</term><term>Lymph Nodes (diagnostic imaging)</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (etiology)</term><term>Lymphedema (surgery)</term><term>Mastectomy (adverse effects)</term><term>Middle Aged</term><term>Multidetector Computed Tomography</term><term>Surgical Flaps (blood supply)</term><term>Tissue and Organ Harvesting</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Mastectomy</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Surgical Flaps</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lymph Nodes</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Cohort Studies</term><term>Female</term><term>Groin</term><term>Humans</term><term>Middle Aged</term><term>Multidetector Computed Tomography</term><term>Tissue and Organ Harvesting</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A growing number of surgeons perform lymph node transfers for the treatment of lymphedema. When harvesting a vascularized lymph node groin flap (VGLNF) one of the major concerns is the potential risk of iatrogenic lymphedema of the donor-site. This article helps understanding of the lymph node distribution of the groin in order to minimize this risk.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28543027</PMID><DateCreated><Year>2017</Year><Month>05</Month><Day>25</Day></DateCreated><DateCompleted><Year>2017</Year><Month>09</Month><Day>08</Day></DateCompleted><DateRevised><Year>2017</Year><Month>09</Month><Day>08</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1096-9098</ISSN><JournalIssue CitedMedium="Internet"><Volume>116</Volume><Issue>3</Issue><PubDate><Year>2017</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Journal of surgical oncology</Title><ISOAbbreviation>J Surg Oncol</ISOAbbreviation></Journal><ArticleTitle>The vascularized groin lymph node flap (VGLN): Anatomical study and flap planning using multi-detector CT scanner. The golden triangle for flap harvesting.</ArticleTitle><Pagination><MedlinePgn>378-383</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/jso.24682</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">A growing number of surgeons perform lymph node transfers for the treatment of lymphedema. When harvesting a vascularized lymph node groin flap (VGLNF) one of the major concerns is the potential risk of iatrogenic lymphedema of the donor-site. This article helps understanding of the lymph node distribution of the groin in order to minimize this risk.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Fifty consecutive patients undergoing abdominal mapping by multi-detector CT scanner were included and 100 groins analyzed. The groin was divided in three zones (of which zone II is the safe zone) and lymph nodes were counted and mapped with their distances to anatomic landmarks. Further node units were plotted and counted.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The average age was 48 years. A mean number of nodes of 6.5/groin was found. In zone II, which is our zone of interest a mean of 3.1 nodes were counted with a mean size of 7.8 mm. In three patients no nodes were found in zone II. In five patients nodes were seen in zone II but were not sufficient in size or number to be considered a lymph node unit. On average the lymph node unit in zone II was found to be 48.3 mm from the pubic tubercle when projected on a line from the pubic tubercle to the anterior superior iliac spine, 16.0 mm caudal to this line, and 20.4 mm above the groin crease. On average the lymph node unit was a mean of 41.7 mm lateral to the SCIV-SIEV confluence.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This study provides increased understanding of the lymphatic anatomy in zone II of the groin flap and suggests a refined technique for designing the VGLNF. As with any flap there is a degree of individual patient variability. However, having information on the most common anatomy and flap design is of great value.</AbstractText><CopyrightInformation>© 2017 Wiley Periodicals, Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Zeltzer</LastName><ForeName>Assaf A</ForeName><Initials>AA</Initials><Identifier Source="ORCID">http://orcid.org/0000-0002-3465-0752</Identifier><AffiliationInfo><Affiliation>Universitair Ziekenhuis Brussel, Brussels, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Anzarut</LastName><ForeName>Alexander</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Universitair Ziekenhuis Brussel, Brussels, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Braeckmans</LastName><ForeName>Delphine</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Universitair Ziekenhuis Brussel, Brussels, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Seidenstuecker</LastName><ForeName>Katrin</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Universitair Ziekenhuis Brussel, Brussels, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hendrickx</LastName><ForeName>Benoit</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Universitair Ziekenhuis Brussel, Brussels, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Van Hedent</LastName><ForeName>Eddy</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>ASZ Hopsital Aalst, Belgium.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hamdi</LastName><ForeName>Moustapha</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Universitair Ziekenhuis Brussel, Brussels, Belgium.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>05</Month><Day>25</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Surg Oncol</MedlineTA><NlmUniqueID>0222643</NlmUniqueID><ISSNLinking>0022-4790</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</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="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008408" MajorTopicYN="N">Mastectomy</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D061330" MajorTopicYN="Y">Multidetector Computed Tomography</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013524" MajorTopicYN="N">Surgical Flaps</DescriptorName><QualifierName UI="Q000098" MajorTopicYN="Y">blood supply</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D020858" MajorTopicYN="Y">Tissue and Organ Harvesting</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">free flap</Keyword><Keyword MajorTopicYN="N">groin</Keyword><Keyword MajorTopicYN="N">lymph node flap</Keyword><Keyword MajorTopicYN="N">lymphedema</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>12</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>04</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>5</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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