The use of supraclavicular free flap with vascularized lymph node transfer for treatment of lymphedema: A prospective study of 100 consecutive cases.
Identifieur interne : 000690 ( PubMed/Corpus ); précédent : 000689; suivant : 000691The use of supraclavicular free flap with vascularized lymph node transfer for treatment of lymphedema: A prospective study of 100 consecutive cases.
Auteurs : Andres A. Mardonado ; Ru Chen ; David W. ChangSource :
- Journal of surgical oncology [ 1096-9098 ] ; 2017.
English descriptors
- KwdEn :
- MESH :
- blood supply : Free Tissue Flaps, Lymph Nodes.
- etiology : Postoperative Complications.
- surgery : Lymphedema.
- transplantation : Free Tissue Flaps, Lymph Nodes.
- Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Prospective Studies, Young Adult.
Abstract
Vascularized lymph node transfer (VLNT) is gaining popularity for treatment of lymphedema. The purpose of this study was to evaluate the flap and the donor site morbidity of the supraclavicular (SC) VLNT.
DOI: 10.1002/jso.24351
PubMed: 27449974
Links to Exploration step
pubmed:27449974Le document en format XML
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<author><name sortKey="Mardonado, Andres A" sort="Mardonado, Andres A" uniqKey="Mardonado A" first="Andres A" last="Mardonado">Andres A. Mardonado</name>
<affiliation><nlm:affiliation>Section of Plastic and Reconstructive Surgery, Department of Surgery, University of Chicago Medical Center, Chicago, Illinois.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Chen, Ru" sort="Chen, Ru" uniqKey="Chen R" first="Ru" last="Chen">Ru Chen</name>
<affiliation><nlm:affiliation>Section of Plastic and Reconstructive Surgery, Department of Surgery, University of Chicago Medical Center, Chicago, Illinois.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Chang, David W" sort="Chang, David W" uniqKey="Chang D" first="David W" last="Chang">David W. Chang</name>
<affiliation><nlm:affiliation>Section of Plastic and Reconstructive Surgery, Department of Surgery, University of Chicago Medical Center, Chicago, Illinois.</nlm:affiliation>
</affiliation>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">The use of supraclavicular free flap with vascularized lymph node transfer for treatment of lymphedema: A prospective study of 100 consecutive cases.</title>
<author><name sortKey="Mardonado, Andres A" sort="Mardonado, Andres A" uniqKey="Mardonado A" first="Andres A" last="Mardonado">Andres A. Mardonado</name>
<affiliation><nlm:affiliation>Section of Plastic and Reconstructive Surgery, Department of Surgery, University of Chicago Medical Center, Chicago, Illinois.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Chen, Ru" sort="Chen, Ru" uniqKey="Chen R" first="Ru" last="Chen">Ru Chen</name>
<affiliation><nlm:affiliation>Section of Plastic and Reconstructive Surgery, Department of Surgery, University of Chicago Medical Center, Chicago, Illinois.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Chang, David W" sort="Chang, David W" uniqKey="Chang D" first="David W" last="Chang">David W. Chang</name>
<affiliation><nlm:affiliation>Section of Plastic and Reconstructive Surgery, Department of Surgery, University of Chicago Medical Center, Chicago, Illinois.</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>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Free Tissue Flaps (blood supply)</term>
<term>Free Tissue Flaps (transplantation)</term>
<term>Humans</term>
<term>Lymph Nodes (blood supply)</term>
<term>Lymph Nodes (transplantation)</term>
<term>Lymphedema (surgery)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Postoperative Complications (etiology)</term>
<term>Prospective Studies</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Free Tissue Flaps</term>
<term>Lymph Nodes</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Postoperative Complications</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Free Tissue Flaps</term>
<term>Lymph Nodes</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Young Adult</term>
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<front><div type="abstract" xml:lang="en">Vascularized lymph node transfer (VLNT) is gaining popularity for treatment of lymphedema. The purpose of this study was to evaluate the flap and the donor site morbidity of the supraclavicular (SC) VLNT.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27449974</PMID>
<DateCreated><Year>2016</Year>
<Month>07</Month>
<Day>24</Day>
</DateCreated>
<DateCompleted><Year>2017</Year>
<Month>02</Month>
<Day>13</Day>
</DateCompleted>
<DateRevised><Year>2017</Year>
<Month>02</Month>
<Day>13</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1096-9098</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>115</Volume>
<Issue>1</Issue>
<PubDate><Year>2017</Year>
<Month>Jan</Month>
</PubDate>
</JournalIssue>
<Title>Journal of surgical oncology</Title>
<ISOAbbreviation>J Surg Oncol</ISOAbbreviation>
</Journal>
<ArticleTitle>The use of supraclavicular free flap with vascularized lymph node transfer for treatment of lymphedema: A prospective study of 100 consecutive cases.</ArticleTitle>
<Pagination><MedlinePgn>68-71</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1002/jso.24351</ELocationID>
<Abstract><AbstractText Label="BACKGROUND AND OBJECTIVES" NlmCategory="OBJECTIVE">Vascularized lymph node transfer (VLNT) is gaining popularity for treatment of lymphedema. The purpose of this study was to evaluate the flap and the donor site morbidity of the supraclavicular (SC) VLNT.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A review of a prospective database was performed for patients who had undergone SC VLNT to treat upper or lower extremity lymphedema. Flap and donor site complications were registered for each patient. A detailed technical surgical approach is explained.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">One hundred consecutive patients with lower or upper extremity lymphedema underwent SC VLNT (84% from the right side) with a mean of 11-months follow-up (range 3-19 months). There were no flap loss but three flaps (3%) required re-exploration due to venous congestion of the skin paddle. Two patients had local infection and three patients developed chyle leak (3%) at the donor site but resolved spontaneously. No donor site secondary lymphedema was noted.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This is the largest prospective series of SC free flap VLNT for treatment of lymphedema. Low flap and donor site morbidity makes this flap an appealing source of lymph node transfer for lymphedema treatment. J. Surg. Oncol. 2017;115:68-71. © 2016 Wiley Periodicals, Inc.</AbstractText>
<CopyrightInformation>© 2016 Wiley Periodicals, Inc.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mardonado</LastName>
<ForeName>Andres A</ForeName>
<Initials>AA</Initials>
<AffiliationInfo><Affiliation>Section of Plastic and Reconstructive Surgery, Department of Surgery, University of Chicago Medical Center, Chicago, Illinois.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chen</LastName>
<ForeName>Ru</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Section of Plastic and Reconstructive Surgery, Department of Surgery, University of Chicago Medical Center, Chicago, Illinois.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chang</LastName>
<ForeName>David W</ForeName>
<Initials>DW</Initials>
<AffiliationInfo><Affiliation>Section of Plastic and Reconstructive Surgery, Department of Surgery, University of Chicago Medical Center, Chicago, Illinois.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2016</Year>
<Month>07</Month>
<Day>22</Day>
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</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="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D058752" MajorTopicYN="N">Free Tissue Flaps</DescriptorName>
<QualifierName UI="Q000098" MajorTopicYN="N">blood supply</QualifierName>
<QualifierName UI="Q000637" MajorTopicYN="Y">transplantation</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008198" MajorTopicYN="N">Lymph Nodes</DescriptorName>
<QualifierName UI="Q000098" MajorTopicYN="N">blood supply</QualifierName>
<QualifierName UI="Q000637" MajorTopicYN="Y">transplantation</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">free flap</Keyword>
<Keyword MajorTopicYN="N">lymph node transfer</Keyword>
<Keyword MajorTopicYN="N">lymphedema</Keyword>
<Keyword MajorTopicYN="N">supraclavicular flap</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year>
<Month>06</Month>
<Day>06</Day>
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