Long-term outcomes of the minimally invasive free vascularized omental lymphatic flap for the treatment of lymphedema.
Identifieur interne : 000698 ( PubMed/Corpus ); précédent : 000697; suivant : 000699Long-term outcomes of the minimally invasive free vascularized omental lymphatic flap for the treatment of lymphedema.
Auteurs : Alexander T. Nguyen ; Hiroo Suami ; Matthew M. Hanasono ; Veda A. Womack ; Franklin C. Wong ; Edward I. ChangSource :
- Journal of surgical oncology [ 1096-9098 ] ; 2017.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Female, Free Tissue Flaps (blood supply), Free Tissue Flaps (transplantation), Humans, Lymph Nodes (blood supply), Lymph Nodes (transplantation), Lymphedema (surgery), Male, Middle Aged, Minimally Invasive Surgical Procedures, Omentum (blood supply), Omentum (transplantation), Treatment Outcome, Young Adult.
- MESH :
- blood supply : Free Tissue Flaps, Lymph Nodes, Omentum.
- surgery : Lymphedema.
- transplantation : Free Tissue Flaps, Lymph Nodes, Omentum.
- Adolescent, Adult, Aged, Female, Humans, Male, Middle Aged, Minimally Invasive Surgical Procedures, Treatment Outcome, Young Adult.
Abstract
The free vascularized omental lymphatic flap provides an option without the risk for iatrogenic donor site lymphedema that plagues alternative lymph node transfer donor sites. The omental flap has been associated with significant morbidity in the past; however, with modern techniques and advanced in technology, a minimally invasive approach to flap harvest is feasible. We present the long-term outcomes of the minimally invasive free vascularized omental lymphatic flap for the treatment of lymphedema.
DOI: 10.1002/jso.24379
PubMed: 27439587
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Long-term outcomes of the minimally invasive free vascularized omental lymphatic flap for the treatment of lymphedema.</title><author><name sortKey="Nguyen, Alexander T" sort="Nguyen, Alexander T" uniqKey="Nguyen A" first="Alexander T" last="Nguyen">Alexander T. Nguyen</name><affiliation><nlm:affiliation>Integrative Lymphedema Institute, Pine Creek Medical Center, Dallas, Texas.</nlm:affiliation></affiliation></author><author><name sortKey="Suami, Hiroo" sort="Suami, Hiroo" uniqKey="Suami H" first="Hiroo" last="Suami">Hiroo Suami</name><affiliation><nlm:affiliation>Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Hanasono, Matthew M" sort="Hanasono, Matthew M" uniqKey="Hanasono M" first="Matthew M" last="Hanasono">Matthew M. Hanasono</name><affiliation><nlm:affiliation>Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas.</nlm:affiliation></affiliation></author><author><name sortKey="Womack, Veda A" sort="Womack, Veda A" uniqKey="Womack V" first="Veda A" last="Womack">Veda A. Womack</name><affiliation><nlm:affiliation>Integrative Lymphedema Institute, Pine Creek Medical Center, Dallas, Texas.</nlm:affiliation></affiliation></author><author><name sortKey="Wong, Franklin C" sort="Wong, Franklin C" uniqKey="Wong F" first="Franklin C" last="Wong">Franklin C. Wong</name><affiliation><nlm:affiliation>Department of Nuclear Medicine, University of Texas MD Anderson Cancer Center, Houston, Texas.</nlm:affiliation></affiliation></author><author><name sortKey="Chang, Edward I" sort="Chang, Edward I" uniqKey="Chang E" first="Edward I" last="Chang">Edward I. Chang</name><affiliation><nlm:affiliation>Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:27439587</idno><idno type="pmid">27439587</idno><idno type="doi">10.1002/jso.24379</idno><idno type="wicri:Area/PubMed/Corpus">000698</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000698</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Long-term outcomes of the minimally invasive free vascularized omental lymphatic flap for the treatment of lymphedema.</title><author><name sortKey="Nguyen, Alexander T" sort="Nguyen, Alexander T" uniqKey="Nguyen A" first="Alexander T" last="Nguyen">Alexander T. Nguyen</name><affiliation><nlm:affiliation>Integrative Lymphedema Institute, Pine Creek Medical Center, Dallas, Texas.</nlm:affiliation></affiliation></author><author><name sortKey="Suami, Hiroo" sort="Suami, Hiroo" uniqKey="Suami H" first="Hiroo" last="Suami">Hiroo Suami</name><affiliation><nlm:affiliation>Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Hanasono, Matthew M" sort="Hanasono, Matthew M" uniqKey="Hanasono M" first="Matthew M" last="Hanasono">Matthew M. Hanasono</name><affiliation><nlm:affiliation>Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas.</nlm:affiliation></affiliation></author><author><name sortKey="Womack, Veda A" sort="Womack, Veda A" uniqKey="Womack V" first="Veda A" last="Womack">Veda A. Womack</name><affiliation><nlm:affiliation>Integrative Lymphedema Institute, Pine Creek Medical Center, Dallas, Texas.</nlm:affiliation></affiliation></author><author><name sortKey="Wong, Franklin C" sort="Wong, Franklin C" uniqKey="Wong F" first="Franklin C" last="Wong">Franklin C. Wong</name><affiliation><nlm:affiliation>Department of Nuclear Medicine, University of Texas MD Anderson Cancer Center, Houston, Texas.</nlm:affiliation></affiliation></author><author><name sortKey="Chang, Edward I" sort="Chang, Edward I" uniqKey="Chang E" first="Edward I" last="Chang">Edward I. Chang</name><affiliation><nlm:affiliation>Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas.</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>Adolescent</term><term>Adult</term><term>Aged</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>Minimally Invasive Surgical Procedures</term><term>Omentum (blood supply)</term><term>Omentum (transplantation)</term><term>Treatment Outcome</term><term>Young Adult</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Free Tissue Flaps</term><term>Lymph Nodes</term><term>Omentum</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><term>Omentum</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Minimally Invasive Surgical Procedures</term><term>Treatment Outcome</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The free vascularized omental lymphatic flap provides an option without the risk for iatrogenic donor site lymphedema that plagues alternative lymph node transfer donor sites. The omental flap has been associated with significant morbidity in the past; however, with modern techniques and advanced in technology, a minimally invasive approach to flap harvest is feasible. We present the long-term outcomes of the minimally invasive free vascularized omental lymphatic flap for the treatment of lymphedema.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27439587</PMID><DateCreated><Year>2016</Year><Month>07</Month><Day>21</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>Long-term outcomes of the minimally invasive free vascularized omental lymphatic flap for the treatment of lymphedema.</ArticleTitle><Pagination><MedlinePgn>84-89</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/jso.24379</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The free vascularized omental lymphatic flap provides an option without the risk for iatrogenic donor site lymphedema that plagues alternative lymph node transfer donor sites. The omental flap has been associated with significant morbidity in the past; however, with modern techniques and advanced in technology, a minimally invasive approach to flap harvest is feasible. We present the long-term outcomes of the minimally invasive free vascularized omental lymphatic flap for the treatment of lymphedema.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">All consecutive patients with advanced lymphedema undergoing minimally invasive free vascularized omental lymphatic flap transfer were included. Perioperative evaluation included qualitative assessments, lymphoscintigraphy, and volumetric measurements.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Overall, 42 patients underwent a free omental lymphatic flap and had a mean follow-up of 14 (3-32) months. Subjective improvements were noted in 83% of patients. Mean volumetric improvement was 22%. Complications occurred in 16% (n = 7) of patients; this included one episode of pancreatitis and one flap loss. Postoperative imaging revealed viable lymphatic transfers. Cellulitis history was present in 74% (n = 31) patients with post-operative cellulitis occurring in 5% (n = 2) patients.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The minimally invasive free vascularized omental lymphatic flap provides a safe donor site, a durable and versatile flap, and an efficacious therapy against lymphedema and lymphedema-related cellulitis. J. Surg. Oncol. 2017;115:84-89. © 2016 Wiley Periodicals, Inc.</AbstractText><CopyrightInformation>© 2016 Wiley Periodicals, Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Nguyen</LastName><ForeName>Alexander T</ForeName><Initials>AT</Initials><AffiliationInfo><Affiliation>Integrative Lymphedema Institute, Pine Creek Medical Center, Dallas, Texas.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Suami</LastName><ForeName>Hiroo</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hanasono</LastName><ForeName>Matthew M</ForeName><Initials>MM</Initials><AffiliationInfo><Affiliation>Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Womack</LastName><ForeName>Veda A</ForeName><Initials>VA</Initials><AffiliationInfo><Affiliation>Integrative Lymphedema Institute, Pine Creek Medical Center, Dallas, Texas.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wong</LastName><ForeName>Franklin C</ForeName><Initials>FC</Initials><AffiliationInfo><Affiliation>Department of Nuclear Medicine, University of Texas MD Anderson Cancer Center, Houston, Texas.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chang</LastName><ForeName>Edward I</ForeName><Initials>EI</Initials><AffiliationInfo><Affiliation>Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas.</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>20</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="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</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="D019060" MajorTopicYN="N">Minimally Invasive Surgical Procedures</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009852" MajorTopicYN="N">Omentum</DescriptorName><QualifierName UI="Q000098" MajorTopicYN="N">blood supply</QualifierName><QualifierName UI="Q000637" MajorTopicYN="Y">transplantation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">LVA</Keyword><Keyword MajorTopicYN="N">LVB</Keyword><Keyword MajorTopicYN="N">VLNT</Keyword><Keyword MajorTopicYN="N">lymphatic surgery</Keyword><Keyword MajorTopicYN="N">lymphedema</Keyword><Keyword MajorTopicYN="N">lymphovenous anastomosis</Keyword><Keyword MajorTopicYN="N">lymphovenous bypass</Keyword><Keyword MajorTopicYN="N">vascularized lymph node transfer</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>06</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>07</Month><Day>03</Day></PubMedPubDate><PubMedPubDate 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