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Free vascularized lymph node transfer for treatment of lymphedema: A systematic evidence based review.

Identifieur interne : 000707 ( PubMed/Corpus ); précédent : 000706; suivant : 000708

Free vascularized lymph node transfer for treatment of lymphedema: A systematic evidence based review.

Auteurs : Cemile Nurdan Ozturk ; Can Ozturk ; Mark Glasgow ; Mary Platek ; Zain Ashary ; Joseph Kuhn ; Nell Aronoff ; Robert Lohman ; Risal Djohan ; Raffi Gurunluoglu

Source :

RBID : pubmed:27425000

English descriptors

Abstract

Free vascularized lymph node transfer (VLNT) is a relatively novel technique for treatment of lymphedema. The purpose of this systematic review was to evaluate the current evidence on VLNT and to determine if there is objective data concerning improved outcomes.

DOI: 10.1016/j.bjps.2016.06.022
PubMed: 27425000

Links to Exploration step

pubmed:27425000

Le document en format XML

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<title xml:lang="en">Free vascularized lymph node transfer for treatment of lymphedema: A systematic evidence based review.</title>
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<name sortKey="Ozturk, Cemile Nurdan" sort="Ozturk, Cemile Nurdan" uniqKey="Ozturk C" first="Cemile Nurdan" last="Ozturk">Cemile Nurdan Ozturk</name>
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<nlm:affiliation>Roswell Park Cancer Institute, Buffalo, NY, USA. Electronic address: cemile.ozturk@roswellpark.org.</nlm:affiliation>
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<name sortKey="Glasgow, Mark" sort="Glasgow, Mark" uniqKey="Glasgow M" first="Mark" last="Glasgow">Mark Glasgow</name>
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<name sortKey="Ashary, Zain" sort="Ashary, Zain" uniqKey="Ashary Z" first="Zain" last="Ashary">Zain Ashary</name>
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<nlm:affiliation>Indiana University, School of Medicine, Indianapolis, IN, USA.</nlm:affiliation>
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<name sortKey="Kuhn, Joseph" sort="Kuhn, Joseph" uniqKey="Kuhn J" first="Joseph" last="Kuhn">Joseph Kuhn</name>
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<nlm:affiliation>State University of New York, Jacob's School of Medicine, Buffalo, NY, USA.</nlm:affiliation>
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<name sortKey="Lohman, Robert" sort="Lohman, Robert" uniqKey="Lohman R" first="Robert" last="Lohman">Robert Lohman</name>
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<name sortKey="Gurunluoglu, Raffi" sort="Gurunluoglu, Raffi" uniqKey="Gurunluoglu R" first="Raffi" last="Gurunluoglu">Raffi Gurunluoglu</name>
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<name sortKey="Glasgow, Mark" sort="Glasgow, Mark" uniqKey="Glasgow M" first="Mark" last="Glasgow">Mark Glasgow</name>
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<name sortKey="Platek, Mary" sort="Platek, Mary" uniqKey="Platek M" first="Mary" last="Platek">Mary Platek</name>
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<nlm:affiliation>Roswell Park Cancer Institute, Buffalo, NY, USA.</nlm:affiliation>
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<name sortKey="Ashary, Zain" sort="Ashary, Zain" uniqKey="Ashary Z" first="Zain" last="Ashary">Zain Ashary</name>
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<nlm:affiliation>Cleveland Clinic, Cleveland, OH, USA.</nlm:affiliation>
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<nlm:affiliation>Cleveland Clinic, Cleveland, OH, USA.</nlm:affiliation>
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<title level="j">Journal of plastic, reconstructive & aesthetic surgery : JPRAS</title>
<idno type="eISSN">1878-0539</idno>
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<date when="2016" type="published">2016</date>
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<term>Breast Neoplasms (surgery)</term>
<term>Female</term>
<term>Free Tissue Flaps</term>
<term>Humans</term>
<term>Lymph Nodes (transplantation)</term>
<term>Lymphedema (diagnosis)</term>
<term>Lymphedema (surgery)</term>
<term>Lymphography</term>
<term>Lymphoscintigraphy</term>
<term>Mastectomy (adverse effects)</term>
<term>Postoperative Complications</term>
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<keywords scheme="MESH" qualifier="adverse effects" xml:lang="en">
<term>Mastectomy</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" 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" qualifier="transplantation" xml:lang="en">
<term>Lymph Nodes</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Female</term>
<term>Free Tissue Flaps</term>
<term>Humans</term>
<term>Lymphography</term>
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<term>Postoperative Complications</term>
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<front>
<div type="abstract" xml:lang="en">Free vascularized lymph node transfer (VLNT) is a relatively novel technique for treatment of lymphedema. The purpose of this systematic review was to evaluate the current evidence on VLNT and to determine if there is objective data concerning improved outcomes.</div>
</front>
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<PMID Version="1">27425000</PMID>
<DateCreated>
<Year>2016</Year>
<Month>08</Month>
<Day>15</Day>
</DateCreated>
<DateCompleted>
<Year>2017</Year>
<Month>04</Month>
<Day>13</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>08</Month>
<Day>17</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1878-0539</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>69</Volume>
<Issue>9</Issue>
<PubDate>
<Year>2016</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>Journal of plastic, reconstructive & aesthetic surgery : JPRAS</Title>
<ISOAbbreviation>J Plast Reconstr Aesthet Surg</ISOAbbreviation>
</Journal>
<ArticleTitle>Free vascularized lymph node transfer for treatment of lymphedema: A systematic evidence based review.</ArticleTitle>
<Pagination>
<MedlinePgn>1234-47</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.bjps.2016.06.022</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S1748-6815(16)30138-3</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Free vascularized lymph node transfer (VLNT) is a relatively novel technique for treatment of lymphedema. The purpose of this systematic review was to evaluate the current evidence on VLNT and to determine if there is objective data concerning improved outcomes.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A literature search of PubMed, EMBASE and CENTRAL electronic databases was conducted to identify articles written in the English language on VLNT for treatment of lymphedema. Publications were selected according to inclusion criteria. Papers reporting adjunct techniques and those that did not describe outcomes were excluded. Data including patient demographics, surgical technique, complications and outcomes were extracted. A quality score was calculated for each article.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Eighteen studies were included with an overall study population of 305 patients. Mean quality score of articles was 5.3 with levels of evidence range from II to IV. Among 182 patients who underwent limb circumference assessment, 165 (91%) showed postoperative improvement. Reduction of limb volume was noted in 98 of 114 (86%) patients. Ninety two patients underwent lymphoscintigraphy/lymphangiography and 55 (60%) demonstrated moderate or significant improvement of flow. Patient satisfaction was questioned in 105 patients and with exception of 7 patients, all reported a high satisfaction level with significant relief in symptoms and improved quality of life. Publications also reported a reduction in infectious episodes.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">VLNT appears to provide improvement in lymphedema. More studies with standardized methods for reporting outcomes and uniform patient selection are needed to evaluate this technique thoroughly.</AbstractText>
<CopyrightInformation>Published by Elsevier Ltd.</CopyrightInformation>
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<LastName>Ozturk</LastName>
<ForeName>Cemile Nurdan</ForeName>
<Initials>CN</Initials>
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<Affiliation>Roswell Park Cancer Institute, Buffalo, NY, USA. Electronic address: cemile.ozturk@roswellpark.org.</Affiliation>
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</AffiliationInfo>
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</AffiliationInfo>
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<Affiliation>Indiana University, School of Medicine, Indianapolis, IN, USA.</Affiliation>
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</AffiliationInfo>
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</AffiliationInfo>
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<Language>eng</Language>
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<Country>Netherlands</Country>
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<Keyword MajorTopicYN="Y">Lymph node transplantation</Keyword>
<Keyword MajorTopicYN="Y">Lymphedema</Keyword>
<Keyword MajorTopicYN="Y">VLNT</Keyword>
<Keyword MajorTopicYN="Y">Vascularized lymph node transfer</Keyword>
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<Month>02</Month>
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<Year>2016</Year>
<Month>05</Month>
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<PubMedPubDate PubStatus="accepted">
<Year>2016</Year>
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