Heterotopic vascularized lymph node transfer to the medial calf without a skin paddle for restoration of lymphatic function: Proof of concept.
Identifieur interne : 000467 ( PubMed/Curation ); précédent : 000466; suivant : 000468Heterotopic vascularized lymph node transfer to the medial calf without a skin paddle for restoration of lymphatic function: Proof of concept.
Auteurs : Mark L. Smith [États-Unis] ; Bianca J. Molina [États-Unis] ; Erez Dayan [États-Unis] ; Diane S. Saint-Victor [États-Unis] ; Julie N. Kim [États-Unis] ; Eugene S. Kahn [États-Unis] ; Alexander Kagen [États-Unis] ; Joseph H. Dayan [États-Unis]Source :
- Journal of surgical oncology [ 1096-9098 ] ; 2017.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Humains, Jambe (), Lambeaux tissulaires libres (transplantation), Lymphoedème (), Muscles squelettiques (), Noeuds lymphatiques (), Noeuds lymphatiques (physiologie), Noeuds lymphatiques (transplantation), Sujet âgé, Transplantation de peau, Transplantation hétérotopique, Études rétrospectives.
- MESH :
English descriptors
- KwdEn :
- MESH :
- blood supply : Lymph Nodes.
- physiology : Lymph Nodes.
- surgery : Leg, Lymphedema, Muscle, Skeletal.
- transplantation : Free Tissue Flaps, Lymph Nodes.
- Adult, Aged, Humans, Middle Aged, Retrospective Studies, Skin Transplantation, Transplantation, Heterotopic.
Abstract
The use of heterotopic vascularized lymph node transfer (HVLNT) for the treatment of lower extremity lymphedema is still evolving. Current techniques, either place the lymph nodes in the thigh without a skin paddle or at the ankle requiring an unsightly and often bulky skin paddle for closure. We explored the feasibility of doing a below-knee transfer without a skin paddle using the medial sural vessels as recipient vessels and report our experience in 21 patients.
DOI: 10.1002/jso.24356
PubMed: 27976365
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Dayan</name><affiliation wicri:level="2"><nlm:affiliation>Division of Plastic Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Division of Plastic Surgery, Memorial Sloan Kettering Cancer Center, New York</wicri:cityArea></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>Adult</term><term>Aged</term><term>Free Tissue Flaps (transplantation)</term><term>Humans</term><term>Leg (surgery)</term><term>Lymph Nodes (blood supply)</term><term>Lymph Nodes (physiology)</term><term>Lymph Nodes (transplantation)</term><term>Lymphedema (surgery)</term><term>Middle Aged</term><term>Muscle, Skeletal (surgery)</term><term>Retrospective Studies</term><term>Skin Transplantation</term><term>Transplantation, Heterotopic</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Humains</term><term>Jambe ()</term><term>Lambeaux tissulaires libres (transplantation)</term><term>Lymphoedème ()</term><term>Muscles squelettiques ()</term><term>Noeuds lymphatiques ()</term><term>Noeuds lymphatiques (physiologie)</term><term>Noeuds lymphatiques (transplantation)</term><term>Sujet âgé</term><term>Transplantation de peau</term><term>Transplantation hétérotopique</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Lymph Nodes</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Noeuds lymphatiques</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Lymph Nodes</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Leg</term><term>Lymphedema</term><term>Muscle, Skeletal</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>Humans</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Skin Transplantation</term><term>Transplantation, Heterotopic</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Humains</term><term>Jambe</term><term>Lambeaux tissulaires libres</term><term>Lymphoedème</term><term>Muscles squelettiques</term><term>Noeuds lymphatiques</term><term>Sujet âgé</term><term>Transplantation de peau</term><term>Transplantation hétérotopique</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The use of heterotopic vascularized lymph node transfer (HVLNT) for the treatment of lower extremity lymphedema is still evolving. Current techniques, either place the lymph nodes in the thigh without a skin paddle or at the ankle requiring an unsightly and often bulky skin paddle for closure. We explored the feasibility of doing a below-knee transfer without a skin paddle using the medial sural vessels as recipient vessels and report our experience in 21 patients.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27976365</PMID><DateCreated><Year>2016</Year><Month>12</Month><Day>15</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>Heterotopic vascularized lymph node transfer to the medial calf without a skin paddle for restoration of lymphatic function: Proof of concept.</ArticleTitle><Pagination><MedlinePgn>90-95</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/jso.24356</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The use of heterotopic vascularized lymph node transfer (HVLNT) for the treatment of lower extremity lymphedema is still evolving. Current techniques, either place the lymph nodes in the thigh without a skin paddle or at the ankle requiring an unsightly and often bulky skin paddle for closure. We explored the feasibility of doing a below-knee transfer without a skin paddle using the medial sural vessels as recipient vessels and report our experience in 21 patients.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A retrospective review of all patients who underwent HVLNT to the medial calf was performed. Postoperative magnetic resonance angiography (MRA) and lymphoscintigraphy (LS) were analyzed to assess lymph node viability and function after transfer.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Twenty-one patients underwent HVLNT to the medial calf. Postoperative imaging was performed at an average of 11 months after surgery. Thirteen patients had postoperative MRA, of whom 12 demonstrated viable lymph nodes. Seven patients underwent postoperative LS, of whom three demonstrated uptake in the transferred nodes. In the other four patients, the injectate failed to reach the level of the proximal calf.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">We provide proof of concept that HVLNT to the lower leg using the medial sural vessels without a skin paddle can result in viable and functional lymph nodes in the setting of lower extremity lymphedema. J. Surg. Oncol. 2017;115:90-95. © 2016 Wiley Periodicals, Inc.</AbstractText><CopyrightInformation>© 2016 Wiley Periodicals, Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Smith</LastName><ForeName>Mark L</ForeName><Initials>ML</Initials><AffiliationInfo><Affiliation>Division of Plastic Surgery, Mount Sinai Beth Israel, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Molina</LastName><ForeName>Bianca J</ForeName><Initials>BJ</Initials><AffiliationInfo><Affiliation>Division of Plastic Surgery, Mount Sinai Beth Israel, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dayan</LastName><ForeName>Erez</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Division of Plastic Surgery, Mount Sinai Beth Israel, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Saint-Victor</LastName><ForeName>Diane S</ForeName><Initials>DS</Initials><AffiliationInfo><Affiliation>Division of Plastic Surgery, Mount Sinai Beth Israel, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kim</LastName><ForeName>Julie N</ForeName><Initials>JN</Initials><AffiliationInfo><Affiliation>Division of Plastic Surgery, Mount Sinai Beth Israel, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kahn</LastName><ForeName>Eugene S</ForeName><Initials>ES</Initials><AffiliationInfo><Affiliation>Division of Plastic Surgery, Mount Sinai Beth Israel, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kagen</LastName><ForeName>Alexander</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Radiology, Mount Sinai Beth Israel, New York, New York.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dayan</LastName><ForeName>Joseph H</ForeName><Initials>JH</Initials><AffiliationInfo><Affiliation>Division of Plastic Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>12</Month><Day>15</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="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058752" MajorTopicYN="N">Free Tissue Flaps</DescriptorName><QualifierName UI="Q000637" MajorTopicYN="N">transplantation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007866" MajorTopicYN="N">Leg</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008198" MajorTopicYN="N">Lymph Nodes</DescriptorName><QualifierName UI="Q000098" MajorTopicYN="N">blood supply</QualifierName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</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="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018482" MajorTopicYN="N">Muscle, Skeletal</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016038" MajorTopicYN="N">Skin Transplantation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016042" MajorTopicYN="N">Transplantation, Heterotopic</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">heterotopic vascularized lymph node transfer</Keyword><Keyword MajorTopicYN="N">lymphedema</Keyword><Keyword MajorTopicYN="N">medial sural</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>06</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>06</Month><Day>23</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>12</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>2</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>12</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27976365</ArticleId><ArticleId IdType="doi">10.1002/jso.24356</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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