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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/Curation ); précédent : 000689; suivant : 000691

The 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 [États-Unis] ; Ru Chen [États-Unis] ; David W. Chang [États-Unis]

Source :

RBID : pubmed:27449974

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English descriptors

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

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pubmed:27449974

Le document en format XML

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<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>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Complications postopératoires (étiologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Lambeaux tissulaires libres ()</term>
<term>Lambeaux tissulaires libres (transplantation)</term>
<term>Lymphoedème ()</term>
<term>Mâle</term>
<term>Noeuds lymphatiques ()</term>
<term>Noeuds lymphatiques (transplantation)</term>
<term>Sujet âgé</term>
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<term>Free Tissue Flaps</term>
<term>Lymph Nodes</term>
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<term>Postoperative Complications</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Lymphedema</term>
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<term>Free Tissue Flaps</term>
<term>Lymph Nodes</term>
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<term>Complications postopératoires</term>
<term>Lambeaux tissulaires libres</term>
<term>Noeuds lymphatiques</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
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<term>Humans</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>
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<DateCreated>
<Year>2016</Year>
<Month>07</Month>
<Day>24</Day>
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<DateCompleted>
<Year>2017</Year>
<Month>02</Month>
<Day>13</Day>
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<Year>2017</Year>
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<Day>13</Day>
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<ISSN IssnType="Electronic">1096-9098</ISSN>
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<Volume>115</Volume>
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<Month>Jan</Month>
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<Title>Journal of surgical oncology</Title>
<ISOAbbreviation>J Surg Oncol</ISOAbbreviation>
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<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>
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<ELocationID EIdType="doi" ValidYN="Y">10.1002/jso.24351</ELocationID>
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<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>
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<Keyword MajorTopicYN="N">free flap</Keyword>
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