Serveur d'exploration sur le lymphœdème

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Displaying inguinal lymph nodes before transplantation in a deep inferior epigastric perforator flap breast reconstruction using an innovative projection method.

Identifieur interne : 000B18 ( PubMed/Curation ); précédent : 000B17; suivant : 000B19

Displaying inguinal lymph nodes before transplantation in a deep inferior epigastric perforator flap breast reconstruction using an innovative projection method.

Auteurs : S. Hummelink [Pays-Bas] ; L J Schultze Kool [Pays-Bas] ; D J Ulrich [Pays-Bas]

Source :

RBID : pubmed:26620253

Descripteurs français

English descriptors

Abstract

Lymphedema of the arm is a common postoperative complication as a result of breast cancer surgery. One of the surgical treatments comprises modification of a deep inferior epigastric perforator (DIEP) flap breast reconstruction to facilitate additional lymph node transplantation from the inguinal area. Using computed tomography angiography (CTA), the distribution of these lymph nodes can be assessed. A virtual planning based on this CTA created for the DIEP flap is presented, with the inguinal lymph nodes included, followed by preoperatively projecting this information on the patient's abdomen.

DOI: 10.1016/j.bjps.2015.10.041
PubMed: 26620253

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pubmed:26620253

Le document en format XML

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<term>Abdominal Wall (blood supply)</term>
<term>Abdominal Wall (surgery)</term>
<term>Adult</term>
<term>Angiography (methods)</term>
<term>Arm</term>
<term>Breast Neoplasms (surgery)</term>
<term>Cohort Studies</term>
<term>Epigastric Arteries (transplantation)</term>
<term>Female</term>
<term>Humans</term>
<term>Imaging, Three-Dimensional</term>
<term>Inguinal Canal</term>
<term>Lymph Nodes (blood supply)</term>
<term>Lymph Nodes (diagnostic imaging)</term>
<term>Lymph Nodes (surgery)</term>
<term>Lymphedema (prevention & control)</term>
<term>Mammaplasty (adverse effects)</term>
<term>Mammaplasty (methods)</term>
<term>Mastectomy (methods)</term>
<term>Middle Aged</term>
<term>Perforator Flap (blood supply)</term>
<term>Perforator Flap (transplantation)</term>
<term>Preoperative Care (methods)</term>
<term>Prognosis</term>
<term>Tomography, X-Ray Computed (methods)</term>
<term>Treatment Outcome</term>
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<term>Adulte</term>
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<term>Artères épigastriques (transplantation)</term>
<term>Bras</term>
<term>Canal inguinal</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle</term>
<term>Lambeau perforant ()</term>
<term>Lambeau perforant (transplantation)</term>
<term>Lymphoedème ()</term>
<term>Mammoplastie ()</term>
<term>Mammoplastie (effets indésirables)</term>
<term>Mastectomie ()</term>
<term>Noeuds lymphatiques ()</term>
<term>Noeuds lymphatiques (imagerie diagnostique)</term>
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<term>Résultat thérapeutique</term>
<term>Soins préopératoires ()</term>
<term>Tomodensitométrie ()</term>
<term>Tumeurs du sein ()</term>
<term>Études de cohortes</term>
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<term>Mammaplasty</term>
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<term>Abdominal Wall</term>
<term>Lymph Nodes</term>
<term>Perforator Flap</term>
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<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en">
<term>Lymph Nodes</term>
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<term>Mammaplasty</term>
<term>Mastectomy</term>
<term>Preoperative Care</term>
<term>Tomography, X-Ray Computed</term>
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<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Lymphedema</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Abdominal Wall</term>
<term>Breast Neoplasms</term>
<term>Lymph Nodes</term>
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<term>Epigastric Arteries</term>
<term>Perforator Flap</term>
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<term>Adult</term>
<term>Arm</term>
<term>Cohort Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Imaging, Three-Dimensional</term>
<term>Inguinal Canal</term>
<term>Middle Aged</term>
<term>Prognosis</term>
<term>Treatment Outcome</term>
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<term>Adulte d'âge moyen</term>
<term>Angiographie</term>
<term>Artères épigastriques</term>
<term>Bras</term>
<term>Canal inguinal</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle</term>
<term>Lambeau perforant</term>
<term>Lymphoedème</term>
<term>Mammoplastie</term>
<term>Mastectomie</term>
<term>Noeuds lymphatiques</term>
<term>Paroi abdominale</term>
<term>Pronostic</term>
<term>Résultat thérapeutique</term>
<term>Soins préopératoires</term>
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<term>Tumeurs du sein</term>
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<front>
<div type="abstract" xml:lang="en">Lymphedema of the arm is a common postoperative complication as a result of breast cancer surgery. One of the surgical treatments comprises modification of a deep inferior epigastric perforator (DIEP) flap breast reconstruction to facilitate additional lymph node transplantation from the inguinal area. Using computed tomography angiography (CTA), the distribution of these lymph nodes can be assessed. A virtual planning based on this CTA created for the DIEP flap is presented, with the inguinal lymph nodes included, followed by preoperatively projecting this information on the patient's abdomen.</div>
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<Title>Journal of plastic, reconstructive & aesthetic surgery : JPRAS</Title>
<ISOAbbreviation>J Plast Reconstr Aesthet Surg</ISOAbbreviation>
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<ArticleTitle>Displaying inguinal lymph nodes before transplantation in a deep inferior epigastric perforator flap breast reconstruction using an innovative projection method.</ArticleTitle>
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<Abstract>
<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Lymphedema of the arm is a common postoperative complication as a result of breast cancer surgery. One of the surgical treatments comprises modification of a deep inferior epigastric perforator (DIEP) flap breast reconstruction to facilitate additional lymph node transplantation from the inguinal area. Using computed tomography angiography (CTA), the distribution of these lymph nodes can be assessed. A virtual planning based on this CTA created for the DIEP flap is presented, with the inguinal lymph nodes included, followed by preoperatively projecting this information on the patient's abdomen.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A total of 10 patients underwent the standard imaging protocol: A preoperative CTA to assess the vascular anatomy of the lower abdomen. A three-dimensional (3D) model of the blood vessels was produced, and the inguinal lymph nodes in this reconstruction were included. Preoperative projection of the 3D model onto the patients' abdomen and inguinal area was performed, followed by tracing of this image. Intraoperatively found lymph nodes were identified by touch and compared with the markings on the skin.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In all 10 patients, all lymph nodes located preoperatively were found intraoperatively within a 1-cm radius of the marking on the skin; and these were more easily located by two operating surgeons.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Virtual planning of lymph node transplantations in a deep inferior epigastric artery perforator flap breast reconstruction seems feasible and can be performed quickly. This additional visual support aids the surgeon in locating the lymph nodes in the inguinal area.</AbstractText>
<CopyrightInformation>Copyright © 2015 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation>
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<LastName>Hummelink</LastName>
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<Affiliation>Department of Plastic Surgery, Radboudumc, Nijmegen, The Netherlands; Department of Interventional Radiology, Radboudumc, Nijmegen, The Netherlands. Electronic address: stefan.hummelink@radboudumc.nl.</Affiliation>
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<Country>Netherlands</Country>
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<DescriptorName UI="D034861" MajorTopicYN="N">Abdominal Wall</DescriptorName>
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<Keyword MajorTopicYN="N">Breast reconstruction</Keyword>
<Keyword MajorTopicYN="N">CTA</Keyword>
<Keyword MajorTopicYN="N">DIEP flap</Keyword>
<Keyword MajorTopicYN="N">Deep inferior epigastric perforator flap</Keyword>
<Keyword MajorTopicYN="N">Pico video projector</Keyword>
<Keyword MajorTopicYN="N">Vascularized lymph node transfer</Keyword>
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