Lymph node flap transfer for patients with secondary lower limb lymphedema.
Identifieur interne : 000F89 ( PubMed/Curation ); précédent : 000F88; suivant : 000F90Lymph node flap transfer for patients with secondary lower limb lymphedema.
Auteurs : Bernardo N. Batista [Brésil] ; Michel Germain [France] ; José Carlos M. Faria [Brésil] ; Corinne Becker [France]Source :
- Microsurgery [ 1098-2752 ] ; 2017.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Complications postopératoires (), Femelle, Humains, Jeune adulte, Lambeaux tissulaires libres (transplantation), Lymphoedème (), Lymphoedème (étiologie), Mâle, Noeuds lymphatiques (transplantation), Procédures de chirurgie reconstructive (), Résultat thérapeutique, Sujet âgé, Études de suivi, Études rétrospectives.
- MESH :
- étiologie : Lambeaux tissulaires libres, Lymphoedème, Noeuds lymphatiques.
- Adolescent, Adulte, Adulte d'âge moyen, Complications postopératoires, Femelle, Humains, Jeune adulte, Lymphoedème, Mâle, Procédures de chirurgie reconstructive, Résultat thérapeutique, Sujet âgé, Études de suivi, Études rétrospectives.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Female, Follow-Up Studies, Free Tissue Flaps (transplantation), Humans, Lymph Nodes (transplantation), Lymphedema (etiology), Lymphedema (surgery), Male, Middle Aged, Postoperative Complications (surgery), Reconstructive Surgical Procedures (methods), Retrospective Studies, Treatment Outcome, Young Adult.
- MESH :
- etiology : Lymphedema.
- methods : Reconstructive Surgical Procedures.
- surgery : Lymphedema, Postoperative Complications.
- transplantation : Free Tissue Flaps, Lymph Nodes.
- Adolescent, Adult, Aged, Female, Follow-Up Studies, Humans, Male, Middle Aged, Retrospective Studies, Treatment Outcome, Young Adult.
Abstract
Previous authors have shown benefits from the use of lymph node flap transfer (LNFT) to treat lymphedema of the arms, but there is little evidence for its use for lower limb lymphedema. We performed a retrospective analysis of a series of patients suffering from secondary lower limb lymphedema treated with a free LNFT.
DOI: 10.1002/micr.22404
PubMed: 25771917
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Batista</name><affiliation wicri:level="1"><nlm:affiliation>Plastic Surgery Department, Medical School of the University of São Paulo, São Paulo, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Plastic Surgery Department, Medical School of the University of São Paulo, São Paulo</wicri:regionArea></affiliation></author><author><name sortKey="Germain, Michel" sort="Germain, Michel" uniqKey="Germain M" first="Michel" last="Germain">Michel Germain</name><affiliation wicri:level="1"><nlm:affiliation>Lymphoedema Center, Clinique Jouvenet, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Lymphoedema Center, Clinique Jouvenet, Paris</wicri:regionArea></affiliation></author><author><name sortKey="Faria, Jose Carlos M" sort="Faria, Jose Carlos M" uniqKey="Faria J" first="José Carlos M" last="Faria">José Carlos M. Faria</name><affiliation wicri:level="1"><nlm:affiliation>Plastic Surgery Department, Medical School of the University of São Paulo, São Paulo, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Plastic Surgery Department, Medical School of the University of São Paulo, São Paulo</wicri:regionArea></affiliation></author><author><name sortKey="Becker, Corinne" sort="Becker, Corinne" uniqKey="Becker C" first="Corinne" last="Becker">Corinne Becker</name><affiliation wicri:level="1"><nlm:affiliation>Lymphoedema Center, Clinique Jouvenet, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Lymphoedema Center, Clinique Jouvenet, Paris</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:25771917</idno><idno type="pmid">25771917</idno><idno type="doi">10.1002/micr.22404</idno><idno type="wicri:Area/PubMed/Corpus">000F89</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000F89</idno><idno type="wicri:Area/PubMed/Curation">000F89</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000F89</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Lymph node flap transfer for patients with secondary lower limb lymphedema.</title><author><name sortKey="Batista, Bernardo N" sort="Batista, Bernardo N" uniqKey="Batista B" first="Bernardo N" last="Batista">Bernardo N. Batista</name><affiliation wicri:level="1"><nlm:affiliation>Plastic Surgery Department, Medical School of the University of São Paulo, São Paulo, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Plastic Surgery Department, Medical School of the University of São Paulo, São Paulo</wicri:regionArea></affiliation></author><author><name sortKey="Germain, Michel" sort="Germain, Michel" uniqKey="Germain M" first="Michel" last="Germain">Michel Germain</name><affiliation wicri:level="1"><nlm:affiliation>Lymphoedema Center, Clinique Jouvenet, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Lymphoedema Center, Clinique Jouvenet, Paris</wicri:regionArea></affiliation></author><author><name sortKey="Faria, Jose Carlos M" sort="Faria, Jose Carlos M" uniqKey="Faria J" first="José Carlos M" last="Faria">José Carlos M. Faria</name><affiliation wicri:level="1"><nlm:affiliation>Plastic Surgery Department, Medical School of the University of São Paulo, São Paulo, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Plastic Surgery Department, Medical School of the University of São Paulo, São Paulo</wicri:regionArea></affiliation></author><author><name sortKey="Becker, Corinne" sort="Becker, Corinne" uniqKey="Becker C" first="Corinne" last="Becker">Corinne Becker</name><affiliation wicri:level="1"><nlm:affiliation>Lymphoedema Center, Clinique Jouvenet, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Lymphoedema Center, Clinique Jouvenet, Paris</wicri:regionArea></affiliation></author></analytic><series><title level="j">Microsurgery</title><idno type="eISSN">1098-2752</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>Follow-Up Studies</term><term>Free Tissue Flaps (transplantation)</term><term>Humans</term><term>Lymph Nodes (transplantation)</term><term>Lymphedema (etiology)</term><term>Lymphedema (surgery)</term><term>Male</term><term>Middle Aged</term><term>Postoperative Complications (surgery)</term><term>Reconstructive Surgical Procedures (methods)</term><term>Retrospective Studies</term><term>Treatment Outcome</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Complications postopératoires ()</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Lambeaux tissulaires libres (transplantation)</term><term>Lymphoedème ()</term><term>Lymphoedème (étiologie)</term><term>Mâle</term><term>Noeuds lymphatiques (transplantation)</term><term>Procédures de chirurgie reconstructive ()</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Études de suivi</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Reconstructive Surgical Procedures</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Free Tissue Flaps</term><term>Lymph Nodes</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lambeaux tissulaires libres</term><term>Lymphoedème</term><term>Noeuds lymphatiques</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Treatment Outcome</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Complications postopératoires</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Lymphoedème</term><term>Mâle</term><term>Procédures de chirurgie reconstructive</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Études de suivi</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Previous authors have shown benefits from the use of lymph node flap transfer (LNFT) to treat lymphedema of the arms, but there is little evidence for its use for lower limb lymphedema. We performed a retrospective analysis of a series of patients suffering from secondary lower limb lymphedema treated with a free LNFT.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25771917</PMID><DateCreated><Year>2015</Year><Month>03</Month><Day>16</Day></DateCreated><DateCompleted><Year>2017</Year><Month>08</Month><Day>07</Day></DateCompleted><DateRevised><Year>2017</Year><Month>08</Month><Day>07</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1098-2752</ISSN><JournalIssue CitedMedium="Internet"><Volume>37</Volume><Issue>1</Issue><PubDate><Year>2017</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Microsurgery</Title><ISOAbbreviation>Microsurgery</ISOAbbreviation></Journal><ArticleTitle>Lymph node flap transfer for patients with secondary lower limb lymphedema.</ArticleTitle><Pagination><MedlinePgn>29-33</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/micr.22404</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Previous authors have shown benefits from the use of lymph node flap transfer (LNFT) to treat lymphedema of the arms, but there is little evidence for its use for lower limb lymphedema. We performed a retrospective analysis of a series of patients suffering from secondary lower limb lymphedema treated with a free LNFT.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">52 cases of LNFT to treat 41 legs in 38 patients with secondary lymphedema were retrospectively reviewed. The causes of the lymphedema included lymphedema secondary to hysterectomy for uterine cancer, melanoma resections on the leg, lymphoma treatment and testicular cancer, cosmetic surgery to the limb, lipoma resection at the inguinal region, and a saphenectomy. Patients had been suffering with lymphedema for an average of 9.1 ± 7.3 years at the time of LNFT.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Eleven patients (28.9%) presented with minor complications treated conservatively. For 23 legs there was enough data to follow limb volume evolution after a single LNFT. Total volume reduction in eight legs (two patients with no measures of the healthy limb and three bilateral) was 7.1 ± 8.6%. Another group of 15 patients with unilateral lymphedema had an average 46.3 ± 34.7% reduction of excess volume. Better results (>30% REV) were associated with smaller preoperative excess volume (P = 0.045).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Patients with secondary leg lymphedema can benefit from LNFT. Results in patients with mild presentations seem to be better than in more severe cases. © 2014 Wiley Periodicals, Inc. Microsurgery 37:29-33, 2017.</AbstractText><CopyrightInformation>© 2015 Wiley Periodicals, Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Batista</LastName><ForeName>Bernardo N</ForeName><Initials>BN</Initials><AffiliationInfo><Affiliation>Plastic Surgery Department, Medical School of the University of São Paulo, São Paulo, Brazil.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Instituto de Ensino e Pesquisa, Hospital Sírio-Libanês, São Paulo, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Germain</LastName><ForeName>Michel</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Lymphoedema Center, Clinique Jouvenet, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Faria</LastName><ForeName>José Carlos M</ForeName><Initials>JC</Initials><AffiliationInfo><Affiliation>Plastic Surgery Department, Medical School of the University of São Paulo, São Paulo, Brazil.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Instituto de Ensino e Pesquisa, Hospital Sírio-Libanês, São Paulo, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Becker</LastName><ForeName>Corinne</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Lymphoedema Center, Clinique Jouvenet, Paris, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>03</Month><Day>16</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Microsurgery</MedlineTA><NlmUniqueID>8309230</NlmUniqueID><ISSNLinking>0738-1085</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="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058752" MajorTopicYN="N">Free Tissue Flaps</DescriptorName><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="Q000637" MajorTopicYN="Y">transplantation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><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="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019651" MajorTopicYN="N">Reconstructive Surgical Procedures</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>09</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2015</Year><Month>02</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>02</Month><Day>23</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>3</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>8</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>3</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId 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