Novel Recipient Site for Aesthetic Inset of Vascularized Lymph Node Transfer: Preliminary Report
| Autor: | Joo Hyoung Kim, Seong Hwan Bae, Chang Ryul Yi, Hyoung-joon Seo, Yong Chan Bae, Jin A Yoon, Min Suk Park |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry 030230 surgery body regions 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Preliminary report 030220 oncology & carcinogenesis medicine General Earth and Planetary Sciences Radiology Recipient site business Lymph node General Environmental Science |
| Zdroj: | Archives of Hand and Microsurgery. 26:100-108 |
| ISSN: | 2586-3533 2586-3290 |
| DOI: | 10.12790/ahm.20.0071 |
| Popis: | Purpose: The wrist, elbow, and axillae are recipient sites for vascularized lymph node transfer (VLNT) in upper extremity lymphedema. To the best of our knowledge, the possibility of the forearm as a recipient site for the VLNT has not been extensively investigated. We introduced a novel recipient site and surgical technique for VLNT in the distal upper extremity without a skin paddle.Methods: Between January 2018 and February 2019, five consecutive patients underwent VLNT for upper extremity lymphedema. A vascularized supraclavicular lymph node was harvested and transferred to the mid-forearm of the lymphedematous limb. Radial artery, venae comitantes, and superficial vein were used as recipient vessels. Outcome was assessed by upper limb circumference and volume.Results: All flaps survived without any donor-site morbidity. All patients reported symptom improvement. Mean circumference and volume at 3, 6, and 12 months after VLNT were reduced statistically significantly (p |
| Databáze: | OpenAIRE |
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