Treatment of upper limb lymphedema with combination of liposuction, myocutaneous flap transfer, and lymph-fascia grafting: A preliminary study
| Autor: | Yuedong Shi, Jianying Gu, Yanwen Yang, Fazhi Qi |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Reconstructive surgery medicine.medical_specialty medicine.medical_treatment Erysipelas Surgical Flaps Fasciotomy Upper Extremity Lipectomy hemic and lymphatic diseases medicine Humans Lymphedema Mastectomy Radical mastectomy Aged business.industry Fascia Middle Aged Plastic Surgery Procedures medicine.disease Combined Modality Therapy humanities Surgery body regions Treatment Outcome medicine.anatomical_structure Liposuction Axilla Upper limb Female business Follow-Up Studies |
| Zdroj: | Microsurgery. 29:29-34 |
| ISSN: | 1098-2752 0738-1085 |
| DOI: | 10.1002/micr.20567 |
| Popis: | Treatment of obstructive extremity lymphedema remains a challenge in reconstructive surgery, since none of the varieties of procedures have been demonstrated a reliable resolution for the lymphedema. In this report, we present the preliminary results of treatment of severe upper extremity lymphedema with combined liposuction, latissimus myocutaneous flap transfer, and lymph-fascia grafting in 11 patients. All patients had histories of radical mastectomy, irradiation therapy for breast cancer, and frequent onsets of erysipelas. Postoperative measurements in an average of 26 months follow up showed that significant decrease of circumferences of the arms on all levels at surgery side were achieved. The onsets of erysipelas were also reduced. There was no chronic lymphedema found in the donor leg after harvest of the lymph-fascia graft. The results suggest the strategy of liposuction, latissimus myocutaneous flap transfer, and lymph-fascia grafting may provide a useful method for treatment of the chronic upper extremity lymphedema with severe axillary scar contracture. |
| Databáze: | OpenAIRE |
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