Lymph node flap transfer for patients with secondary lower limb lymphedema

Show simple item record

dc.contributor Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.author BATISTA, Bernardo N. FMUSP-HC
GERMAIN, Michel
FARIA, Jose Carlos M. FMUSP-HC
BECKER, Corinne
dc.date.issued 2017
dc.identifier.citation MICROSURGERY, v.37, n.1, p.29-33, 2017
dc.identifier.issn 0738-1085
dc.identifier.uri http://observatorio.fm.usp.br/handle/OPI/18717
dc.description.abstract BackgroundPrevious 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. Methods52 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 9.17.3 years at the time of LNFT. ResultsEleven 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). ConclusionPatients with secondary leg lymphedema can benefit from LNFT. Results in patients with mild presentations seem to be better than in more severe cases. (c) 2014 Wiley Periodicals, Inc. Microsurgery 37:29-33, 2017.
dc.language.iso eng
dc.publisher WILEY-BLACKWELL
dc.relation.ispartof Microsurgery
dc.rights restrictedAccess
dc.subject.other cancer-related lymphedema; lymphaticovenular anastomosis; leg lymphedema; extremity lymphedema; follow-up; transplantation; microsurgery; prevention; artery
dc.title Lymph node flap transfer for patients with secondary lower limb lymphedema
dc.type article
dc.rights.holder Copyright WILEY-BLACKWELL
dc.description.group LIM/04
dc.identifier.doi 10.1002/micr.22404
dc.identifier.pmid 25771917
dc.type.category original article
dc.type.version publishedVersion
hcfmusp.author BATISTA, Bernardo N.:FM:
hcfmusp.author FARIA, Jose Carlos M.:FM:MCG
hcfmusp.author.external · GERMAIN, Michel:Clin Jouvenet, Lymphoedema Ctr, Paris, France
· BECKER, Corinne:Clin Jouvenet, Lymphoedema Ctr, Paris, France
hcfmusp.origem.id 2-s2.0-84924788009
hcfmusp.origem.id WOS:000393458400004
hcfmusp.publisher.city HOBOKEN
hcfmusp.publisher.country USA
hcfmusp.relation.reference · Assouad J, 2002, SURG RADIOL ANAT, V24, P87, DOI 10.1007/s00276-002-0024-7
· Batista BN, 2013, PLAST RECONSTR SURG, V132, P32
· BAUMEISTER RGH, 1981, LYMPHOLOGY, V14, P90
· Becker C, 2006, ANN SURG, V243, P313, DOI 10.1097/01.sla.0000201258.10304.16
· BECKER C, 1988, J MAL VASCUL, V13, P119
· Becker C, 2008, BREAST, V17, P472, DOI 10.1016/j.breast.2007.12.007
· Becker C, 2012, CLIN PLAST SURG, V39, P385, DOI 10.1016/j.cps.2012.08.002
· Becker C, 2012, CLIN PLAST SURG, V39, P377, DOI 10.1016/j.cps.2012.08.001
· Boccardo F, 2014, MICROSURG, V34, P421, DOI 10.1002/micr.22254
· Boccardo F, 2013, ANN PLAS SURG, V71, P191, DOI 10.1097/SAP.0b013e31824f20d4
· Brorson H, 2012, J PLAST SURG HAND SU, V46, P410, DOI 10.3109/2000656X.2012.714785
· Chang DW, 2013, PLAST RECONSTR SURG, V132, P1305, DOI 10.1097/PRS.0b013e3182a4d626
· Cheng MH, 2013, PLAST RECONSTR SURG, V131, P1286, DOI 10.1097/PRS.0b013e31828bd3b3
· Dayan JH, 2015, PLAST RECONSTR SURG, V135, P277, DOI 10.1097/PRS.0000000000000822
· Framework L., 2006, BEST PRACTICE MANAGE
· Koshima I, 2004, ANN PLAS SURG, V53, P261, DOI 10.1097/01.sap.0000120319.89926.07
· Koshima I, 2003, J RECONSTR MICROSURG, V19, P209
· Onoda S, 2014, MICROSURG, V34, P372, DOI 10.1002/micr.22204
· Pons G, 2014, J PLAST RECONSTR AES, V67, P119, DOI 10.1016/j.bjps.2013.06.005
· Sapountzis S, 2014, MICROSURG, V34, P439, DOI 10.1002/micr.22235
· Suami H, 2010, PLAST RECONSTR SURG, V126, P1853, DOI 10.1097/PRS.0b013e3181f44658
· Vignes S, 2013, EUR J VASC ENDOVASC, V45, P516, DOI 10.1016/j.ejvs.2012.11.026
· Viitanen TP, 2012, PLAST RECONSTR SURG, V130, P1246, DOI 10.1097/PRS.0b013e31826d1682
· Yamamoto T, 2014, MICROSURG, V34, P404, DOI 10.1002/micr.22215
· Yamamoto T, 2011, PLAST RECONSTR SURG, V128, p314E, DOI 10.1097/PRS.0b013e3182268da8
dc.description.index MEDLINE
dc.identifier.eissn 1098-2752
hcfmusp.citation.scopus 10
hcfmusp.citation.wos 10
hcfmusp.affiliation.country Brasil
hcfmusp.affiliation.country França


Files in this item

This item appears in the following Collection(s)

Show simple item record

Search DSpace



Browse

My Account

Statistics