Long‐term outcome of lower extremity lymphedema treated with vascularized lymph node flap transfer with or without venous complications

2019 ◽  
Author(s):  
Satomi Koide ◽  
Chia‐Yu Lin ◽  
Courtney Chen ◽  
Ming‐Huei Cheng
Keyword(s):  
Lymph Node ◽  
Lower Extremity ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Flap Transfer

scholarly journals Long-Term Outcome after Successful Lower Extremity Free Flap Salvage

2018 ◽  
Vol 35 (04) ◽  
pp. 263-269 ◽  
Author(s):  
Amir Bigdeli ◽  
Emre Gazyakan ◽  
Volker Schmidt ◽  
Christoph Bauer ◽  
Günter Germann ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Free Flap ◽  
Free Flaps ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Component Score ◽  
Sf 36 ◽  
The Mean

Background Vascular occlusion after free flap surgery has become a rare complication but still poses a major challenge. It necessitates urgent re-exploration, but the logistic challenge to provide sufficient resources for the emergency intervention remains. The aim of this study was to analyze the long-term outcome after successful lower extremity free flap salvage. Methods A single-center retrospective study including long-term follow-up was approved by the local ethics committee. From January 1999 to December 2010, a total of 581 free flaps were performed for lower extremity reconstruction. Eighty-six flaps required emergency re-exploration, of which 65 could be salvaged. Fifteen salvaged flaps were excluded from the study because of secondary amputation. Of 50 patients, 29 (6 females and 23 males) were eligible for follow-up. The mean follow-up time was 54.5 ± 32.9 months. Health-related quality of life (Short Form 36 [SF-36]) and scar quality (Vancouver Scar Scale [VSS]) were analyzed. Results The overall flap survival rate was 94.7% and the total loss rate was 5.3%. The re-exploration rate was 14.8% (86 of 581 flaps). The salvage rate was 75.6% (65 of 86 flaps). Twenty-one free flaps were totally lost (24.4%). Partial flap loss occurred in 12 cases (14.0%); 67.5% of the vascular complications occurred during the first 24 hours, 20.9% between 24 and 72 hours, and 11.6% after more than 72 hours. The mean time from the first signs of impaired flap perfusion to re-exploration was 1.3 ± 0.4 hours, and from free tissue transfer to re-exploration was 16.2 ± 1.9 hours. The overall scar appearance was good with an average VSS score of 4.0 points. The average SF-36 physical component score was 54.4 ± 5.4 and the mental component score was 63.1 ± 10.7. Conclusion Careful monitoring and the opportunity for urgent re-exploration are the key to success for free flaps salvage. Following these principles, an acceptable long-term outcome can be achieved.

Long-term Outcome After Resection of Isolated Thoracic Lymph Node Metastases of Renal Cell Cancer

2020 ◽  
Vol 109 (1) ◽  
pp. 262-269
Author(s):  
Stefan Sponholz ◽  
Moritz Schirren ◽  
Selma Oguzhan ◽  
Mesut Mese ◽  
Joachim Schirren
Keyword(s):  
Lymph Node ◽  
Renal Cell Cancer ◽  
Lymph Node Metastases ◽  
Renal Cell ◽  
Cell Cancer ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Thoracic Lymph Node ◽  
Node Metastases

Long-term Outcome after Lower Extremity Injuries in Severely Injured Patients

2006 ◽  
Vol 32 (4) ◽  
pp. 365-373 ◽  
Author(s):  
Herman Holtslag ◽  
Erik Buskens ◽  
Clemens Rommers ◽  
Arie Prevo ◽  
Christian van der Werken
Keyword(s):  
Lower Extremity ◽  
Severely Injured ◽  
Severely Injured Patients ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Lower Extremity Injuries ◽  
Extremity Injuries ◽  
Injured Patients

scholarly journals Long-term outcome of revised lower-extremity bypass grafts*1

2002 ◽  
Vol 35 (1) ◽  
pp. 56-63
Author(s):  
G LANDRY ◽  
G MONETA ◽  
L TAYLOR ◽  
J EDWARDS ◽  
R YEAGER ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Bypass Grafts ◽  
Term Outcome ◽  
Long Term Outcome
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