Comparisons in long‐term clinical outcomes among patients with upper or lower extremity lymphedema treated with diverse vascularized lymph node transfer

Microsurgery ◽  
2020 ◽  
Vol 40 (2) ◽  
pp. 130-136 ◽  
Author(s):  
Pedro Ciudad ◽  
Oscar J. Manrique ◽  
Samyd S. Bustos ◽  
John J. P. Coca ◽  
Chang‐Cheng Chang ◽  
...  
Keyword(s):  
Lymph Node ◽  
Lower Extremity ◽  
Clinical Outcomes ◽  
Lymph Node Transfer ◽  
Vascularized Lymph Node Transfer

scholarly journals Long-Term Outcomes of Lymph Node Transfer in Secondary Lymphedema and Its Correlation with Flap Characteristics

Cancers ◽  
2021 ◽  
Vol 13 (24) ◽  
pp. 6198
Author(s):  
Dimitrios Dionyssiou ◽  
Alexandros Sarafis ◽  
Antonios Tsimponis ◽  
Asterios Kalaitzoglou ◽  
Georgios Arsos ◽  
...  
Keyword(s):  
Lymph Node ◽  
Major Complication ◽  
Vascular Pedicle ◽  
Long Term Outcomes ◽  
Secondary Lymphedema ◽  
Lymph Node Transfer ◽  
The Impact ◽  
Vascularized Lymph Node Transfer

Background: This retrospective study aimed to assess the impact of certain flap characteristics on long-term outcomes following microsurgical treatment in Breast Cancer-Related Lymphedema (BCRL) patients. Methods: Sixty-four out of 65 BCRL patients, guided by the “Selected Lymph Node” (“SeLyN”) technique, underwent Vascularized Lymph Node Transfer (VLNT) between 2012 and 2018. According to their surface size, flaps were divided into small (<25 cm2, n = 32) and large (>25 cm2, n = 32). Twelve large and six small flaps were combined with free abdominally based breast reconstruction procedures. Lymphedema stage, flap size, vascular pedicle and number of lymph nodes (LNs) were analyzed in correlation with long-term Volume Differential Reduction (VDR). Results: At 36-month follow-up, no major complication was recorded in 64 cases; one flap failure was excluded from the study. Mean flap size was 27.4 cm2, mean LNs/flap 3.3 and mean VDR 55.7%. Small and large flaps had 2.8 vs. 3.8 LNs/flap (p = 0.001), resulting in 49.6% vs. 61.8% VDR (p = 0.032), respectively. Lymphedema stage and vascular pedicle (SIEA or SCIA/SCIP) had no significant impact on VDR. Conclusion: In our series, larger flaps included a higher number of functional LNs, directly associated with better outcomes as quantified by improved VDR.

Surgical Treatment of Advanced Lymphatic Filariasis of Lower Extremity Combining Vascularized Lymph Node Transfer and Excisional Procedures

2019 ◽  
Vol 17 (6) ◽  
pp. 637-646
Author(s):  
Ram M. Chilgar ◽  
Sujit Khade ◽  
Hung-Chi Chen ◽  
Pedro Ciudad ◽  
Matthew Sze-Wei Yeo ◽  
...  
Keyword(s):  
Lymph Node ◽  
Surgical Treatment ◽  
Lower Extremity ◽  
Lymphatic Filariasis ◽  
Lymph Node Transfer ◽  
Vascularized Lymph Node Transfer

scholarly journals Recurrent Advanced Lower Extremity Lymphedema Following Initial Successful Vascularized Lymph Node Transfer: A Clinical and Histopathological Analysis

2017 ◽  
Vol 44 (1) ◽  
pp. 87-89 ◽  
Author(s):  
Pedro Ciudad ◽  
Shivprasad Date ◽  
Oscar J Manrique ◽  
Wei-Ling Chang ◽  
Tsung-Chun Huang ◽  
...  
Keyword(s):  
Lymph Node ◽  
Lower Extremity ◽  
Histopathological Analysis ◽  
Lymph Node Transfer ◽  
Vascularized Lymph Node Transfer

scholarly journals Impact of body mass index on long-term surgical outcomes of vascularized lymph node transfer in lymphedema patients

Gland Surgery ◽  
2020 ◽  
Vol 9 (2) ◽  
pp. 603-613
Author(s):  
Pedro Ciudad ◽  
Antonio J. Forte ◽  
Maria T. Huayllani ◽  
Daniel Boczar ◽  
Oscar J. Manrique ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Lymph Node ◽  
Body Mass ◽  
Surgical Outcomes ◽  
Lymph Node Transfer ◽  
Vascularized Lymph Node Transfer

scholarly journals Simultaneous Supraclavicular Lymph Node Transfer and Lymphovenous Anastomosis for the Surgical Treatment of End-Stage Lymphedema

2021 ◽  
Author(s):  
Kyung-Chul Moon ◽  
In-Jae Yoon
Keyword(s):  
Lymph Node ◽  
Lower Extremity ◽  
Nonsurgical Management ◽  
Inguinal Area ◽  
History Of ◽  
Lymph Node Transfer ◽  
Lymphovenous Anastomosis ◽  
The Right ◽  
End Stage ◽  
Vascularized Lymph Node Transfer

Abstract BackgroundVarious surgical options are available to treat lymphedema, such as direct excisional debulking surgery, suction-assisted lipectomy debulking, lymphovenous anastomosis (LVA), and vascularized lymph node transplantation (VLNT). However, no studies have addressed simultaneous surgery with both LVA and VLNT for patients with advanced-stage lymphedema. Case Presentation A 72-year-old female with bilateral lower extremity lymphedema refractory to nonsurgical management was admitted to our lymphedema clinic. This patient had a history of lymphoma and treated with radiotherapy on right inguinal area 26 years ago. Interestingly, the patient developed lymphedema on both the right and left lower extremities although she had radiotherapy on her right inguinal area. The patient underwent simultaneous vascularized lymph node transfer and lymphovenous anastomosis for treatment of end-stage lymphedema. Significant reduction in circumference and volume of lower extremity was achieved following simultaneous vascularized lymph node transfer and lymphonvenous anastomosis Conclusion The authors recommend simultaneous VLNT and LVA surgeries as the first treatment option for patients with end-stage lymphedema.

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