2018
DOI: 10.1002/micr.30372
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Deep inferior epigastric lymph node basin: Analysis of novel donor site for vascularized lymph node transfer among 10 consecutive patients

Abstract: Lacking previous description, the deep inferior epigastric lymph node basin is a readily accessible donor site with significant anatomic advantages for potential VLNT during autologous breast reconstruction.

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Cited by 8 publications
(9 citation statements)
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References 33 publications
(49 reference statements)
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“…The surgical options for the treatment of refractory chylous ascites have resulted in successful outcomes only in the cases where the underlying pathophysiology was suitably addressed, while in rest the indication has now been restricted to short term palliation (Boccardo et al, 2007). Considering the pathophysiologic principles of chylous ascites, our novel method of vascularized extra‐peritoneal DIE‐LCF connected to a pedicle GE‐VLN flap possibly works by bypassing the intra‐abdominal lymphatic obstruction and providing alternate physiological pathway for lymphatic transport (Deldar et al, 2016; Felmerer et al, 2002; Ochoa et al, 2019; Raju & Chang, 2015). Ochoa et al described the DIE lymph node basin located 6–8 cm from the pedicle origin in the preperitoneal space, proximal to its bi/ trifurcation into medial and lateral branches (Ochoa et al, 2019).…”
Section: Discussionmentioning
confidence: 99%
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“…The surgical options for the treatment of refractory chylous ascites have resulted in successful outcomes only in the cases where the underlying pathophysiology was suitably addressed, while in rest the indication has now been restricted to short term palliation (Boccardo et al, 2007). Considering the pathophysiologic principles of chylous ascites, our novel method of vascularized extra‐peritoneal DIE‐LCF connected to a pedicle GE‐VLN flap possibly works by bypassing the intra‐abdominal lymphatic obstruction and providing alternate physiological pathway for lymphatic transport (Deldar et al, 2016; Felmerer et al, 2002; Ochoa et al, 2019; Raju & Chang, 2015). Ochoa et al described the DIE lymph node basin located 6–8 cm from the pedicle origin in the preperitoneal space, proximal to its bi/ trifurcation into medial and lateral branches (Ochoa et al, 2019).…”
Section: Discussionmentioning
confidence: 99%
“…Considering the pathophysiologic principles of chylous ascites, our novel method of vascularized extra‐peritoneal DIE‐LCF connected to a pedicle GE‐VLN flap possibly works by bypassing the intra‐abdominal lymphatic obstruction and providing alternate physiological pathway for lymphatic transport (Deldar et al, 2016; Felmerer et al, 2002; Ochoa et al, 2019; Raju & Chang, 2015). Ochoa et al described the DIE lymph node basin located 6–8 cm from the pedicle origin in the preperitoneal space, proximal to its bi/ trifurcation into medial and lateral branches (Ochoa et al, 2019). They found a mean number of lymph nodes of 2.6 with a mean lymph node diameter of 3.7 mm (Ochoa et al, 2019).…”
Section: Discussionmentioning
confidence: 99%
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“…Interestingly, the anterior parietal retroperitoneal route as never been reported neither as a potential lymphatic pathway of dissemination neither as metastatic LN basin. However, recently, Ochoa et al 8 have described for the first time the deep inferior epigastric lymph node (IELN) basin as a potential donor site for vascularized LNs transfer in patients treated for breast cancer reconstruction.…”
Section: Introductionmentioning
confidence: 99%