2012
DOI: 10.1016/j.cps.2012.08.002
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Microlymphatic Surgery for the Treatment of Iatrogenic Lymphedema

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Cited by 172 publications
(180 citation statements)
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“…Varying donor and recipient sites are used, but most microsurgeons opt to move lymph nodes from the lateral groin to the affected axilla, while others choose to transfer tissue to the wrist or ankle. [30][31][32][33][34][35][36] If simultaneous breast reconstruction is performed, the lymph node flap can be transferred together with a deep inferior epigastric perforator (DIEP) abdominal soft tissue flap. In such cases, a DIEP flap is used instead of a transverse rectus abdominis myocutaneous (TRAM) flap, both to decrease postoperative abdominal morbidity and to allow better geometry of inset for the lymph node flap in the axilla.…”
Section: Vascularized Lymph Node Transfer (Vlnt)mentioning
confidence: 99%
“…Varying donor and recipient sites are used, but most microsurgeons opt to move lymph nodes from the lateral groin to the affected axilla, while others choose to transfer tissue to the wrist or ankle. [30][31][32][33][34][35][36] If simultaneous breast reconstruction is performed, the lymph node flap can be transferred together with a deep inferior epigastric perforator (DIEP) abdominal soft tissue flap. In such cases, a DIEP flap is used instead of a transverse rectus abdominis myocutaneous (TRAM) flap, both to decrease postoperative abdominal morbidity and to allow better geometry of inset for the lymph node flap in the axilla.…”
Section: Vascularized Lymph Node Transfer (Vlnt)mentioning
confidence: 99%
“…Vascularized lymph node transfer (VLNT) is a microsurgical procedure that involves the relocation of a lymphatic-containing soft tissue flap along with its arteriovenous supply from a donor site such as the lateral groin, chest wall, or neck to the affected limb, groin, or axilla. [5][6][7][8] Lymphaticovenous anastomosis (LVA) is also a microsurgical procedure in which lymphatic vessels, usually between 0.1 and 0.6 mm in diameter, are sewn to small adjacent venules to bypass an area of poor lymphatic flow or obstruction and drain excess lymph directly into the venous system. [9][10][11][12] Suction-assisted protein lipectomy (SAPL) allows the removal of the solid components of lymphedema swelling seen in chronic lymphedema.…”
mentioning
confidence: 99%
“…Fluorescence is used to help identify the lymphatic system and an operating microscope is used to assist in microsurgery (41). Single or multiple LVA's have been reported by different authors using differing surgical sites (39,(42)(43)(44). Supermicrosurgery (anastomosis less than 0.8 mm vessels) is used in this technique, in which lymphatic vessels and adjacent venules are anastomosed, mostly in an end-to-end fashion (39,43) (Figure 5).…”
Section: Physiologic Techniquesmentioning
confidence: 99%
“…Such examples include transferring the lower abdominal tissue in case of total breast anatomical reconstruction (TBAR) and latissimus dorsi flaps with lymph nodes. In such cases, both the breast and the lymph nodes are reconstructed (44,50,53). Other types of flaps such as those harvested intraabdominally carry lymphatic tissue from the omentum (49).…”
Section: Physiologic Techniquesmentioning
confidence: 99%
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