The deep inferior epigastric lymphatic cable flap connected to gastroepiploic lymph node flap for treatment of refractory chylous ascites: Report of two cases

Ciudad, Pedro; Chen, Hung-Chi; Bustos, Samyd S.; Manrique, Oscar J.; Bolletta, Alberto; Forte, Antonio J.; Huayllani, María T.; Agko, Mouchammed; Urbina, J. Antonio; Date, Shivprasad; Kaya, Burak

doi:10.1002/micr.30736

Cited by 5 publications

(4 citation statements)

References 37 publications

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“…Our group and other Institutions previously reported small cases series accounting for the outcomes of this procedure (Casella, Di Taranto, Onesti, et al, 2019; Ciudad et al, 2017; Ciudad, Chen, et al, 2021; Leppäpuska et al, 2019; Nicoli et al, 2015). A recent review analyzed the results of combining lipoaspiration and lymph node transfer as a treatment for breast cancer‐related lymphedema (Forte et al, 2019).…”

Section: Discussionmentioning

confidence: 76%

Combined lymph node transfer and suction‐assisted lipectomy in lymphedema treatment: A prospective study

et al. 2022

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Background: Recent studies have analyzed the combination of suction-assisted lipectomy (SAL) and vascularized lymph node transfer (VLNT) in lymphedema treatment, reporting positive outcomes. However, it is difficult to draw conclusions due to the heterogeneity of the studies. Aim of this prospective study is to evaluate the effectiveness of the combination of VLNT and SAL in lymphedema treatment. Patients and methods:Between January 2016 and May 2019, 94 patients with upper or lower limb stage IIb-III lymphedema were enrolled and treated with the gastroepiploic VLNT followed by SAL. Patients were prospectively evaluated through circumference measurement and clinical examination, including number of episodes of cellulitis.Results: Among patients enrolled in the study 83 were affected by lower limb lymphedema (LLL) and 11 were affected by upper limb lymphedema (ULL). Average followup was 3 ± 0.8 years. In the LLL group, the mean circumference reduction rates (CRR) were 60.4, 56.9, 29.6, and 55.4% above and below the knee, above the ankle, and at the foot level, respectively. A statistically significant difference was noted at all the levels (p < .05), but above the ankle (p = .059). Regarding the ULL group, the mean CRR were 80.7, 60.7, 65.0 and 49.6% above and below the elbow, at wrist and at mid-hand, respectively. CRR were reported at all the levels but no statistical difference was noted. The number of episodes of cellulitis dropped significantly (p < .05). Conclusion:This study supports the use of VLNT+SAL in lymphedema grades IIb-III, with important implications for the clinical practice. | INTRODUCTIONLymphedema is a progressive, chronic condition that affects the lymphatic system with an overall prevalence estimated from 0.13% to 2% (Cheng et al., 2017).Lymphedema manifests as a chronic swelling with recurrent episodes of infections and can lead to severe impairment of physical and psychosocial wellness of patients .The pathophysiology of the lymphedema is complex; the accumulation of fluid in the interstitial space can be initiated by a disruption of the lymphatic drainage system, due to congenital defects or traumatic damage to the lymphatics, removal of lymph nodes and/or radiation therapy as a part of cancer treatment regimen (Cheng et al., 2017;.There are two main treatment options for lymphedema: conservative and surgical. Conservative treatments can be in the form of Alberto Bolletta and Giuseppe di Taranto contributed equally to the study

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Section: Discussionmentioning

confidence: 76%

Combined lymph node transfer and suction‐assisted lipectomy in lymphedema treatment: A prospective study

et al. 2022

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“…A multimodal and multidisciplinary approach is relevant in the whole field of medicine. Reconstruction following trauma, surgical oncology, or any detrimental condition (i.e., lymphoedema, sequelae of massive weight loss) is gradually becoming more closely related to patients' aesthetic concerns, with the aim of lessening psychological discomfort and improving patient satisfaction and QoL [20][21][22][23]. The pursuit of aesthetic rehabilitation matches this novel approach perfectly.…”

Section: Multicomponent Role and Synergies In Aesthetic Rehabilitationmentioning

confidence: 99%

Aesthetic Rehabilitation Medicine: Enhancing Wellbeing beyond Functional Recovery

Lippi,

Ferrillo,

Losco

et al. 2024

Medicina

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Although rehabilitation medicine emphasizes a holistic health approach, there is still a large gap of knowledge about potential interventions aimed at improving overall wellbeing through cosmetic interventions. Therefore, this narrative review investigates the role of different rehabilitative techniques in enhancing aesthetics, quality of life, and psychosocial wellbeing for patients with disabilities. The study follows the SANRA framework quality criteria for a narrative review. Literature searches across PubMed/Medline, Web of Science, and Scopus identified articles focusing on rehabilitation strategies within the aesthetic rehabilitation domain. The review identified evidence supporting injection procedures, such as Botulinum Toxin, Platelet-Rich Plasma, Hyaluronic Acid, Ozone, and Carboxytherapy, and assessing their applications in several disabling disorders. Additionally, physical therapies like Extracorporeal Shock Wave Therapy, Laser Therapy, Microcurrent Therapy, Tecar Therapy, and physical exercises were explored for their impact on cutaneous microcirculation, cellulite treatment, wound healing, and scar appearance improvement. Lastly, the manuscript underlines the role of manual therapy techniques in addressing both physical discomfort and aesthetic concerns, discussing their effectiveness in adipose tissue therapy, scar tissue mobilization, and regional fat thickness reduction. Taken together, this review emphasizes the role of a multidisciplinary approach, aiming to provide valuable insights into potential benefits for both functional and aesthetic outcomes.

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“…To date, the increase in overall survival of cancer patients has been associated with a progressive increase in long-term complications, including lymphedema, that represents a critical issue in the current health care system [ 8 , 9 ]. Currently, there is no chance to cure this condition, and, regardless of the etiology, the therapeutic aim is to slow down the advancement of the disease and prevent secondary complications; early diagnosis is paramount to establish an effective physical therapy protocol or surgical treatment after appropriate patient information [ 10 , 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Surgical Treatment and Rehabilitation Strategies for Upper and Lower Extremity Lymphedema: A Comprehensive Review

et al. 2022

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Lymphedema is a chronic disabling condition affecting a growing number of patients worldwide. Although lymphedema is not life-threatening, several reports underlined detrimental consequences in terms of distress, pain, functional impairment, and infections with a relevant decrease in quality of life. Currently, there is no cure, and the therapeutic management of this condition aims at slowing down the disease progression and preventing secondary complications. Early diagnosis is paramount to enhance the effects of rehabilitation or surgical treatments. On the other hand, a multidisciplinary treatment should be truly integrated, the combination of microsurgical and reductive procedures should be considered a valid strategy to manage extremity lymphedema, and rehabilitation should be considered the cornerstone of the multidisciplinary treatment not only for patients not suitable for surgical interventions but also before and after surgical procedures. Therefore, a specialized management of Plastic Reconstructive Surgeons and Physical and Rehabilitative Medicine physicians should be mandatory to address patients’ needs and optimize the treatment of this disabling and detrimental condition. Therefore, the aim of this review was to characterize the comprehensive management of lymphedema, providing a broad overview of the potential therapy available in the current literature to optimize the comprehensive management of lymphedema and minimize complications.

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The deep inferior epigastric lymphatic cable flap connected to gastroepiploic lymph node flap for treatment of refractory chylous ascites: Report of two cases

Cited by 5 publications

References 37 publications

Combined lymph node transfer and suction‐assisted lipectomy in lymphedema treatment: A prospective study

Combined lymph node transfer and suction‐assisted lipectomy in lymphedema treatment: A prospective study

Aesthetic Rehabilitation Medicine: Enhancing Wellbeing beyond Functional Recovery

Surgical Treatment and Rehabilitation Strategies for Upper and Lower Extremity Lymphedema: A Comprehensive Review

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