Retrograde Manual Lymphatic Drainage following Vascularized Lymph Node Transfer to Distal Recipient Sites for Extremity Lymphedema: A Retrospective Study and Literature Review

2021 ◽  
Vol 148 (3) ◽  
pp. 425e-436e
Author(s):  
Julia Roka-Palkovits ◽  
Miffy Chia-Yu Lin ◽  
Chieh-Han J. Tzou ◽  
Ines Tinhofer ◽  
Ming-Huei Cheng
Keyword(s):  
Lymph Node ◽  
Retrospective Study ◽  
Literature Review ◽  
Lymphatic Drainage ◽  
Manual Lymphatic Drainage ◽  
Lymph Node Transfer ◽  
Vascularized Lymph Node Transfer

scholarly journals Surgical treatment of lymphedema

2020 ◽  
Vol 63 (4) ◽  
pp. 206-213 ◽  
Author(s):  
Il-Kug Kim ◽  
Hak Chang
Keyword(s):  
Lymph Node ◽  
Surgical Treatment ◽  
Lymphatic Vessels ◽  
Compression Therapy ◽  
Lymphatic Drainage ◽  
Vascular Supply ◽  
Lymphatic Circulation ◽  
Lymph Node Transfer ◽  
Lymphatic Fluid ◽  
Vascularized Lymph Node Transfer

Lymphedema is a debilitating and progressive condition, which results in the accumulation of lymphatic fluid within the interstitial compartments of tissues and hypertrophy of adipose tissue due to the impairment of lymphatic circulation. The mainstay of current lymphedema treatment is nonsurgical management such as complex decongestive therapy and compression therapy. Recently, surgical treatment of lymphedema based on microsurgery has been developed to enable the functional recovery of lymphatic drainage and has complemented nonsurgical treatment. Lymphaticovenular anastomosis and vascularized lymph node transfer are representative physiologic surgeries in the treatment of lymphedema. Lymphaticovenular anastomosis is conducted to drain lymphatic fluid from obstructed lymphatic vessels to the venous circulation through surgically created lymphaticovenous shunts. Vascularized lymph node transfer involves harvesting lymph nodes with their vascular supply and transferring this vascularized tissue to the lymphedema lesion as a free flap. In addition to physiologic surgeries, ablative surgeries such as direct excision and liposuction also can be performed, especially for end-stage cases. Indications for surgical treatment vary across institutions. It is important not to delay physiologic surgery in mild to moderate cases of lymphedema.

Reestablishment of Lymphatic Drainage after Vascularized Lymph Node Transfer in a Rat Model

2018 ◽  
Vol 142 (4) ◽  
pp. 503e-508e ◽  
Author(s):  
Marc Najjar ◽  
Marcos M. Lopez ◽  
Alberto Ballestin ◽  
Naikhoba Munabi ◽  
Alexandra I. Naides ◽  
...  
Keyword(s):  
Lymph Node ◽  
Rat Model ◽  
Lymphatic Drainage ◽  
Lymph Node Transfer ◽  
Vascularized Lymph Node Transfer

Vascularized lymph node transfer from thoracodorsal axis for congenital and post filarial lymphedema of the lower limb

2016 ◽  
Vol 115 (1) ◽  
pp. 78-83
Author(s):  
Hari Venkatramani ◽  
Senthil Kumaran ◽  
Shivannaiah Chethan ◽  
Shanmuganathan Raja Sabapathy
Keyword(s):  
Lymph Node ◽  
Lower Limb ◽  
Lymph Node Transfer ◽  
Vascularized Lymph Node Transfer

Vascularized Lymph Node Transfer for the Treatment of Lymphedema

Lymphedema ◽  
2017 ◽  
pp. 637-652
Author(s):  
Laurence S. Paek ◽  
Joseph M. Baylan ◽  
Corrine Becker ◽  
Dung H. Nguyen
Keyword(s):  
Lymph Node ◽  
Lymph Node Transfer ◽  
Vascularized Lymph Node Transfer

Lympedema Therapies

2021 ◽  
Author(s):  
Shailesh Agarwal ◽  
Catherine Wu
Keyword(s):  
Lymph Node ◽  
Drainage Basin ◽  
Parasitic Infection ◽  
Surgical Techniques ◽  
Lymphatic Drainage ◽  
The United States ◽  
Secondary Lymphedema ◽  
Complete Decongestive Therapy ◽  
Infection Treatment ◽  
Lymph Node Transfer

Secondary lymphedema refers to a condition in which the affected extremity develops progressive hypertrophy due to lymphatic fluid retention. Worldwide, secondary lymphedema is most often associated with parasitic infection; within the United States, secondary lymphedema is most often caused by surgical disruption of the lymphatic drainage basins due to cancer surgery and/or radiation. For patients with lymphedema secondary to parasitic infection, treatment of the offending infectious organism (Wuchereria bancroftii) is critical. For patients with surgical disruption of the lymphatic drainage basin(s), patients are first managed non-operatively with compression and manual lymphatic drainage massage. Over the past decade, surgical techniques have been developed and implemented to improve lymphatic drainage for patients with post-surgical secondary lymphedema. These procedures, including lymphovenous bypass or vascularized lymph node transfer, are aimed at reconstituting lymphatic drainage and reducing lymphatic retention to alleviate early lymphedema. An appreciation of the underlying physiology responsible for secondary lymphedema, and diagnosis and management is required to provide timely and appropriate care for these patients. This review contains 2 tables, 4 figures, and 32 references Keywords: lymphedema, lymphedema treatment, secondary lymphedema, complete decongestive therapy, lymphovenous bypass, vascularized lymph node transplantation, debulking surgery, ICG lymphangiography, lymphedema staging

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