scholarly journals Lymph node transfer for refractory infectious sites caused by trauma

2017 ◽  
Vol 5 ◽  
pp. 2050313X1771163
Author(s):  
Makoto Mihara ◽  
Hisako Hara ◽  
Kazuki Kikuchi
Keyword(s):  
Lymph Node ◽  
Conservative Treatment ◽  
Lymph Nodes ◽  
Iliac Artery ◽  
Perforator Flap ◽  
Skin Defect ◽  
Lymph Node Transfer ◽  
The Right ◽  
A Site ◽  
Artery Perforator

Objective: In this report, we placed focus on the immunological function of lymph nodes and performed lymph node transfer via a free flap to a site of refractory infection. Case and Results: Case 1 describes a 34-year-old male suffering from compound fractures with severe crush injuries and burns in the right ankle joint. A 20 × 15 cm skin defect was observed around the right malleolus medialis, along with denuded tendons with bacterial infection. After conservative treatment, we transferred a lymph-node-containing free superficial circumflex iliac artery perforator flap to the region, with minimum debridement. No recurrence of wound infection appeared. Case 2 describes a 73-year-old male patient suffering from extensive contused wound in the right crus. Despite conservative treatment, the tibia gradually became denuded with computed tomography and magnetic resonance imaging revealing degeneration of the tibial cortex. We performed a free superficial circumflex iliac artery perforator flap containing lymph nodes to the chronic infection area. The wound area healed successfully. Conclusion: In conclusion, lymph node transfer has a potential of treatment infection sites.

Delayed Partial Breast Reconstruction and Vascularized Lymph Node Transfer by a Superficial Circumflex Iliac Artery Perforator Flap

2016 ◽  
Vol 137 (2) ◽  
pp. 490e-491e
Author(s):  
Shinsuke Akita ◽  
Nobuyuki Mitsukawa ◽  
Yoshitaka Kubota ◽  
Masahiro Sakakibara ◽  
Takeshi Nagashima ◽  
...  
Keyword(s):  
Lymph Node ◽  
Breast Reconstruction ◽  
Iliac Artery ◽  
Perforator Flap ◽  
Lymph Node Transfer ◽  
Artery Perforator ◽  
Vascularized Lymph Node Transfer

A case of donor-site lymphoedema after lymph node–superficial circumflex iliac artery perforator flap transfer

2014 ◽  
Vol 67 (1) ◽  
pp. 119-123 ◽  
Author(s):  
Gemma Pons ◽  
Jaume Masia ◽  
Pietro Loschi ◽  
Maria Luisa Nardulli ◽  
Joan Duch
Keyword(s):  
Lymph Node ◽  
Iliac Artery ◽  
Donor Site ◽  
Perforator Flap ◽  
Flap Transfer ◽  
Artery Perforator

Elevation Technique for Medial Branch based Superficial Circumflex Iliac Artery Perforator flap

2018 ◽  
Vol 50 (04) ◽  
pp. 256-258 ◽  
Author(s):  
Young Chul Suh ◽  
Joon Pio Hong ◽  
Hyunsuk Peter Suh
Keyword(s):  
Lymph Nodes ◽  
Iliac Artery ◽  
Perforator Flap ◽  
Anatomical Variations ◽  
Technical Note ◽  
Deep Fascia ◽  
Medial Branch ◽  
Superficial Fascia ◽  
Epigastric Artery ◽  
Artery Perforator

AbstractAccording to early studies on the superficial circumflex iliac artery perforator flap, there are two major types of perforators that are presumed to originate from the superficial circumflex iliac artery: the medial perforator with a direct cutaneous vessel (superficial branch) - located relatively medially on the flap, and the lateral perforator, traveling laterally beneath the deep fascia and often with an intramuscular pathway penetrating the deep fascia on the lateral aspect (deep branch) of the flap. Although there are well described studies on the anatomy of the arterial vasculature, design and elevation of the flap are different issues, as there are always some potential for anatomical variations, such as pedicle anatomy, location of lymph nodes, and thickness of superficial fascia. The presence of internal pudendal artery and superficial inferior epigastric artery in the groin may add to the confusion. One should also beware of the presence of major lymphatics which are drained into the superficial venous system. Therefore this paper will try to simplify the elevation technique based on the medial perforator. However, one must always be ready to identify a good perforator and to elevate it as a freestyle approach to overcome the variations wherever the perforator may originate from. The best way to feel comfortable using any flap is from practice and repetitive elevation. The same is for the medial branch based SCIP flap. The direct cutaneous nature of the pedicle will make the dissection even easier as the dissection course bypasses muscle and lymph nodes. This technical note describes practical surgical tips for elevating the medial perforator based SCIP flap.

Lymph Node Flap Based on the Right Transverse Cervical Artery as a Donor Site for Lymph Node Transfer

2015 ◽  
Vol 74 (6) ◽  
pp. 744-745 ◽  
Author(s):  
Stamatis Sapountzis ◽  
Dhruv Singhal ◽  
Pedro Ciudad ◽  
Domenico Meo ◽  
Hung Chi Chen
Keyword(s):  
Lymph Node ◽  
Donor Site ◽  
Cervical Artery ◽  
Lymph Node Transfer ◽  
The Right ◽  
Transverse Cervical Artery

Free superficial circumflex iliac artery perforator flap with a single-pedicle bilobed design for pediatric multi-digit defect reconstruction

2020 ◽  
Author(s):  
Zhangcan Li ◽  
Dawei Zheng ◽  
Jian Zheng ◽  
Weiya Qi ◽  
Qiang Qi ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Pediatric Patients ◽  
Color Doppler ◽  
Perforator Flap ◽  
Interphalangeal Joint ◽  
Soft Tissue Reconstruction ◽  
Tactile Sense ◽  
Defect Reconstruction ◽  
Artery Perforator

Abstract Objectives: This paper describes imaging and anatomical features, in order to assess the feasibility of superficial circumflex iliac artery perforator (SCIP) flap with a single-pedicle bilobed design for multi-digit skin and soft tissue reconstruction in pediatric patients.Methods: A total of 7 pediatric patients who were being treated with free single-pedicle bilobed SCIP flap reconstruction for multi-digit defects were included in this study. The details of the clinical features were collected, and the following were successively analyzed: the preoperative Computed Tomographic Angiography (CTA) and Color Doppler Sonography (CDS) examinations for flap design, the intraoperative anatomy for perforator vessel, defect reconstruction and interphalangeal range of motion (ROM) and tactile sense, pain sense and two-point discrimination recovery results.Results: CTA and CDS performed preoperatively could accurately and rapidly identify the position, location and course of the SCIP flap. All wounds healed by the first follow-up and no complications occurred at the follow-up visit. All flaps survived, the patients achieved proximal interphalangeal joint (PIP) ranges of motions (ROM) from 80 to 100 degree and distal interphalangeal joint (DIP) ROM from 65 to 80 degree. The tactile sense and pain sense recovered, and average of the two-point discrimination scores was 9.3mm (range 7-12mm). The donor area was primarily sutured with good scar concealment in the underwear region.Conclusion: CTA and CDS performed preoperatively are accurate and intuitive methods for assessing the location and course of SCIP. The SCIP flap is highly suitable for pediatric patients due to its small caliber, specific functional and aesthetic benefits. It can be designed in a lobulated fashion in order to repair two or more wounds during one surgery. We suggest that the free single-pedicle bilobed SCIP flap should be considered an optimal choice for multi-digit defect reconstruction in pediatric patients in the clinic.

Deep Circumflex Iliac Artery Perforator Flap

2018 ◽  
pp. 111-117
Author(s):  
He-Ping Zheng ◽  
Yong-Qing Xu ◽  
Jian Lin ◽  
De-Qing Hu
Keyword(s):  
Iliac Artery ◽  
Perforator Flap ◽  
Deep Circumflex Iliac Artery ◽  
Artery Perforator
Sign in / Sign up

Export Citation Format

Share Document