Comment on “Clinical and Psychosocial Outcomes of Vascularized Lymph Node Transfer for the Treatment of Upper Extremity Lymphedema After Breast Cancer Therapy”

2017 ◽  
Vol 24 (S3) ◽  
pp. 559-560 ◽  
Author(s):  
S. Vignes ◽  
H. Brorson
Keyword(s):  
Breast Cancer ◽  
Lymph Node ◽  
Cancer Therapy ◽  
Upper Extremity ◽  
Psychosocial Outcomes ◽  
Breast Cancer Therapy ◽  
Lymph Node Transfer ◽  
Vascularized Lymph Node Transfer

scholarly journals Combining Autologous Breast Reconstruction and Vascularized Lymph Node Transfer

2018 ◽  
Vol 32 (01) ◽  
pp. 036-041 ◽  
Author(s):  
Jaume Masià ◽  
Mark Smith ◽  
Edward Chang
Keyword(s):  
Breast Cancer ◽  
Lymph Node ◽  
Breast Reconstruction ◽  
Inguinal Lymph Node ◽  
Postoperative Management ◽  
Breast Cancer Patients ◽  
Autologous Breast Reconstruction ◽  
Lymph Node Transfer ◽  
Aesthetic Breast ◽  
Vascularized Lymph Node Transfer

AbstractBreast cancer patients are at risk for developing postmastectomy lymphedema syndrome of the ipsilateral upper extremity following treatment for breast cancer in the setting of an axillary dissection, postoperative radiation, and chemotherapy. For patients suffering from lymphedema who are also seeking breast reconstruction, combining an autologous abdominal free flap with a vascularized inguinal lymph node transfer provides patients the opportunity to have an aesthetic breast reconstruction as well as the potential to improve their lymphedema in a single operation. The present article aims to provide a description of the salient features of this approach including the preoperative preparation, the surgical technique, the postoperative management and complications, and a summary of the outcomes.

scholarly journals Novel Recipient Site for Aesthetic Inset of Vascularized Lymph Node Transfer: Preliminary Report

2021 ◽  
Author(s):  
Chang Ryul Yi ◽  
Min Suk Park ◽  
Hyoung-joon Seo ◽  
Seong Hwan Bae ◽  
Jin A Yoon ◽  
...  
Keyword(s):  
Lymph Node ◽  
Upper Extremity ◽  
Preliminary Report ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Symptom Improvement ◽  
Supraclavicular Lymph Node ◽  
Recipient Site ◽  
Lymph Node Transfer ◽  
Vascularized Lymph Node Transfer

Purpose: The wrist, elbow, and axillae are recipient sites for vascularized lymph node transfer (VLNT) in upper extremity lymphedema. To the best of our knowledge, the possibility of the forearm as a recipient site for the VLNT has not been extensively investigated. We introduced a novel recipient site and surgical technique for VLNT in the distal upper extremity without a skin paddle.Methods: Between January 2018 and February 2019, five consecutive patients underwent VLNT for upper extremity lymphedema. A vascularized supraclavicular lymph node was harvested and transferred to the mid-forearm of the lymphedematous limb. Radial artery, venae comitantes, and superficial vein were used as recipient vessels. Outcome was assessed by upper limb circumference and volume.Results: All flaps survived without any donor-site morbidity. All patients reported symptom improvement. Mean circumference and volume at 3, 6, and 12 months after VLNT were reduced statistically significantly (p<0.05). Volume differential reduction was significant (p=0.005), showing an increasing tendency (p=0.050).Conclusion: The forearm appears to be an excellent recipient site owing to its aesthetic and surgical benefits.

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