An Investigational Surgical Procedure (Vascularized Lymph Node Transfer) in Reducing the Risk of Lymphedema in Patients With Breast Cancer Undergoing Breast Reconstruction

2019 ◽  
Author(s):  
Keyword(s):  
Breast Cancer ◽  
Lymph Node ◽  
Breast Reconstruction ◽  
Surgical Procedure ◽  
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.

An alternative approach to combined autologous breast reconstruction with vascularized lymph node transfer

Microsurgery ◽  
2016 ◽  
Vol 37 (5) ◽  
pp. 463-464 ◽  
Author(s):  
Romina Deldar ◽  
Stephen Duquette ◽  
Eugene P. Ceppa ◽  
Mary Lester ◽  
Rajiv Sood ◽  
...  
Keyword(s):  
Lymph Node ◽  
Breast Reconstruction ◽  
Autologous Breast Reconstruction ◽  
Alternative Approach ◽  
Lymph Node Transfer ◽  
Vascularized Lymph Node Transfer

scholarly journals Vascularized Lymph Node Transfer for Lymphedema

2018 ◽  
Vol 32 (01) ◽  
pp. 028-035 ◽  
Author(s):  
Mark Schaverien ◽  
Ido Badash ◽  
Jesse Selber ◽  
Ming-Huei Cheng ◽  
Ketan Patel
Keyword(s):  
Lymph Node ◽  
Breast Reconstruction ◽  
Abdominal Cavity ◽  
Epigastric Artery ◽  
Deep Inferior Epigastric Artery ◽  
Lymph Node Transfer ◽  
Surgical Treatments ◽  
Superficial Inguinal Lymph Node ◽  
Artery Perforator ◽  
Vascularized Lymph Node Transfer

AbstractAdvances in our understanding of the lymphatic system and the pathogenesis of lymphedema have resulted in the development of effective surgical treatments. Vascularized lymph node transfer (VLNT) involves the microvascular transplantation of functional lymph nodes into an extremity to restore physiological lymphatic function. It is most commonly performed by transferring combined deep inferior epigastric artery perforator and superficial inguinal lymph node flaps for postmastectomy breast reconstruction. For patients who do not require or are unable to undergo free abdominal breast reconstruction or have lymphedema affecting the lower extremity, several other VLNT options are available. These include flaps harvested from within the axillary, inguinal, or cervical lymph node basins, and lymph node flaps from within the abdominal cavity. This article reviews the lymph node flap options and techniques available for VLNT for lymphedema.

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