Correlation between Quantity of Transferred Lymph Nodes and Outcome in Vascularized Submental Lymph Node Flap Transfer for Lower Limb Lymphedema

Plastic and Reconstructive Surgery
Jonas GustafssonMing-Huei Cheng

Abstract

Vascularized lymph node transfer has shown promising results in the treatment of lower limb lymphedema, but little is known about the number of lymph nodes needed for the transfer to achieve optimal results. This study investigated the correlation between number of transferred lymph nodes in submental vascularized lymph node transfer and outcomes regarding limb circumference reduction and cellulitis incidence. Thirty-five patients who had received vascularized submental lymph node transfer to an ankle for lower limb lymphedema following gynecologic cancer treatment were included in the study. Limb circumference was determined by means of tape measurement preoperatively and postoperatively and was used to calculate the circumferential difference. Ultrasonography was performed postoperatively to determine the number of lymph nodes within the transferred flap. Patients were divided into groups A through C depending on the number of transferred lymph nodes: 1 or 2 (n = 10), 3 or 4 (n = 14), and 5 to 8 (n = 11), respectively. The mean age of the patients was 60.0 ± 9.2 years. All flaps survived. The mean improvement of circumferential difference for the whole cohort was 19.8 ± 9.2 percent. Groups B and C both had significantly highe...Continue Reading

References

Mar 1, 1981·Plastic and Reconstructive Surgery·E S WheelerM A Lesavoy
Dec 1, 1996·Plastic and Reconstructive Surgery·G A Dumanian, J W Futrell
Feb 24, 2006·Annals of Surgery·Corinne BeckerGeneviève Hidden
Jul 22, 2008·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Sandra C HayesBeth Newman
Jun 4, 2010·American Journal of Physiology. Cell Physiology·Tomer AvrahamBabak J Mehrara
Oct 30, 2013·Plastic and Reconstructive Surgery·David W ChangRoman Skoracki
Jan 29, 2014·Plastic and Reconstructive Surgery·Ming-Huei ChengLeila Kolios
Jun 26, 2015·Plastic and Reconstructive Surgery·Alexander T Nguyen, Hiroo Suami
Jan 17, 2016·Gynecologic Oncology·Ran ItoMing-Huei Cheng
Feb 6, 2016·Journal of Surgical Oncology·Robert J Allen, Ming-Huei Cheng
Jun 30, 2016·Journal of Surgical Oncology·Johannes SteinbacherChieh Han Tzou
Nov 26, 2016·Journal of Surgical Oncology·María Miranda GarcésJaume Masià

❮ Previous
Next ❯

Citations

Feb 2, 2019·Plastic and Reconstructive Surgery·Jonas Gustafsson, Ming-Huei Cheng
Feb 2, 2019·Plastic and Reconstructive Surgery·Takumi Yamamoto
Aug 29, 2019·Plastic and Reconstructive Surgery·Mark V Schaverien, Christopher J Coroneos
Jun 17, 2020·Plastic and Reconstructive Surgery. Global Open·Edward I ChangMark V Schaverien
Jul 16, 2020·Journal of Surgical Oncology·Vera A A PaulusDalibor Vasilic
Jul 29, 2020·Current Oncology Reports·Kristalyn K GallagherMeredith Kugar
Jun 17, 2020·Plastic and Reconstructive Surgery. Global Open·Summer E HansonMatthew M Hanasono
Jul 17, 2019·Journal of Surgical Oncology·Seyed R MousaviSina Zarrintan
Mar 19, 2019·Plastic and Reconstructive Surgery. Global Open·Hattan A AljaalyMing-Huei Cheng
Nov 28, 2019·Plastic and Reconstructive Surgery. Global Open·Steven R HorbalMing-Huei Cheng
Feb 13, 2020·Lymphatic Research and Biology·Shinsuke AkitaYuzuru Ikehara
Jan 12, 2021·Plastic and Reconstructive Surgery. Global Open·Nutcha YodrabumParkpoom Piyaman
Jun 8, 2021·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·Joseph WardAadil A Khan
Jun 7, 2021·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Kyung-Chul MoonDeok-Woo Kim
Oct 12, 2021·Journal of Surgical Oncology·Bassem W DanielAndrej Ring

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cellulitis

Cellulitis (erysipelas) is a recurring and debilitating bacterial infection of the skin and underlying tissue. Discover the latest research on cellulitis here.