Modified lymph vessel flap transplantation for the treatment of refractory lymphedema: A case report

Microsurgery
Makoto MiharaNoriyuki Muarai

Abstract

Lymph vessel flap transplantation (LFT), lymphaticovenous anastomosis (LVA), or lymph node flap transfer are sometimes used to treat lymphedema that is resistant to conservative treatment. LFT harvested from the contralateral limb has been reported for the treatment of lymphedema. Here we report the use of modified LFT from the abdominal wall for the treatment of refractory lymphedema. Our patient was a 57-year-old patient with secondary lower limb lymphedema was previously treated with conservative therapy and lymphaticovenous anastomosis. We first examined the lymphatic function of the lower abdominal region in the patient using indocyanine green (ICG) lymphography. After confirming the good lymphatic function in the right abdominal region, we harvested the pedicled abdominal adiposal flap containing multiple abdominal lymph vessels and transferred it to the left groin region. The flap (20 × 10 cm(2) ) was based on the superficial circumflex iliac artery perforator. We anastomosed one lymph vessel in the flap to that in the recipient site. We also performed multiple fibrotripsy using a 3-mm-diameter stainless steel stick inserted into small incisions. The postoperative course was uneventful. The circumference measurement was ...Continue Reading

References

Jul 15, 2003·Journal of Reconstructive Microsurgery·Isao KoshimaSeiko Itoh
Feb 24, 2006·Annals of Surgery·Corinne BeckerGeneviève Hidden
Mar 18, 2010·Microsurgery·Corradino CampisiFrancesco Boccardo
Sep 30, 2010·Microsurgery·Jiro MaegawaShinji Kobayashi
Dec 3, 2010·Plastic and Reconstructive Surgery·Hiroo Suami, David W Chang
Jan 3, 2012·Journal of Vascular Surgery·Jiro MaegawaKazunori Yasumura
Sep 15, 2012·Microsurgery·Takumi YamamotoIsao Koshima
Jul 6, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Gemma PonsJoan Duch
Jul 12, 2013·Microsurgery·Francesco BoccardoCorradino Campisi

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Citations

Jul 14, 2021·Breast Cancer : the Journal of the Japanese Breast Cancer Society·Konstantinos GasteratosKongkrit Chaiyasate

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