Donor-site lymphatic function after microvascular lymph node transfer.

Abstract:

BACKGROUND:Lymphedema remains a challenging clinical problem that often lacks curative treatment options. Recent reports have shown that microvascular lymph node transfer from the groin area into axillas of lymphedematous patients may improve lymphatic drainage, but the effect on donor-site lymphatic flow has not been studied. These patients may be more prone to develop lymphedema at donor sites as well; therefore, the authors' aim was to evaluate postoperative donor-site lymphatic function. METHODS:The authors performed lymphatic groin flap transfer to the axilla in 13 lymphedema patients. In 10 patients, the lymph node transfer was performed simultaneously with lower abdominal breast reconstruction. Postoperative lymphatic vessel function of the donor site was evaluated by lymphoscintigraphy and limb circumference measurements. For semiquantitative evaluation of lymphatic drainage, a numerical transport index was used. RESULTS:In six of 10 patients, postoperative lymphoscintigraphy revealed minor changes in lymphatic flow of the donor-site limbs. The transport index was considered slightly abnormal in two of 10 patients. None of the 13 patients had changes in lower limb circumferences during the 8- to 56-month follow-up. CONCLUSIONS:Lymph node transfer can be easily combined with lower abdominal breast reconstruction, and the popularity of this technique is increasing rapidly. Even though none of our patients had developed symptoms of postoperative lymphedema, the results of the first lymphoscintigrams show that it is important to reduce the surgical trauma to the lymphatic flap donor site. CLINICAL QUESTION/LEVEL OF EVIDENCE:Therapeutic, IV.

journal_name

Plast Reconstr Surg

authors

Viitanen TP,Mäki MT,Seppänen MP,Suominen EA,Saaristo AM

doi

10.1097/PRS.0b013e31826d1682

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

1246-1253

issue

6

eissn

0032-1052

issn

1529-4242

pii

00006534-201212000-00014

journal_volume

130

pub_type

杂志文章
  • Lamellar split osteotomy: a new craniofacial technique.

    abstract::Craniofacial osteotomies have by convention been bilamellar translocations of the entire substance of the dysmorphic bone. This approach limits the surgeon by reducing the stable bone mass available for fixation, creating dependence on concave surfaces. Most important, it changes the bony topography that determines th...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Salyer KE,Hall CD,Joganic EF

    更新日期:1990-11-01 00:00:00

  • Unilateral complete cleft lip and palate repair using lip adhesion combined with a passive intraoral alveolar molding appliance: surgical results and the effect on the maxillary alveolar arch.

    abstract:BACKGROUND:A number of combined maxillary orthopedic and surgical treatment protocols have been proposed for the initial phase of therapy for infants with a complete cleft lip and palate. METHODS:Lip adhesion was used in combination with a passive intraoral molding appliance to treat a unilateral complete cleft lip an...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000209467.98050.20

    authors: Cho BC

    更新日期:2006-04-15 00:00:00

  • Long-term results of flap reconstruction in median sternotomy wound infections.

    abstract::Reconstruction of infected median sternotomy wounds using muscle and omental flaps has been shown to result in significantly reduced morbidity, mortality, and length of hospital stay. Despite these benefits, very little is known about the potential long-term sequelae of such procedures. The purpose of this study was t...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Ringelman PR,Vander Kolk CA,Cameron D,Baumgartner WA,Manson PN

    更新日期:1994-05-01 00:00:00

  • In vitro and in vivo investigation of the influence of implant surface on the formation of bacterial biofilm in mammary implants.

    abstract:BACKGROUND:Capsular contracture remains the most common complication following breast augmentation surgery, and evidence suggests that bacterial biofilm on the implant surface is responsible. The authors investigated whether the interaction of bacterial biofilm with implants independently determines progression to caps...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000000020

    authors: Jacombs A,Tahir S,Hu H,Deva AK,Almatroudi A,Wessels WLF,Bradshaw DA,Vickery K

    更新日期:2014-04-01 00:00:00

  • Cosmetic reconstruction of the mons veneris and lower abdominal wall by skin expansion as the last stage of the surgical treatment of bladder exstrophy: a report of three cases.

    abstract::The results of the correction of the medial scar depression and diastasis of the pubic hair of the mons veneris in three postpuberal female patients operated on for bladder exstrophy are reported. The reconstructive surgery is carried out using skin expanders. The expanded skin is utilized to create two dermoadipose f...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199303000-00026

    authors: Marconi F,Messina P,Pavanello P,De Castro R

    更新日期:1993-03-01 00:00:00

  • Breast reshaping following massive weight loss: principles and techniques.

    abstract:SUMMARY:Management of the breast following massive weight loss for both reconstructive and aesthetic reasons poses unique challenges that are often inadequately addressed with traditional techniques. The breast mound is often unstable and deflated, with a loose inelastic skin envelope and ill-defined boundaries that bl...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0b013e3181e60580

    authors: Losken A

    更新日期:2010-09-01 00:00:00

  • Vascular prosthetic complications: success of salvage with muscle-flap reconstruction.

    abstract::Prosthetic vascular complications such as exposure and infection represent one of the most challenging and devastating complications in surgery. Nineteen patients underwent a retrospective review of the efficacy of soft-tissue flap coverage in the management of vascular prostheses complications. These patients were di...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Evans GR,Francel TJ,Manson PN

    更新日期:1993-06-01 00:00:00

  • Mammography after implant breast reconstruction.

    abstract::This report deals with the question of performing mammography routinely after implant breast reconstruction. Mammography cannot be performed on the mastectomy flaps unless reconstruction is done. Successful mammography in this situation does require special techniques. The most probable location for a local recurrence...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199507000-00018

    authors: Dowden RV

    更新日期:1995-07-01 00:00:00

  • Inappropriate antidiuretic hormone syndrome in craniofacial surgery.

    abstract::Three instances of inappropriate ADH syndrome following craniofacial operations are reported. The cornerstone to diagnosis is careful fluid and electrolyte monitoring. Treatment consists of fluid restrictions in the acute phase and demeclocycline for refractory cases. Seizures should be symptomatically treated. Surgeo...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198301000-00001

    authors: Brones MF,Kawamoto HK Jr,Renaudin J

    更新日期:1983-01-01 00:00:00

  • Advanced Technologies to Improve Wound Healing: Electrical Stimulation, Vibration Therapy, and Ultrasound-What Is the Evidence?

    abstract:BACKGROUND:Cellular energy is required for the healing cascade to occur. A combination of cells, cytokines, chemokines, tissue perfusion, an extracellular matrix, and local forces are also required to allow for human tissue repair to proceed. Although there are many examples of treatment options, energy-based therapies...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0000000000002680

    authors: Ennis WJ,Lee C,Gellada K,Corbiere TF,Koh TJ

    更新日期:2016-09-01 00:00:00

  • Bilateral neuromata of the great auricular nerves 8 years following face lift.

    abstract::A patient is presented with bilateral neuromata incontinuity of the great auricular nerves 8 years following face lift. The neuromata were excised and repaired utilizing the operating microscope. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198512000-00027

    authors: Manstein CH,Manstein G

    更新日期:1985-12-01 00:00:00

  • Cross-Sectional Soft-Tissue Composition and the Distribution of Blue Cutaneous Discoloration in the Lower Eyelid after Hyaluronic Acid Injection.

    abstract::The soft-tissue composition of the eyelid varies from lateral to medial, in that the orbicularis area (in square millimeters) is greatest medially and least laterally, whereas the reverse is true for the preauricularis and postorbicularis fat. The purpose of this study was to describe the relative contribution of tiss...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000005833

    authors: Essilfie JO,Kattan J,Demer JL,Rootman DB

    更新日期:2019-08-01 00:00:00

  • Transcoronal removal of an atypical orbitoethmoid osteoma.

    abstract::Craniofacial osteomas are lesions of bone that most commonly occur in the paranasal sinuses. Characteristically they remain dormant or slowly enlarge but remain asymptomatic. The more rapidly expanding tumor types may extend to adjacent structures, but signs and symptoms of such involvement are rare before the third d...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198312000-00031

    authors: Marks MW,Newman MH

    更新日期:1983-12-01 00:00:00

  • In vivo electrical conductivity across critical nerve gaps using poly(3,4-ethylenedioxythiophene)-coated neural interfaces.

    abstract:BACKGROUND:Bionic limbs require sensitive, durable, and physiologically relevant bidirectional control interfaces. Modern central nervous system interfacing is high risk, low fidelity, and failure prone. Peripheral nervous system interfaces will mitigate this risk and increase fidelity by greatly simplifying signal int...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181f61848

    authors: Egeland BM,Urbanchek MG,Peramo A,Richardson-Burns SM,Martin DC,Kipke DR,Kuzon WM Jr,Cederna PS

    更新日期:2010-12-01 00:00:00

  • Anchor-line abdominoplasty: a comprehensive approach to abdominal wall reconstruction and body contouring.

    abstract:BACKGROUND:Classic abdominoplasty leads to disappointing aesthetic results in patients with preexisting supraumbilical scars. Various techniques involving vertical and horizontal incisions have been described. The authors point out the validity of the "anchor-line" approach. METHODS:In a retrospective study, the autho...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000170049.94288.d2

    authors: Persichetti P,Simone P,Scuderi N

    更新日期:2005-07-01 00:00:00

  • A Retrospective Analysis of Secondary Revisions after Face Transplantation: Assessment of Outcomes, Safety, and Feasibility.

    abstract:BACKGROUND:Face transplantation has emerged as a viable option for certain patients in the treatment of devastating facial injuries. However, as with autologous free tissue transfer, the need for secondary revisions in face transplantation also exists. The authors' group has quantified the number of revision operations...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000002605

    authors: Aycart MA,Alhefzi M,Kueckelhaus M,Krezdorn N,Bueno EM,Caterson EJ,Pribaz JJ,Pomahac B

    更新日期:2016-10-01 00:00:00

  • Holoprosencephaly and midline facial anomalies: redefining classification and management.

    abstract::Holoprosencephaly encompasses a series of midline defects of the brain and face. Most cases are associated with severe malformations of the brain which are incompatible with life. At the other end of the spectrum, however, are patients with midline facial defects and normal or near-normal brain development. Although s...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199212000-00002

    authors: Elias DL,Kawamoto HK Jr,Wilson LF

    更新日期:1992-12-01 00:00:00

  • Role of Early Application of Pressure Garments following Burn Injury and Autografting.

    abstract:BACKGROUND:Pressure garment therapy, used for reduction of postburn scarring, is commonly initiated after complete healing of the wound or autograft. Although some clinicians have suggested that earlier treatment may improve outcomes, the effect of early initiation of therapy has not been studied in a controlled enviro...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000005270

    authors: DeBruler DM,Baumann ME,Blackstone BN,Zbinden JC,McFarland KL,Bailey JK,Supp DM,Powell HM

    更新日期:2019-02-01 00:00:00

  • Aesthetic and oncologic outcome after microsurgical reconstruction of complex scalp and forehead defects after malignant tumor resection: an algorithm for treatment.

    abstract:BACKGROUND:Limited follow-up data on aesthetic outcome and survival after microsurgical reconstruction of complex scalp and forehead defects are available. These data are important to improve reconstruction quality and patient counseling. The purpose of this study was to evaluate surgical, aesthetic, and oncologic outc...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3181de2260

    authors: van Driel AA,Mureau MAM,Goldstein DP,Gilbert RW,Irish JC,Gullane PJ,Neligan PC,Hofer SOP

    更新日期:2010-08-01 00:00:00

  • A new dressing for laser-treated areas.

    abstract::Contemporary studies and observations have left no doubt that occlusive dressings are superior to open treatment after laser resurfacing. The currently available occlusive dressings, however, are time-consuming to apply, often dislodge shortly after application, and most require reapplication. The authors report a cro...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.PRS.0000021884.52700.B2

    authors: Michelow BJ,Varghai A,Movassaghi K,Guyuron B

    更新日期:2002-09-15 00:00:00

  • Total Face, Eyelids, Ears, Scalp, and Skeletal Subunit Transplant Cadaver Simulation: The Culmination of Aesthetic, Craniofacial, and Microsurgery Principles.

    abstract:BACKGROUND:The application of aesthetic, craniofacial, and microsurgical principles in the execution of face transplantation may improve outcomes. Optimal soft-tissue face transplantation can be achieved by incorporating subunit facial skeletal replacement and subsequent tissue resuspension. The purpose of this study w...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000002122

    authors: Sosin M,Ceradini DJ,Hazen A,Levine JP,Staffenberg DA,Saadeh PB,Flores RL,Brecht LE,Bernstein GL,Rodriguez ED

    更新日期:2016-05-01 00:00:00

  • Photographic standards in plastic surgery.

    abstract::Standard photographic technique in plastic surgery is an important topic that has been stressed in the discipline over the past several years. Clinical photographs should always be taken with the same camera lens, lens setting, lighting, film, and patient position to ensure reproducibility and to enable valid pre- and...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199808000-00045

    authors: DiBernardo BE,Adams RL,Krause J,Fiorillo MA,Gheradini G

    更新日期:1998-08-01 00:00:00

  • Limited value of preoperative cervical vascular imaging in patients with velocardiofacial syndrome.

    abstract::The purpose of this two-part study was to evaluate the safety of surgical management of speech production disorders in patients with velocardiofacial syndrome without preoperative cervical vascular imaging studies. Anomalous internal carotid arteries have been shown to be a frequent feature of velocardiofacial syndrom...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Witt PD,Miller DC,Marsh JL,Muntz HR,Grames LM

    更新日期:1998-04-01 00:00:00

  • Shaped versus Round Implants in Breast Reconstruction: A Multi-Institutional Comparison of Surgical and Patient-Reported Outcomes.

    abstract:BACKGROUND:Since the 2012 approval of shaped implants, their use in breast reconstruction has increased in the United States. However, large-scale comparisons of complications and patient-reported outcomes are lacking. The authors endeavored to compare surgical and patient-reported outcomes across implant types. METHO...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1097/PRS.0000000000003238

    authors: Khavanin N,Clemens MW,Pusic AL,Fine NA,Hamill JB,Kim HM,Qi J,Wilkins EG,Kim JYS

    更新日期:2017-05-01 00:00:00

  • Autotransplant of omentum to cover large denudation of the scalp. Case report.

    abstract::Omentum was transplanted and covered with a split-skin graft, for repair of a denuding injury of the scalp in a 5-year-old girl. With the many successful recent reports of free skin flaps, the indications for omental transplantation have decreased somewhat, but some peculiar situations may require it. ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Ikuta Y

    更新日期:1975-04-01 00:00:00

  • Rat extramedullary adipose tissue as a source of osteochondrogenic progenitor cells.

    abstract::Human liposuction aspirates contain pluripotent adipose-derived mesodermal stem cells that have previously been shown to differentiate into various mesodermal cell types, including osteoblasts and chondrocytes. To develop an autologous research model of bone and cartilage tissue engineering, the authors sought to dete...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200203000-00037

    authors: Huang JI,Beanes SR,Zhu M,Lorenz HP,Hedrick MH,Benhaim P

    更新日期:2002-03-01 00:00:00

  • Superior results using the islandized hemipalatal flap in palatoplasty: experience with 500 cases.

    abstract:BACKGROUND:The double-opposing Z-plasty palatal repair, as reported by Dr. Furlow, is one of the most popular methods of primary cleft palate repair. However, the repair as originally described is difficult to perform on wide palatal clefts. The authors have modified the original repair by altering the hard palatal fla...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e31817741e8

    authors: Bindingnavele VK,Bresnick SD,Urata MM,Huang G,Leland HA,Wong D,Hammoudeh J,Reinisch J

    更新日期:2008-07-01 00:00:00

  • A new concept in the tip plasty of Asian rhinoplasty: the flag technique by use of only a septal cartilage.

    abstract:BACKGROUND:To achieve the desired refinements in Asian patients, sufficient septal cartilage is needed for ideal tip projection and lengthening of the nose by the septal extension supported by the stable septum. There are many cases of insufficient septal cartilage in Asian patients. For optimal outcome, the author pro...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000001107

    authors: Kim CH

    更新日期:2015-04-01 00:00:00

  • Syndactylic toe transfer for fingertip reconstruction.

    abstract::In the case of multiple fingertip reconstruction requiring toe transfer, double toes can be elevated in the syndactylic fashion with a single vascular pedicle for transfer, followed by separation a few weeks later. The biggest advantage of this procedure is that the problem of limitation of recipient arteries for mult...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Hirasé Y,Kojima T,Takeishi M,Konno M

    更新日期:1995-03-01 00:00:00

  • Comparison of polydioxanone and polyglactin 910 in intradermal repair.

    abstract::A prospective clinical study was undertaken to compare the results of intradermal layer closure using two popular absorbable suture materials, polydioxanone and polyglactin 910. On an alternating basis, 6-0 polydioxanone and 6-0 polyglactin 910 were used to repair 80 surgical sites of the temple and occipital regions ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/00006534-199610000-00010

    authors: Guyuron B,Vaughan C

    更新日期:1996-10-01 00:00:00