The lateral intercostal artery perforator as an alternative donor vessel for free vascularized lymph node transplantation
Chronic lymphedema is caused by an impairment of the lymphatic system due to primary or secondary causes. Vascularized lymph node transplantation (VLNT) is currently the most promising and frequently used technique besides lymphaticovenous anastomosis. However, the vessel anatomy in the lateral thor...
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Korean Society of Plastic and Reconstructive Surgeons
2018-05-01
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doaj-fce88ce385bc4c4bbce359c5105dc9af2020-11-24T21:24:42ZengKorean Society of Plastic and Reconstructive SurgeonsArchives of Plastic Surgery2234-61632234-61712018-05-0145327527910.5999/aps.2017.01354931The lateral intercostal artery perforator as an alternative donor vessel for free vascularized lymph node transplantationMin-Seok Daniel KwakHans-Guenther MachensChronic lymphedema is caused by an impairment of the lymphatic system due to primary or secondary causes. Vascularized lymph node transplantation (VLNT) is currently the most promising and frequently used technique besides lymphaticovenous anastomosis. However, the vessel anatomy in the lateral thoracic region is sometimes quite variable. Based on our experiences with vascular anatomical inconstancy in the lateral thoracic region, we planned a lateral intercostal artery perforator flap for VLNT in a female patient with chronic stage II lymphedema of both legs after cervical cancer treatment. After surgery, the patient reported significant improvement in limb volume and the accompanying symptoms. The limb circumference was reduced by an average of 19.2% at 6 months postoperatively. Despite having a short pedicle and small vessel caliber, the lateral intercostal artery perforator flap can safely be used for VLNT in lymphedema patients with anatomical variants.http://www.e-aps.org/upload/pdf/aps-2017-01354.pdfLymphedemaTransplantation, autologousPerforator flapMicrosurgeryFree tissue flaps |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Min-Seok Daniel Kwak Hans-Guenther Machens |
spellingShingle |
Min-Seok Daniel Kwak Hans-Guenther Machens The lateral intercostal artery perforator as an alternative donor vessel for free vascularized lymph node transplantation Archives of Plastic Surgery Lymphedema Transplantation, autologous Perforator flap Microsurgery Free tissue flaps |
author_facet |
Min-Seok Daniel Kwak Hans-Guenther Machens |
author_sort |
Min-Seok Daniel Kwak |
title |
The lateral intercostal artery perforator as an alternative donor vessel for free vascularized lymph node transplantation |
title_short |
The lateral intercostal artery perforator as an alternative donor vessel for free vascularized lymph node transplantation |
title_full |
The lateral intercostal artery perforator as an alternative donor vessel for free vascularized lymph node transplantation |
title_fullStr |
The lateral intercostal artery perforator as an alternative donor vessel for free vascularized lymph node transplantation |
title_full_unstemmed |
The lateral intercostal artery perforator as an alternative donor vessel for free vascularized lymph node transplantation |
title_sort |
lateral intercostal artery perforator as an alternative donor vessel for free vascularized lymph node transplantation |
publisher |
Korean Society of Plastic and Reconstructive Surgeons |
series |
Archives of Plastic Surgery |
issn |
2234-6163 2234-6171 |
publishDate |
2018-05-01 |
description |
Chronic lymphedema is caused by an impairment of the lymphatic system due to primary or secondary causes. Vascularized lymph node transplantation (VLNT) is currently the most promising and frequently used technique besides lymphaticovenous anastomosis. However, the vessel anatomy in the lateral thoracic region is sometimes quite variable. Based on our experiences with vascular anatomical inconstancy in the lateral thoracic region, we planned a lateral intercostal artery perforator flap for VLNT in a female patient with chronic stage II lymphedema of both legs after cervical cancer treatment. After surgery, the patient reported significant improvement in limb volume and the accompanying symptoms. The limb circumference was reduced by an average of 19.2% at 6 months postoperatively. Despite having a short pedicle and small vessel caliber, the lateral intercostal artery perforator flap can safely be used for VLNT in lymphedema patients with anatomical variants. |
topic |
Lymphedema Transplantation, autologous Perforator flap Microsurgery Free tissue flaps |
url |
http://www.e-aps.org/upload/pdf/aps-2017-01354.pdf |
work_keys_str_mv |
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1725986580788674560 |