The lateral intercostal artery perforator as an alternative donor vessel for free vascularized lymph node transplantation
| العنوان: | The lateral intercostal artery perforator as an alternative donor vessel for free vascularized lymph node transplantation |
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| المؤلفون: | Min-Seok Daniel Kwak, Hans-Guenther Machens |
| المصدر: | Archives of Plastic Surgery Archives of Plastic Surgery, Vol 45, Iss 3, Pp 275-279 (2018) |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | medicine.medical_specialty, Microsurgery, medicine.medical_treatment, lcsh:Surgery, Case Report, 030230 surgery, 03 medical and health sciences, 0302 clinical medicine, medicine.artery, Medicine, Lymphedema, Alternative donor, Lymph node, Cervical cancer, business.industry, lcsh:RD1-811, medicine.disease, Perforator flap, Surgery, ddc, Transplantation, body regions, Lymphatic system, medicine.anatomical_structure, Transplantation, autologous, Free tissue flaps, 030220 oncology & carcinogenesis, business, Intercostal arteries |
| الوصف: | 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. |
| وصف الملف: | application/pdf |
| تدمد: | 2234-6163 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::79170a8d28c40a2c7c53ee0437ec14bdTest https://pubmed.ncbi.nlm.nih.gov/29788685Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....79170a8d28c40a2c7c53ee0437ec14bd |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22346163 |
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