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Gastroepiploic vasc...
Gastroepiploic vascularized lymph node transfer for the treatment of extremity lymphedema : comparison between middle and distal inset
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- Manrique, Oscar J. (författare)
- Mayo Clin, Div Plast & Reconstruct Surg, Rochester, MN 55902 USA.;Mayo Clin, Ctr Regenerat Med, Rochester, MN USA.
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- Bustos, Samyd Said (författare)
- Mayo Clin, Div Plast & Reconstruct Surg, Rochester, MN 55902 USA.;Mayo Clin, Ctr Regenerat Med, Rochester, MN USA.
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- Kapoor, Trishul (författare)
- Mayo Clin, Dept Surg, Rochester, MN USA.
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- Lin, Jason (författare)
- Mayo Clin, Mix Sch Med, Rochester, MN USA.
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- Ciudad, Pedro (författare)
- Arzobispo Loay Natl Hosp, Dept Plast Reconstruct & Burn Surg, Lima, Peru.
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- Forte, Antonio J. (författare)
- Mayo Clin, Ctr Regenerat Med, Rochester, MN USA.;Mayo Clin, Div Plast Surg, Jacksonville, FL 32224 USA.
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- Del Corral, Gabriel (författare)
- Georgetown Univ Hosp, MedStar Plast & Reconstruct Surg, Washington, DC 20007 USA.
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- Mani, Maria (författare)
- Uppsala universitet,Plastikkirurgi
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- Maruccia, Michele (författare)
- Univ Bari Aldo Moro, Dept Emergency & Organ Transplantat, Div Plast & Reconstruct Surg, Bari, Italy.
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- Terzic, Andre (författare)
- Mayo Clin, Ctr Regenerat Med, Rochester, MN USA.
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Mayo Clin, Div Plast & Reconstruct Surg, Rochester, MN 55902 USA;Mayo Clin, Ctr Regenerat Med, Rochester, MN USA. Mayo Clin, Dept Surg, Rochester, MN USA. (creator_code:org_t)
- 2020-04
- 2020
- Engelska.
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Ingår i: Gland surgery. - : AME PUBL CO. - 2227-684X .- 2227-8575. ; 9:2, s. 528-538
- Relaterad länk:
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https://gs.amegroups...
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https://urn.kb.se/re...
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https://doi.org/10.2...
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Abstract
Ämnesord
Stäng
- Background Middle and distal insets of gastroepiploic vascularized lymph node transfer (GE-VLNT) for extremity lymphedema have been described. However, there has been no prior comparison of surgical or patient-reported outcomes between these techniques. We analyzed the outcomes between both insets in patients with extremity lymphedema. Methods Retrospective review of patients with extremity-lymphedema who underwent GE-VLNT. Two groups were analyzed: middle and distal recipient inset. We analyzed 6-month surgical and patient-reported outcomes using the Lymphedema Life Impact Scale-v2 (LLISv2) and scar satisfaction utilizing the Patient Scar Assessment Questionnaire (PSAQ). Results Between 2017 and 2019, 26 patients with stage II unilateral extremity lymphedema underwent laparoscopically-harvested GE-VLNT (13 distal and 13 middle inset). There were no differences in patient demographics between groups. Mean hospital stay for patients with upper extremity lymphedema was 1.3 vs. 4.0 days (P<0.05), and for lower extremity lymphedema was 1.0 vs. 4.5 days (P<0.05), middle vs. distal inset, respectively. Mean return to daily activities for patients with upper extremity lymphedema was 13.4 vs. 33.4 days (P<0.05), and for lower extremity lymphedema was 16.0 vs. 29.5 days (P<0.05), middle vs. distal inset, respectively. Both middle and distal inset showed significant mean excess volume reduction at 6 months postoperatively for both upper and lower extremity lymphedema (upper extremity: middle inset 23.3%, distal inset: 22.0%; lower extremity: middle inset 23.3% and distal inset 13.3%). LLISv2 scores showed improved functional outcomes postoperatively in both upper and lower extremity lymphedema with both insets. Scar satisfaction with appearance and symptoms was higher with middle inset (P<0.05). Conclusions: GE-VLNT is an effective surgical treatment for extremity lymphedema. The middle placement showed shorter hospital stay, early return to work and higher patient satisfaction.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Sjukgymnastik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Physiotherapy (hsv//eng)
Nyckelord
- Lymphedema
- breast cancer lymphedema
- lymph nodes
- surgical flaps
- microsurgery
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- art (ämneskategori)
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- Av författaren/redakt...
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Manrique, Oscar ...
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Bustos, Samyd Sa ...
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Kapoor, Trishul
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Lin, Jason
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Ciudad, Pedro
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Forte, Antonio J ...
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visa fler...
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Del Corral, Gabr ...
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Mani, Maria
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Maruccia, Michel ...
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Terzic, Andre
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Sjukgymnastik
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Gland surgery
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Uppsala universitet