Alternative vascular constructs of lymph node flap transfer

Fabio NicoliGeorgios OrfaniotisPedro CiudadKidakorn KiranantawatDavide LazzeriMichele MarucciaJoannis ConstantinidesBulent SacakRam M. ChilgarKe LiYi Xin ZhangHung Chi ChenShanghai Jiao Tong University School of MedicineChina Medical University Hospital TaichungUniversità degli Studi di Roma Tor VergataFaculty of Medicine, Ramathibodi Hospital, Mahidol UniversityGuy's and St Thomas' NHS Foundation TrustMarmara Üniversitesi Tip FakültesiVilla Salaria Clinic2019-08-282019-08-282018-05-01Journal of Surgical Oncology. Vol.117, No.6 (2018), 1144-114710969098002247902-s2.0-85048868586https://repository.li.mahidol.ac.th/handle/123456789/46733© 2018 Wiley Periodicals, Inc. Vascularized lymph node transfer is a quite innovative physiological surgical procedure for the lymphedema treatment. Although is gaining more popularity due to its promising results, there are some concerns regarding difficult to harvest it and the potential risk of iatrogenic lymphedema. Here, we present alternative vascular constructs of lymph node flap for the treatment of lymphedema, which provide the benefits of a technically easier dissection and physiological reconstruction of the damaged lymphatics. Furthermore, we introduce a classification based on the flap vascular supply including six types of flaps and we provide the details of the surgical technique.Mahidol UniversityMedicineAlternative vascular constructs of lymph node flap transferArticleSCOPUS10.1002/jso.24966