Ileocecal vascularized lymph node transfer for the treatment of extremity lymphedema: A case report

Pedro Ciudad, Oscar J Manrique, Mouchammed Agko, En-Wei Liu, Wei-Ling Chang, Matthew Sze-Wei Yeo, Tony Chieh-Ting Huang, Ram M Chilgar, Hung-Chi Chen

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Vascularized lymph node (VLN) transfer has been of high interest in the past decade for the treatment of lymphedema, since it has been shown to be effective in reducing limb volumes, decreasing infectious episodes and improving quality of life. Multiple donor sites have been described in the quest for the optimal one. Herein, we describe a novel lymph node flap option based on the ileocolic artery and vein. The ileocecal vascularized lymph node (IC-VLN) flap was used in the management of a 33-year-old male patient with lower extremity lymphedema secondary to left inguinal trauma. The patient had previously underwent a pedicled omentum flap transposition with minimal improvement in limb size and persistent episodes of infection. At 15 month follow-up, the IC-VLN flap improved the lymphatic drainage in the affected limb with a mean limb circumference reduction rate of 26.3%. No donor site complications or further episodes of infection were noted. According to our findings, the IC-VLN flap may be another option for VLN transfer in very selected cases. Nevertheless, larger series with a longer follow-up are required to analyze the efficacy and long-term results of this flap.

Original languageEnglish (US)
JournalMicrosurgery
DOIs
StateE-pub ahead of print - May 24 2017
Externally publishedYes

Fingerprint

Lymphedema
Extremities
Lymph Nodes
Therapeutics
Tissue Donors
Surgical Flaps
Omentum
Groin
Infection
Drainage
Lower Extremity
Veins
Arteries
Quality of Life
Wounds and Injuries

Cite this

Ileocecal vascularized lymph node transfer for the treatment of extremity lymphedema : A case report. / Ciudad, Pedro; Manrique, Oscar J; Agko, Mouchammed; Liu, En-Wei; Chang, Wei-Ling; Sze-Wei Yeo, Matthew; Huang, Tony Chieh-Ting; Chilgar, Ram M; Chen, Hung-Chi.

In: Microsurgery, 24.05.2017.

Research output: Contribution to journalArticle

Ciudad, P, Manrique, OJ, Agko, M, Liu, E-W, Chang, W-L, Sze-Wei Yeo, M, Huang, TC-T, Chilgar, RM & Chen, H-C 2017, 'Ileocecal vascularized lymph node transfer for the treatment of extremity lymphedema: A case report', Microsurgery. https://doi.org/10.1002/micr.30186
Ciudad, Pedro ; Manrique, Oscar J ; Agko, Mouchammed ; Liu, En-Wei ; Chang, Wei-Ling ; Sze-Wei Yeo, Matthew ; Huang, Tony Chieh-Ting ; Chilgar, Ram M ; Chen, Hung-Chi. / Ileocecal vascularized lymph node transfer for the treatment of extremity lymphedema : A case report. In: Microsurgery. 2017.
@article{683e5306b74943a2b9691697fa51a357,
title = "Ileocecal vascularized lymph node transfer for the treatment of extremity lymphedema: A case report",
abstract = "Vascularized lymph node (VLN) transfer has been of high interest in the past decade for the treatment of lymphedema, since it has been shown to be effective in reducing limb volumes, decreasing infectious episodes and improving quality of life. Multiple donor sites have been described in the quest for the optimal one. Herein, we describe a novel lymph node flap option based on the ileocolic artery and vein. The ileocecal vascularized lymph node (IC-VLN) flap was used in the management of a 33-year-old male patient with lower extremity lymphedema secondary to left inguinal trauma. The patient had previously underwent a pedicled omentum flap transposition with minimal improvement in limb size and persistent episodes of infection. At 15 month follow-up, the IC-VLN flap improved the lymphatic drainage in the affected limb with a mean limb circumference reduction rate of 26.3{\%}. No donor site complications or further episodes of infection were noted. According to our findings, the IC-VLN flap may be another option for VLN transfer in very selected cases. Nevertheless, larger series with a longer follow-up are required to analyze the efficacy and long-term results of this flap.",
author = "Pedro Ciudad and Manrique, {Oscar J} and Mouchammed Agko and En-Wei Liu and Wei-Ling Chang and {Sze-Wei Yeo}, Matthew and Huang, {Tony Chieh-Ting} and Chilgar, {Ram M} and Hung-Chi Chen",
note = "{\circledC} 2017 Wiley Periodicals, Inc.",
year = "2017",
month = "5",
day = "24",
doi = "10.1002/micr.30186",
language = "English (US)",
journal = "Microsurgery",
issn = "0738-1085",
publisher = "Wiley-Liss Inc.",

}

TY - JOUR

T1 - Ileocecal vascularized lymph node transfer for the treatment of extremity lymphedema

T2 - A case report

AU - Ciudad, Pedro

AU - Manrique, Oscar J

AU - Agko, Mouchammed

AU - Liu, En-Wei

AU - Chang, Wei-Ling

AU - Sze-Wei Yeo, Matthew

AU - Huang, Tony Chieh-Ting

AU - Chilgar, Ram M

AU - Chen, Hung-Chi

N1 - © 2017 Wiley Periodicals, Inc.

PY - 2017/5/24

Y1 - 2017/5/24

N2 - Vascularized lymph node (VLN) transfer has been of high interest in the past decade for the treatment of lymphedema, since it has been shown to be effective in reducing limb volumes, decreasing infectious episodes and improving quality of life. Multiple donor sites have been described in the quest for the optimal one. Herein, we describe a novel lymph node flap option based on the ileocolic artery and vein. The ileocecal vascularized lymph node (IC-VLN) flap was used in the management of a 33-year-old male patient with lower extremity lymphedema secondary to left inguinal trauma. The patient had previously underwent a pedicled omentum flap transposition with minimal improvement in limb size and persistent episodes of infection. At 15 month follow-up, the IC-VLN flap improved the lymphatic drainage in the affected limb with a mean limb circumference reduction rate of 26.3%. No donor site complications or further episodes of infection were noted. According to our findings, the IC-VLN flap may be another option for VLN transfer in very selected cases. Nevertheless, larger series with a longer follow-up are required to analyze the efficacy and long-term results of this flap.

AB - Vascularized lymph node (VLN) transfer has been of high interest in the past decade for the treatment of lymphedema, since it has been shown to be effective in reducing limb volumes, decreasing infectious episodes and improving quality of life. Multiple donor sites have been described in the quest for the optimal one. Herein, we describe a novel lymph node flap option based on the ileocolic artery and vein. The ileocecal vascularized lymph node (IC-VLN) flap was used in the management of a 33-year-old male patient with lower extremity lymphedema secondary to left inguinal trauma. The patient had previously underwent a pedicled omentum flap transposition with minimal improvement in limb size and persistent episodes of infection. At 15 month follow-up, the IC-VLN flap improved the lymphatic drainage in the affected limb with a mean limb circumference reduction rate of 26.3%. No donor site complications or further episodes of infection were noted. According to our findings, the IC-VLN flap may be another option for VLN transfer in very selected cases. Nevertheless, larger series with a longer follow-up are required to analyze the efficacy and long-term results of this flap.

U2 - 10.1002/micr.30186

DO - 10.1002/micr.30186

M3 - Article

C2 - 28543381

JO - Microsurgery

JF - Microsurgery

SN - 0738-1085

ER -