Gastroepiploic vascularized lymph node transfer for extremities’ lymphedema: Is two better than one? A retrospective case-control study

Single (SG-VLN) and double gastroepiploic vascularized lymph node transfer (DG-VLN) have shown promising results for the treatment of extremities’ lymphedema. The literature search yields only few other cases describing outcomes following double VLN transfers, but no comparative studies have been pr...

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Veröffentlicht in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2022-09, Vol.75 (9), p.3129-3137
Hauptverfasser: Elia, R, Chen, HC, Taranto, G Di, Ciudad, P, Torto, F Lo, Nacchiero, E, Giudice, G, Maruccia, M
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Sprache:eng
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Zusammenfassung:Single (SG-VLN) and double gastroepiploic vascularized lymph node transfer (DG-VLN) have shown promising results for the treatment of extremities’ lymphedema. The literature search yields only few other cases describing outcomes following double VLN transfers, but no comparative studies have been produced so far. The aim of this study was to retrospectively examine and compare the effects of SG-VLN versus DG-VLN transfer. All patients diagnosed with extremities’ stage II and III lymphedema who had undergone SG-VLN or DG-VLN between January 2012 and December 2018 were identified from two institutions’ databases. Demographic and surgical data were collected. The primary endpoint was the comparison of the reduction in limb circumference (CRR) within 12 months post-surgery. Secondary endpoints included the reduction of cellulitis episodes and patients’ quality of life improvement. Eighty-nine patients met the inclusion criteria. At 12 months of follow-up, higher CRR values were observed in the double inset group (p
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2022.04.105