Gastroepiploic vascularized lymph node transfer for the treatment of extremity lymphedema: comparison between middle and distal inset.
Publication/Presentation Date
4-1-2020
Abstract
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
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.
Volume
9
Issue
2
First Page
528
Last Page
538
ISSN
2227-684X
Published In/Presented At
Manrique, O. J., Bustos, S. S., Kapoor, T., Lin, J., Ciudad, P., Forte, A. J., Del Corral, G., Mani, M., Maruccia, M., & Terzic, A. (2020). Gastroepiploic vascularized lymph node transfer for the treatment of extremity lymphedema: comparison between middle and distal inset. Gland surgery, 9(2), 528–538. https://doi.org/10.21037/gs.2020.02.10
Disciplines
Anesthesiology | Medicine and Health Sciences
PubMedID
32420288
Department(s)
Department of Anesthesiology
Document Type
Article