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KMID : 1143020210260020100
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Archives of Hand and Microsurgery
2021 Volume.26 No. 2 p.100 ~ p.108
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Novel Recipient Site for Aesthetic Inset of Vascularized Lymph Node Transfer: Preliminary Report
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Yi Chang-Ryul
Park Min-Suk
Seo Hyoung-Joon
Bae Seong-Hwan
Yoon Jin-A
Bae Yong-Chan
Kim Joo-Hyoung
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Abstract
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Purpose: The wrist, elbow, and axillae are recipient sites for vascularized lymph node transfer (VLNT) in upper extremity lymphedema. To the best of our knowledge, the possibility of the forearm as a recipient site for the VLNT has not been extensively investigated. We introduced a novel recipient site and surgical technique for VLNT in the distal upper extremity without a skin paddle.
Methods: Between January 2018 and February 2019, five consecutive patients underwent VLNT for upper extremity lymphedema. A vascularized supraclavicular lymph node was harvested and transferred to the mid-forearm of the lymphedematous limb. Radial artery, venae comitantes, and superficial vein were used as recipient vessels. Outcome was assessed by upper limb circumference and volume.
Results: All flaps survived without any donor-site morbidity. All patients reported symptom improvement. Mean circumference and volume at 3, 6, and 12 months after VLNT were reduced statistically significantly (p<0.05). Volume differential reduction was significant (p=0.005), showing an increasing tendency (p=0.050).
Conclusion: The forearm appears to be an excellent recipient site owing to its aesthetic and surgical benefits.
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KEYWORD
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Lymph node, Lymphedema, Upper extremity, Inset
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