Double autologous lymph node transplantation (ALNT) at the level of the knee and inguinal region for advanced lymphoedema of the lower limb (elephantiasis).

Abstract	Primary lower-limb lymphoedema is a chronic, progressive and debilitating condition with a difficult management, especially in advanced cases (elephantiasis). Recently, autologous lymph node transplantation (ALNT) appears to be a promising treatment for extremity lymphoedema. A case of a double ALNT for an advanced primary lower-limb lymphoedema is here reported: a contralateral inguinal lymph node flap was transferred to the knee and, in a second surgery, a thoracic lymph node flap was transplanted to the inguinal region. Clinical outcomes at 5 months postoperatively are very satisfactory with reduction in limb circumferences and improvement in skin quality and social impairment.
Authors	C Gómez Martín, C Murillo, A A Maldonado, L Cristóbal, J L Fernández-Cañamaque
Journal	Journal of plastic, reconstructive & aesthetic surgery : JPRAS (J Plast Reconstr Aesthet Surg) Vol. 67 Issue 2 Pg. 267-70 (Feb 2014) ISSN: 1878-0539 [Electronic] Netherlands
PMID	24269710 (Publication Type: Case Reports, Journal Article)
Copyright	Copyright © 2013 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
Topics	Elephantiasis (pathology, surgery) Humans Inguinal Canal (surgery) Knee (surgery) Leg (pathology) Lymph Nodes (transplantation) Male Middle Aged Organ Size Surgical Flaps

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