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.
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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)
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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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