Mir Mohd Altaf, Praveen A J, Maurya Rajesh Kumar
Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Bathinda, Punjab, India.
Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Int J Appl Basic Med Res. 2022 Jan-Mar;12(1):57-60. doi: 10.4103/ijabmr.ijabmr_207_21. Epub 2022 Jan 31.
Free vascularized lymph node transfer (VLNT) is one of the new and highly efficacious procedures in the cases of lymphedema. In this case, we present a case of lower-limb lymphedema which was managed by this procedure where a supraclavicular LN was harvested and transferred to the lower leg. VLNT from the supraclavicular region is a very effective treatment for physiological restoration of the lymphatic flow in established cases of lower-limb lymphedema because of well-hidden favorable scar and minimal chances of secondary iatrogenic lymphedema in the donor region unlike other sites such as groin and axilla. The VLNT should be preferred over manual lymphatic drainage because it is very effective treatment for physiological restoration of the lymphatic flow, however, the further analytical studies are required to confirm statistically the effectiveness of the same over other modalities.
游离带血管蒂淋巴结转移术（VLNT）是治疗淋巴水肿的新型高效手术方法之一。在此，我们报告一例采用该手术治疗的下肢淋巴水肿病例，术中切取锁骨上淋巴结并转移至小腿。对于已确诊的下肢淋巴水肿病例，锁骨上区域的VLNT是恢复淋巴液生理性流动的一种非常有效的治疗方法，因为与腹股沟和腋窝等其他部位不同，该部位瘢痕隐蔽，供区继发性医源性淋巴水肿的几率极小。与手法淋巴引流相比，VLNT应作为首选，因为它是恢复淋巴液生理性流动的非常有效的治疗方法，然而，还需要进一步的分析研究以统计学方式证实其相对于其他治疗方式的有效性。
