Ciudad Pedro, Huayllani Maria T, Forte Antonio J, Boczar Daniel, Avila Francisco R, Escandón Joseph M, Manrique Oscar J, Chen Hung-Chi
Department of Plastic, Reconstructive and Burn Surgery, Arzobispo Loayza National Hospital, Lima, Peru.
Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.
Indian J Plast Surg. 2022 Feb 28;55(1):97-101. doi: 10.1055/s-0041-1740520. eCollection 2022 Feb.
Posttraumatic lymphedema develops more frequently than expected and reports on its management are scarce in the literature. We aimed to report the clinical outcomes of a case series of posttraumatic lymphedema patients treated with different vascularized lymph node transfers (VLNTs). Five patients with secondary posttraumatic lower limb lymphedema treated with VLNT were included in this report. The groin-VLNT ( = 1), supraclavicular-VLNT ( = 2), and gastroepiploic-VLNT ( = 2) were implemented. The average flap area was 69.8 cm . Patients underwent postoperative complex decompressive therapy for an average of 10.0 months. The average mean circumference reduction rate was 24.4% (range, 10.2-37.6%). Postsurgical reduction in the number of infection episodes per year was observed in all patients. The mean follow-up was 34.2 months. VLNT is a promising surgical treatment for posttraumatic lymphedema patients. In our report, VLNT has demonstrated to reduce the volume and number of infections per year in posttraumatic lymphedema.
创伤后淋巴水肿的发生比预期更频繁，而文献中关于其治疗的报道却很少。我们旨在报告一系列接受不同带血管蒂淋巴结转移术（VLNT）治疗的创伤后淋巴水肿患者的临床结果。 本报告纳入了5例接受VLNT治疗的继发性创伤后下肢淋巴水肿患者。实施了腹股沟-VLNT（n = 1）、锁骨上-VLNT（n = 2）和胃网膜-VLNT（n = 2）。皮瓣平均面积为69.8平方厘米。患者术后平均接受了10.0个月的综合减压治疗。 平均周长减少率为24.4%（范围为10.2%-37.6%）。所有患者术后每年感染发作次数均减少。平均随访时间为34.2个月。 VLNT是一种有前景的治疗创伤后淋巴水肿患者的手术方法。在我们的报告中，VLNT已证明可减少创伤后淋巴水肿患者的体积和每年感染次数。
