Vascularized omental tissue transfer for the treatment of lymphedema:a review
作者机构：Division of Plastic and Reconstructive SurgeryWashington University School of MedicineSt.LouisMO 63108USA
出 版 物：《Plastic and Aesthetic Research》 (整形与美容研究（英文版）)
年 卷 期：2023年第10卷第1期
页 面：46-55页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：Lymphedema VOLT VLNT laparoscopy laparotomy gastroepiploic vessels cellulitis
摘 要：Lymphedema is a debilitating disorder caused by impaired drainage of the lymphatic *** the Western world,lymphedema most often arises secondary to the treatment of *** with lymphedema experience progressive swelling,pain,numbness,and tingling,and decreased quality of *** with persistent symptoms may be subject to chronic *** advent of microsurgery has enabled clinicians to transplant donor lymph nodes and their blood supply from a healthy site to the affected area in a procedure known as vascularized lymph node transplant(VLNT).One donor region is the *** omental lymph node transfer(VOLT)has been shown to decrease limb volume,circumference,and subjective symptoms of *** immunologic properties of the omentum make it a particularly useful lymph node donor site for patients with lymphedemarelated *** omentum may be harvested laparoscopically,with robotic assistance,or through a small laparotomy *** this review,we describe the relevant anatomy and history of VOLT as well as operative *** risks,benefits,and relevant outcome studies will be *** applications of robotic surgery to VOLT will be addressed.
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