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Lymphatic complex transfer as combined lymph vessel and node transfer for advanced stage upper extremity lymphedema
Jun Won Lee1, Tae-Yul Lee1, Kyung-Chul Moon1
1Department of Plastic Surgery, Korea University College of Medicine, Seoul, Korea.
Journal of Vascular Surgery. Venous and Lymphatic Disorders
|March 11, 2023
Summary
This study introduces lymphatic complex transfer, a novel surgical method for advanced lymphedema. The technique showed significant limb circumference improvement and reduced patient-reported impact, with no major complications.
Area of Science:
- Plastic Surgery
- Microsurgery
- Lymphedema Research
Background:
- Advanced lymphedema presents significant challenges in extremity reconstruction.
- Current surgical options for lymphedema lack a definitive consensus.
- Novel approaches are crucial for managing severe lymphedema.
Purpose of the Study:
- To introduce and evaluate a novel lymphatic reconstruction technique: lymphatic complex transfer.
- To assess the efficacy of lymphatic complex transfer in patients with advanced upper extremity lymphedema.
- To investigate patient-reported outcomes and complications associated with the procedure.
Main Methods:
- A cohort of 37 patients with advanced upper extremity lymphedema was studied.
- Patients underwent lymphatic complex transfers (lymph vessel and node transfers) between 2015 and 2020.
- Preoperative and postoperative limb measurements, Lymphedema Life Impact Scale scores, and complications were analyzed.
Main Results:
- Significant improvement in circumference ratios between affected and unaffected limbs was observed (P < .05).
- Limb volume ratio decreased from 1.54 to 1.39 (P < .001), indicating reduced swelling.
- Lymphedema Life Impact Scale scores decreased significantly (48.1 to 33.4, P < .05), and no major donor site complications occurred.
Conclusions:
- Lymphatic complex transfer is a promising surgical option for advanced-stage lymphedema.
- The technique demonstrates effectiveness in improving limb measurements and quality of life.
- The procedure has a low risk of donor site morbidity, including iatrogenic lymphedema.
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