Long-term Results of Microvascular Lymph Node Transfer : Correlation of Preoperative Factors and Operation Outcome

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http://hdl.handle.net/10138/333801

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Rannikko , E H , Suominen , S H , Saarikko , A M , Viitanen , T P , Mäki , M T , Seppänen , M P , Suominen , E A & Hartiala , P 2021 , ' Long-term Results of Microvascular Lymph Node Transfer : Correlation of Preoperative Factors and Operation Outcome ' , Plastic and reconstructive surgery. Global open , vol. 9 , no. 1 , 3354 . https://doi.org/10.1097/GOX.0000000000003354

Title: Long-term Results of Microvascular Lymph Node Transfer : Correlation of Preoperative Factors and Operation Outcome
Author: Rannikko, Eeva H.; Suominen, Sinikka H.; Saarikko, Anne M.; Viitanen, Tiina P.; Mäki, Maija T.; Seppänen, Marko P.; Suominen, Erkki A.; Hartiala, Pauliina
Contributor organization: HUS Musculoskeletal and Plastic Surgery
Plastiikkakirurgian yksikkö
Clinicum
Date: 2021-01
Language: eng
Number of pages: 8
Belongs to series: Plastic and reconstructive surgery. Global open
ISSN: 2169-7574
DOI: https://doi.org/10.1097/GOX.0000000000003354
URI: http://hdl.handle.net/10138/333801
Abstract: Background: Our objective was to analyze whether a correlation could be observed between preoperative factors and microvascular lymph node transfer outcome after long-term follow-up. Methods: We included 67 patients in this retrospective case series. The incidence of cellulitis, the difference of arm circumference, the use of the compression garments both preoperatively and postoperatively, and subjective symptoms, such as pain, were analyzed. Volumetry and lymphoscintigraphy results were also analyzed in a subgroup of patients. We correlated preoperative factors with postoperative results. Results: After 70 +/- 17 months of follow-up, 42% of the patients were able to discontinue the use of compression garments. The subjective pain symptoms were reduced in 75% of the patients. The incidence of cellulitis was reduced from preoperative 0.20 +/- 0.55/y to postoperative 0.02 +/- 0.08/y. As a novel finding, the patients with preoperative cellulitis were more likely to continue the use of the compression garments. Conclusions: The surgery is beneficial to most studied lymphedema patients, although it is not the cure for all patients. The incidence of cellulitis was reduced, and further, the presence of preoperative cellulitis seems to affect the outcome of the operation.
Subject: CANCER-RELATED LYMPHEDEMA
QUALITY-OF-LIFE
BREAST-CANCER
POSTMASTECTOMY LYMPHEDEMA
3126 Surgery, anesthesiology, intensive care, radiology
Peer reviewed: Yes
Rights: cc_by_nc_nd
Usage restriction: openAccess
Self-archived version: publishedVersion


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