A case of donor-site lymphoedema after lymph node–superficial circumflex iliac artery perforator flap transfer

Indication of Lymphaticovenous Anastomosis for Lower Limb Primary Lymphedema

“…In addition, lymphaticovenous anastomosis eliminates the possibility of donor-site lymphedema that may occur after lymph node transfer. 15 Several reports have described the efficacy of lymphaticovenous anastomosis for primary lymphedema. Among these, O'Brien et al 16 stated that lymphaticovenous anastomosis for primary lymphedema is difficult, because the lymphatic vessels are hypoplastic.…”

Vascularized Lymph Node Transfer for Treatment of Lymphedema

“…21 Although the reported cases of secondary lymphedema from harvesting the VLNT is low, it is still the main concern of VLNT. 3,10,15,20,36,37 In a study by Viitanen et al, 20 decrease in lymphatic transport index at the donor leg following harvesting VLNT from the groin were noted, although these patients did not demonstrate any clinical signs of lymphedema such as physical complaints or differences in limb measurement.…”

Vascularized Lymph Node Transfer

“…First, lymphedema is a notoriously underdiagnosed condition. 51 The increased awareness of lymphedema as a complication in both the patient and the treating surgeon after vascularized lymph node transfer is likely to facilitate its diagnosis. In contrast, unless they are proactively sought, the signs and symptoms of lymphedema are more likely to be missed in a grateful patient following a life-or limb-saving groin flap procedure.…”