Microsurgical transfer of the greater omentum in the treatment of canine obstructive lymphoedema

Double vascularized omentum lymphatic transplant (VOLT) for the treatment of lymphedema

“…This approach resulted in an iatrogenic hernia, which led to some severe complications, and limited widespread adoption of this technique . The advent of microsurgery has reignited interest in the omentum flap, as this approach would allow transplantation to virtually anywhere in the body, and the abdomen to be closed completely . Although laparoscopic harvest of the omentum has also been described, in our experience open harvest through a limited incision is more precise and remains the preferred approach.…”

“…Vascularized omentum lymphatic transplant (VOLT) is a promising technique in the surgical treatment of lymphedema . The omentum contains an abundant supply of lymphatic tissue over a large surface area, making it a viable option for lymphatic reconstruction, especially for patients who have limited peripheral donor site options because of prior surgery, and radiation.…”

Experimental Assessment of Autologous Lymph Node Transplantation as Treatment of Postsurgical Lymphedema

“…These include lymphaticovenous anastomoses, [17][18][19] lymphatic vessel transplantation (lymphatic-to-lymphatic anastomoses), 20,21 omental grafts that contain lymphatics, 22,23 implantation of lymph node fragments, 24 -26 and vascularized lymph node transplantation. 27,28 Provided the vasculature is reconnected, data in the literature suggest that autotransplanted lymph nodes seem to survive well.…”

Outcomes of vascularized versus non‐vascularized lymph node transplant in animal models for lymphedema. Review of the literature

“…Of the 16 studies included, only two presented both vascularized and non-vascularized groups in the same study [4,5], allowing for more consistent conclusions. The heterogeneity in the experimental lymphedema model might have an impact on the final results since in some studies the lymphedema was clinically evidenced [6,7], in other studies the model was created with removal of lymph nodes and/or lymphatic vessels [8][9][10][11][12][13][14][15] or without removal of lymph nodes [16,17].…”