Lymphatic Patterns in the Superficial Circumflex Iliac Artery Perforator Flap.

IF 2.2 3区 医学 Q2 SURGERY
José Luis Campos, Sinikka Suominen, Gemma Pons, Ali M Al-Sakkaf, Irene Laura Lusetti, Max Sirota, Francisco Javier Vela, Laura Pires, Francisco Miguel Sánchez-Margallo, Elena Abellán, Jaume Masiá
{"title":"Lymphatic Patterns in the Superficial Circumflex Iliac Artery Perforator Flap.","authors":"José Luis Campos, Sinikka Suominen, Gemma Pons, Ali M Al-Sakkaf, Irene Laura Lusetti, Max Sirota, Francisco Javier Vela, Laura Pires, Francisco Miguel Sánchez-Margallo, Elena Abellán, Jaume Masiá","doi":"10.1055/a-2340-9629","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong> Lymphedema is a chronic condition, characterized by fluid buildup and tissue swelling and is caused by impairment of the lymphatic system. The lymph interpositional flap transfer technique, in which lymph flow is restored with a flap that includes subdermal lymphatic channels, is an option for surgical reconstruction. The superficial circumflex iliac artery perforator (SCIP) flap can be used for this purpose. This study aimed to describe and characterize the lymphatic patterns within the vascular territory of the SCIP flap.</p><p><strong>Methods: </strong> This cross-sectional multicenter study involved 19 healthy volunteers aged ≥18 years of both sexes assessing the bilateral SCIP flap zone. Superficial lymphatic patterns were evaluated at 4-, 14-, and 24 minutes after indocyanine green (ICG) lymphography injection. Standardized procedures were implemented for all participants in both hospitals.</p><p><strong>Results: </strong> The linear pattern was predominant bilaterally. The median number of lymphatic vessels and their length increased over time. Most lymphatic vessels in the SCIP flap were oriented toward the inguinal lymph node (ILN). However, the left SCIP zone lymphatic vessels were directed opposite to the ILN.</p><p><strong>Conclusion: </strong> The two sides SCIP zones were not significantly different. The primary direction of the bilateral lymphatic vessels was toward the ILN, although only single-side lymphatic vessels were in the opposite direction. These findings emphasize the importance of assessing lymphatic axiality and coherent lymphatic patterns prior to undertaking the SCIP as an interposition flap, to ensure effective restoration of lymphatic flow.</p>","PeriodicalId":16949,"journal":{"name":"Journal of reconstructive microsurgery","volume":" ","pages":""},"PeriodicalIF":2.2000,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of reconstructive microsurgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1055/a-2340-9629","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

Abstract

Background:  Lymphedema is a chronic condition, characterized by fluid buildup and tissue swelling and is caused by impairment of the lymphatic system. The lymph interpositional flap transfer technique, in which lymph flow is restored with a flap that includes subdermal lymphatic channels, is an option for surgical reconstruction. The superficial circumflex iliac artery perforator (SCIP) flap can be used for this purpose. This study aimed to describe and characterize the lymphatic patterns within the vascular territory of the SCIP flap.

Methods:  This cross-sectional multicenter study involved 19 healthy volunteers aged ≥18 years of both sexes assessing the bilateral SCIP flap zone. Superficial lymphatic patterns were evaluated at 4-, 14-, and 24 minutes after indocyanine green (ICG) lymphography injection. Standardized procedures were implemented for all participants in both hospitals.

Results:  The linear pattern was predominant bilaterally. The median number of lymphatic vessels and their length increased over time. Most lymphatic vessels in the SCIP flap were oriented toward the inguinal lymph node (ILN). However, the left SCIP zone lymphatic vessels were directed opposite to the ILN.

Conclusion:  The two sides SCIP zones were not significantly different. The primary direction of the bilateral lymphatic vessels was toward the ILN, although only single-side lymphatic vessels were in the opposite direction. These findings emphasize the importance of assessing lymphatic axiality and coherent lymphatic patterns prior to undertaking the SCIP as an interposition flap, to ensure effective restoration of lymphatic flow.

髂浅周动脉穿孔皮瓣的淋巴模式。
背景:淋巴水肿是一种慢性疾病,以液体积聚和组织肿胀为特征,由淋巴系统受损引起。淋巴间皮瓣转移(LIFT)技术是手术重建的一种选择,该技术通过包含皮下淋巴通道的皮瓣恢复淋巴流动。髂浅周动脉穿孔器(SCIP)皮瓣可用于此目的。本研究旨在描述和描述髂浅周动脉穿孔器皮瓣血管区域内的淋巴模式:这项横断面多中心研究涉及 19 名年龄≥18 岁的健康男女志愿者,评估双侧 SCIP 皮瓣区。在注射吲哚菁绿淋巴造影剂(ICG)后的 4 分钟、14 分钟和 24 分钟对浅层淋巴模式进行评估。两家医院的所有参与者都采用了标准化程序:结果:双侧淋巴管呈线状分布。淋巴管的中位数和长度随着时间的推移而增加。髂浅周动脉穿孔器皮瓣中的大多数淋巴管都朝向腹股沟淋巴结。然而,左侧 SCIP 区淋巴管的方向与腹股沟淋巴结相反:结论:两侧 SCIP 区无明显差异。结论:两侧 SCIP 区无明显差异,双侧淋巴管的主要方向是腹股沟淋巴结,但只有单侧淋巴管的方向与腹股沟淋巴结相反。这些发现强调了在采用 SCIP 作为间皮瓣之前评估淋巴轴向性和连贯淋巴模式的重要性,以确保有效恢复淋巴流动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
4.50
自引率
28.60%
发文量
80
审稿时长
1 months
期刊介绍: The Journal of Reconstructive Microsurgery is a peer-reviewed, indexed journal that provides an international forum for the publication of articles focusing on reconstructive microsurgery and complex reconstructive surgery. The journal was originally established in 1984 for the microsurgical community to publish and share academic papers. The Journal of Reconstructive Microsurgery provides the latest in original research spanning basic laboratory, translational, and clinical investigations. Review papers cover current topics in complex reconstruction and microsurgery. In addition, special sections discuss new technologies, innovations, materials, and significant problem cases. The journal welcomes controversial topics, editorial comments, book reviews, and letters to the Editor, in order to complete the balanced spectrum of information available in the Journal of Reconstructive Microsurgery. All articles undergo stringent peer review by international experts in the specialty.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信