Advertisement
Correspondence and Communications| Volume 72, ISSUE 4, P685-710, April 2019

Intranodal lymphangiography with indocyanine green: Application in lymph node transfer and beyond

Published:January 14, 2019DOI:https://doi.org/10.1016/j.bjps.2019.01.017
      Diagnostic imaging of truncal lymphatics is a diverse field with several modalities available. The growing popularity of vascularized lymph node transfer (VLNT) for the treatment of lymphedema has brought the topic into focus of plastic reconstructive surgeons worldwide. During this procedure, it is physiologically advantageous to perform lymph node efferent lymphatico-lymphatic anastomosis (ELLA) by including efferent lymphatic vessels in the flap while avoiding excess soft tissue
      • Yamamoto T.
      • Yoshimatsu H.
      • Yamamoto N.
      Complete lymph flow reconstruction: a free vascularized lymph node true perforator flap transfer with efferent lymphaticolymphatic anastomosis.
      . However, in practice it is difficult to identify these vessels.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Plastic, Reconstructive & Aesthetic Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Yamamoto T.
        • Yoshimatsu H.
        • Yamamoto N.
        Complete lymph flow reconstruction: a free vascularized lymph node true perforator flap transfer with efferent lymphaticolymphatic anastomosis.
        J Plast Reconstr Aesthet Surg. 2016; 69: 1227-1233
        • Kariya S.
        • Komemushi Nakatani
        • et al.
        Intranodal lymphangiogram: technical aspects and findings.
        Cardiovasc Intervent Radiol. 2014; 37: 1606-1610
        • Inoue M.
        • Nakatsuka S.
        • Yashiro H.
        • et al.
        Lymphatic intervention for various types of lymphorrhea: access and treatment.
        Radiographics. 2016; 36: 2199-2211
        • Hadamitzky C.
        • Blum K.S.
        • Pabst R.
        Regeneration of autotransplanted avascular lymph nodes in the rat is improved by platelet-richplasma.
        J Vasc Res. 2009; 46: 389-396
        • Joseph W.J.1
        • Aschen S.
        • Ghanta S.
        • et al.
        Sterile inflammation after lymph node transfer improves lymphatic function and regeneration.
        Plast Reconstr Surg. 2014; 134: 60-68