Technical details for harvesting gastro-epiploic lymph node flaps via mini-laparotomy incision

KAYA B., Ciudad P., Chen S., Para L., Chen H.

JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, cilt.73, sa.9, ss.1630-1636, 2020 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 73 Sayı: 9
  • Basım Tarihi: 2020
  • Doi Numarası: 10.1016/j.bjps.2020.05.007
  • Dergi Adı: JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.1630-1636
  • Anahtar Kelimeler: Lymph node flap, Gastro-epiploic lymph node flap, Laparoscopic harvest, Mini-laparotomy, DONOR-SITE, RECONSTRUCTION, ANASTOMOSIS, OUTCOMES, OMENTUM
  • Ankara Üniversitesi Adresli: Evet

Özet

Laparoscopic harvest method to obtain gastro-epiploic lymph node flaps for lymphedema treatment has been previously described. In this article, the technical details of an alternative method - open approach via mini-laparotomy incision - for harvesting gastro-epiploic lymph node flaps and preparation of the flaps for the inset is presented. A total of 17 patients were included in this series of the mini-laparotomy approach. Blood loss was minimal during the surgery. The average duration of lymph node flap harvest was 65 min. The average length of hospital stay was 10 days. The period of the restricted diet was 1.5 days. The upper abdominal scar was acceptable, there were no postoperative hernia or bulging, and there were no complications related to bowel obstruction during the follow-up. The open approach harvest method via mini-laparotomy incision offers similar results to laparoscopic harvest method, and it is safe when applied with the right technique. (C) 2020 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.