Abstract
The authors reviewed the MDCT images to show the number of lymph nodes superior to the saphenofemoral junction. In this study, on average, 3.67 nodes existed. However, there were 4 percent of cases with no countable nodes. This result indicates that appropriate preoperative screening is needed for this procedure.
Highlights
Vascularized lymph node transfer (VLNT) is known to be an effective way of treating lymphedema
Several lymph node sites have been reported as suitable donor sites [1], with the inguinal lymph nodes being one of the major donor sites for upper extremity lymphedema treatment
We reviewed 96 multi detector computed tomography (MDCT) images taken perioperatively from the left and right sides of the abdomen of 48 cases while preparing for deep inferior epigastric perforator (DIEP) flap breast reconstruction surgery between 2011 and 2014
Summary
Vascularized lymph node transfer (VLNT) is known to be an effective way of treating lymphedema. Several lymph node sites have been reported as suitable donor sites [1], with the inguinal lymph nodes being one of the major donor sites for upper extremity lymphedema treatment. These nodes enable simultaneous VLNT and breast reconstruction by transferring an abdominal flap containing the inguinal lymph nodes. Recent reports suggest that to avoid donor site iatrogenic lymphedema, superficial inguinal nodes superior to the saphenous junction are suitable [2,3]. Our study aimed to identify how many nodes could be included in the abdominal flap
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