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LYMPHNODE TRANSFER
CORINNE BECKER
France
The free lymph node transfers seem to be an effective treatment to replace the nodes removed for oncologic reasons, in the upper or lower extremity.
Congenital lymphedema due to a hypoplasic lymphatic system, are responding to the autologous lymphnodes transplantation. Why? The reason is: The lymphnodes are pumping the liquid, they also contain lymph growthing hormones which promote the growth of the new lymphatic vessels.
Moreover, they serve as bacteria filters so the patients are able to fight chronic infections
This technique consists in a free fascial fatty flap containing some lymph nodes.
The evaluation is performedd by lymphoMRI, witch can show the deep and superficial network with high sensibility. The indications of ALNT for iatrogenic cases are:
– absence of pathways visible at the lymphoMRI – pain, palsy
– breast reconstruction wished
– chronic infections
For the congenital cases, this technique help the hypoplasic cases, improving the number of nodes and lymphatic vessels.
The results are showed, comparing the clinic and the lymphoMRI.
Combinations of different techniques are to be considered, but it always must be in logic approach. A multidiscipinair evaluation is the key.
GROWTH FACTOR THERAPY AND AUTOLOGOUS LYMPH NODE TRANSFER
A. SAARIKKO
Finland
MANUAL LYMPHATIC DRAINAGE: STILL USEFUL?
Université Libre de Bruxelles, Lymphology Research Unit, Bruxelles, Belgium
J.-P. BELGRADO
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THE EUROPEAN JOURNAL OF LYMPHOLOGY - Vol. XXVI - Nr. 72 - 2015